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Ireland already has some medical deserts - and it’s been getting worse
Quiz: How much do you know about green things?
Tánaiste says Conor McGregor 'doesn't speak for Ireland' as MMA fighter arrives at White House
Bahrain
Torture and other human rights abuses continuing in Bahrain – Amnesty report
The Bahraini government insists it is on the road to reform – but Amnesty International has condemned its “piecemeal” efforts, accusing that state of continuing human rights violations including torture.
DESPITE PLEDGES OF reform, the government of Bahrain is continuing to perpetrate human rights abuses against citizens, Amnesty International said in a new report today.
The country’s government had promised reforms following clashes between anti-regime protesters and state troops in February and March during the anniversary of the country’s 2011 uprising.
However, as Bahrain gears up to host the Grand Prix, the Executive Director of Amnesty International Ireland said that the world should not be “under any illusions that the country’s human rights crisis is over”.
Discrimination against the Shi’a majority population
“We continue to receive reports of torture and the use of excessive force against protesters,” said Colm O’Gorman. “Senior members of the security forces accused of human rights abuses must face justice. All prisoners of conscience should be released and the government must tackle the underlying discrimination against the Shi’a majority population.”
Following the publication of the Bahrain Independent Commission of Inquiry in November 2011 report, Amnesty International has found that, despite some “mild reforms”, the government’s overall response has been inadequate.
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It cites the fact that no senior members of the country’s security forces, including the National Security Agency and Bahrain Defence Force, had been brought to account regarding allegations of torture during last year’s protests. A number of individuals who were singled out in the allegations are still believed to remain in their posts without having been investigated.
The report also highlights how “scores” of prisoners who were tried in military courts and sentenced to long-term jail sentences have not yet been released from detention. Amnesty says that these people were convicted “solely” for leading and participating in anti-government protests, without advocating or using violence.
Amnesty notes that a former worker with Dublin based human rights organisation Front Line Defenders, Abdulhadi Al-Khawaja, has been on hunger strike for more than two months in protest at his unfair imprisonment and is now in a “critical” state.
“Excessive force”
Security forces have reportedly reduced the use of shotguns since the end of 2011, they continue to target protesters with unnecessary and excessive force. The report notes that the use of tear gas has resulted in several deaths in recent months, and that at least 60 people have now been killed in connection with protests since February of last year.
Amnesty reported that 18-year-old student Hassan ‘Oun was arrested by policemen in civilian clothes on 3 January and taken to the Samaheej police station where he was interrogated. His family told the organisation that when his lawyer spotted signs of torture on his body when he saw him the next day at the Public Prosecutor’s office.
The student later told his lawyer that he was forced to stand up for about 11 hours at the police station, that he was beaten on his feet with a hosepipe and also threatened with rape.
The human rights group appealed to the Bahraini government to “immediately and unconditionally” release all prisoners of conscience and to ensure those suspected of torturing and killing, including those with command responsibility are held accountable.
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What we need is a Whole System that works,
It’s time to drain the sespool of leaders and show them with your VOTES , who are the real bosses , they work for us ,NOT the other way around
@Karllye kripton: the politicians don’t decide what drugs get approved, to do so would drive healthcare to a dystopian system to be decided by public opinion rather than expert medical professionals, so I’m unsure how votes would achieve your desired effect
@Vocal Outrage: Unfortunately this isn’t true. Look at Orkambi. Deemed to be not cost effective by the NCPE. Recommended not for reimbursement. Simon Harris decides to fund it. Despite this money coming at the expense of various other cost effective treatments. I wish the general public were fully aware of what a self serving decision this was, and how much it has cost the HSE, for a very marginal benefit, when you look at the overall CF population. But it looks good in the press.
@Peter Wheen: my point exactly, when you make populist medical policy decisions like that, against professional advice, then other parts of the service will suffer. I guess I was referring to how it should be
My mum was seen by many consultants in a private hospital in Dublin for pains that eventually had her bed ridden. After 4 months of various tests and different pain killers she took very ill and rushed to hospital. A simple CT scan not done previuosly by any consultant showed she was riddled with cancer and died the next day. My trust in private hospitals was questioned from that day onwards..
