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Ireland already has some medical deserts - and it’s been getting worse
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Tánaiste says Conor McGregor 'doesn't speak for Ireland' as MMA fighter arrives at White House
Leah Farrell
Opinion
Opinion Are we ready to let go of the Catholic Church's rituals?
Baptism, First Communion, Confirmation, Marriage and Burial are now rites of passage but do we understand their theological foundations, writes Shane Dunphy.
I ATTENDED A First Communion two years ago with Dominic* a child I was working with who was in care.
As we sat in the pews, waiting for the ceremony to begin, the youngster peered up at the large crucifix hanging above the altar and asked me: “Why’d they hang that guy up there anyway?”
I glanced down at my young ward. “You mean Jesus?”
“Yeah. That fella” said Dominic. “I keep asking why he’s up there and the teacher just keeps sayin’ he done it to save us all, but that doesn’t make much sense.”
Well, I had to admit that it didn’t.
We went to have lunch in a hotel after the ceremony. When, during dessert, Dominic wondered aloud if he could have an ice-cream sandwich made from two Communion wafers, I really knew then that something had been lost in translation.
And I knew he wasn’t alone in his confusion.
My Facebook newsfeed has this past fortnight, been full of photographs of beaming youngsters accompanied by proud parents, aunts and uncles, all fresh from First Communion ceremonies all over the country.
The images generally show boys in suits (the formal look given a funky twist with brightly coloured designer trainers); the girls more traditional – white dresses seem to still be in favour, but the hair of these communicants is augmented with extensions, makeup is liberally applied and a (usually subtle) application of fake tan is not uncommon.
Needless to say, the commentary on First Communion (and to a lesser extent Confirmation) 2019 has been mixed. While the majority smile and congratulate, there has been some sniping. The negative discourse falls into two main topics that could sum up many an Irish conversation: money and faith.
Hillary Fannin, in a recent column in the Irish Times, commented on the folly of spending upwards of €1,000 on a First Communion (the estimated average spend per child this year), and bemoaned the ‘Princess Packages’ being advertised in beauty salons, not to mention the availability of things like pink Playboy hummers to transport your child to the church.
Which means that it’s more than just the cost that offends -it is also the perceived vulgarity.
At my Dominic’s Communion there was indeed one hummer (in camouflage colours), and a few dresses that were so large they required extra space on the bench and looked as if an entire Swarovski crystal factory had exploded near them. A couple of the little girls appeared to have been dipped in Ronseal Mahogany Wood Stain.
And frankly, I don’t think it took away from the experience at all. In some ways, it added to the pageantry and the fun of the ceremony.
And whose business is it to cast judgement on what is cool or tasteful?
I work on the assumption that parents are adults and can decide how much they can afford to spend, and if their kids are likely to enjoy a hummer ride and an aggressively coloured fake tan – who am I or anyone else to say they’re wrong?
Such entertainments aren’t for me, but that shouldn’t detract from anyone else’s enjoyment.
Which brings us to faith – the reason the children are supposed to be in church in the first place.
I had a conversation last week with a parent who admitted that his son had been in the local church more times this month preparing for Communion than the rest of his life combined.
“So you don’t attend Mass then?” I asked.
“No. Stopped going when I was thirteen.”
“But you still want your son to make his communion?”
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He looked at me as if I had sprouted an extra head. “Of course I do! Sure it’s something we all go through, isn’t it?”
And I was immediately reminded of Dominic’s idea for religious desserts. How many children will have lined up to receive the host this year with no real concept of what they are doing and no concept of religious faith?
Baptism, First Communion, Confirmation, Marriage and Burial are now rites of passage but do we understand their theological foundations.
Christmas and Easter are important holidays, St Patrick’s Day is a national celebration – these festivals hold deep religious symbolism, but for most are simply social, and indeed commercial, events.
The Irish Catholic ran an article this week about the bid to remove preparation for Communion and Confirmation from schools completely to instead leave such religious and spiritual instruction to parents.
I don’t think it an over-exaggeration to suggest that this would mean the end of the established Church in Ireland, because I’m fairly certain that most parents simply wouldn’t bother.
And maybe it’s time we as a society made a decisive move away from the Church.
Doing just that is much on my mind just now, as last weekend my family said goodbye to a beloved matriarch.
Philomena Coughlan was my wife’s Aunt. Phil was a wife, a mother, a grandmother and a great grandmother and she left this world peaceful and content, surrounded by those she loved.
Following Phil’s passing, we all spent several days wrapped up in the familiar blanket of the Roman Catholic funeral ceremonies, and for the first time, I really paid attention to how my family experienced the process.
What struck me, as someone who has long since stepped away from the Church, was how the rituals acted as buffers for the very real and deeply painful emotions that were bubbling below the surface.
While the process created space to celebrate the person who was gone – we spent hours sharing memories and stories as we sat in the funeral home or hung about the church – it was equally about practicalities like timetabling the various events, making sure the more far-flung members of the clan knew where to go and when to be there, making sandwiches and organising flowers.
There was never any question that Phil would have a Roman Catholic funeral, as the church was an important part of who she was, but for those of us who are less inclined, I wondered if we could still have all the comfort of ritual and celebration without having to bring a priest in at all?
I concluded that we could, quite easily. The funeral directors saw the family through most of the hurdles and provided a calm, dignified presence, not to mention a venue for people to meet and say their last goodbyes.
The actual burial does not need to be officiated by a priest – although it is likely one would be present in a Roman Catholic graveyard, and it’s challenging to find non-denominational ones.
The physical structure of the church I realised, was not essential. The readings and the songs and the eulogising could have taken place in the funeral home just as effectively.
For Phil and her immediate family, Roman Catholicism was a really important part of it all, and for that reason it was beautiful. And that is the point.
If faith figures largely in your life then, by all means, celebrate the sacraments. If, however, you are simply going through the motions and these rituals are no more than a jumble of meaningless words and gestures, then maybe a rethink is called for.
On the way back to the residential unit on the evening of his First Communion, I chatted with Dominic. “Do you feel any different?” I asked.
“I certainly do,” he nodded vigorously.
“Holier?” I ventured.
He grinned, holding up the brand new wallet he had purchased with the spoils of the day.
“Richer,” he said.
Shane Dunphy is a child protection expert and author. He is Head of the Social Care Department at Waterford College of Further Education.
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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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