@Tom Padraig: Perhaps rather than blaming the medication, you should consider the circumstances that lead to people requiring antidepressants as opposed to labelling it all a scam.
@Philip Kavanagh: He is not wrong. One example would be the number of teens on Meds to treat their “ADHD” because they once told mummy to fork orf after eating a bag of skittles and downing five cans of red bull.
@Philip Kavanagh: As evidenced by the experience of those involved in the Air Corps chemical scandal, many if not most people on ADs do not need them. However they are the current quick “fix” for clinicians and a very lucrative one for industry.
The overprescription of ADs is a scourge & a scandal. The increase in anxiety & depression is being driven by what we eat, what we drink and what we breath.
ADs are one of the current unsustainable answers to an already unsustainable problem, counselling is the other.
Treating depression & anxiety along with so called suicide prevention is a fooking industry at this point.
@Ronan Sexton: He is wrong. Some people need antidepressants for a specific period, others will be on them for life. Like for most illnesses, medication is only one of the range of treatments. To write it all of as a scam is dangerous and stupid.
@Philip Kavanagh: The numbers on antidepressants in Ireland is simply staggering. To believe that all these people actually have mental health illnesses is simply beyond belief.
We are mass medicating a massive portion of our population out of ignorance.
I suppose the matter of not wasting billions on whats planned to be a multi tier health system for our kids in the supposed “best new hospital in the world (if you are wealthy and can afford expensive health insurance)”, would allow us buy a couple of billions more worth of drugs.
Can I ask if Dr. O’Connor believes, like a recently published Cork based gastroenterologist, that IBS is a psychosomatic illness?
“More than 50 per cent of my outpatients have symptoms caused by psychosomatic conditions, such as irritable bowel syndrome, which cannot be elucidated or cured by the molecular biologists”
@James Brady: Not really IBS and the like is overwhelming Gastroenterology Depts in all our hospitals. If all Gastroenterologists think IBS is psychosomatic then the problem is not being dealt with properly and is a further drain on the same pot of resources.
It stands to reason that if spending on expensive drugs means less money for other hospital spending then if something else is using up funds like for huge numbers of unnecessary “arse covering” endoscopy that then further eats into the same pool of money.
@Chemical Brothers: It’s not unnecessary. It is necessary to investigate or you can’t say with confidence that pt has IBS as opposed to something more serious. IBS is a diagnosis of exclusion. If gastroenterologist is arranging endoscopy to investigate, they are likely looking to rule out conditions with overlapping presentations such as coeliac, crohns, ulcerative colitis. When all investigations are negative and the symptoms are still of concern, it is not unreasonable to attempt treatments which have evidence of working in these cohorts of patients such as specific diets etc.
@Stephen Chaney: Thanks for reply. Considering the large percentage of those diagnosed with IBS in outpatient clinics would an approach of trying diet first rather than an expensive, invasive, unpleasant endoscopy procedure with attendant risk be a better course of action?
Is the endoscopy first approach being driven more by fear of missing a cancer and being sued for same rather than what may be a simpler approach?
Genuinely just asking, have had cameras both ends with nothing sinister found but have subsequently had success with dietary measures but not necessarily measures that consultants are familiar with.
In the UK there are set targets for delivery – something like Cancer surgery within 4 weeks maximum. If we set our public hospitals targets and then offered the patient free private care if not met that would focus minds on efficiencies.
@Pat Redmond: or just pay hospitals (and drs etc) per procedure. The countries with the shortest waiting lists are those with systems based on insurance where hospitals are paid like that.
he makes some valid points, but the chances of Ireland producing a high quality low cost health service are slim. We don’t do low cost for things like that in this country.
Great article and much that needs to be said- just would like to suggest another option- we need to recognise that the price tag on patented medicines bears no relationship to the cost of bringing the drug to market- but is the price unilaterally set by Pharma and is based on the maximum profit it can bring to its shareholders- which for life saving or life enhancing drugs is very high indeed. We need to bring some balance of power to the negotiating table to prevent monopoly abuse- ultimately by replacing the monopoly with an alternative incentive such as grants for R&D.
Ireland already has some medical deserts - and it’s been getting worse
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