tag:blogger.com,1999:blog-38545607.post6090268560999493069..comments2024-03-09T10:26:48.789+00:00Comments on economics, psychology, policy: sick to the teeth...Emma Watsonhttp://www.blogger.com/profile/11466193733741012673noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-38545607.post-19011034751317244622010-07-07T14:15:56.924+00:002010-07-07T14:15:56.924+00:00Kevin: yes, this is referred to as the 'target...Kevin: yes, this is referred to as the 'target income hypothesis' in the literature. If, in this case, dentists have multiple schemes that generate revenue and one is cut, you can expect the others to get more action, especially on third-party pays (the HSE/ the general public) schemes. It is interesting to note that the scheme that is currently in the Court's is the last one remaining. PRSI scheme has been almost completely abolished due to budget, and general demand, and insurance demand, are down. But this is the nature of the current economy we are living in. <br /><br /><br />Mark: In Ireland dentists are health professionals. They are bound by a code of ethics and regulated by a Dental Council. While I agree that more measures and checks could be in place, I would reiterate the inherent asymmetric information difficulties in the health care setting and suggest that dentists seek to maintain respect of their established profession by ensuring they can facilitate and honour their special role. <br /><br />There is no evidence, or suggestion, of a backlog. In fact, the Irish Dent. Assoc. was in dispute with the HSE in 2009 on other matters relating to the PRSI scheme and some had removed all services to the HSE as I recall. Therefore, if anything, you would have expected service volumes to be down slightly, not up 34%, in 2009. <br /><br />The issue of GPs is separate in many ways (they aren't paid a fee- per-service, for one) but it is still interesting that you mention this issue. You will be aware, from other posts, that we have much fewer physicians in Ireland than is average across the EU. This is a key factor in the pricing of these services and is an obvious place to start to remedy the situation. I have argued before against alternatives (e.g., the FG plan) that shy away from this mutable reality and seek to fix the problem by granting free GP care across the country. Anyway my main point here is, incidentally, that Ireland has the fewest dentists per capita in Europe.Peter Carneyhttps://www.blogger.com/profile/15551314243423821313noreply@blogger.comtag:blogger.com,1999:blog-38545607.post-46928848331475475992010-07-07T11:48:32.116+00:002010-07-07T11:48:32.116+00:00Being cynical I suppose you’d expect nothing less ...Being cynical I suppose you’d expect nothing less from the IDA, it’s up to someone else to be objective. But playing devil’s advocate… <br /><br />How sure are we this is a bad thing? There are deficiencies in plenty of areas in terms of provision of service by the HSE, so if this was as a result of clearing a backlog or waiting lists it could be a good thing.<br /> <br />On a related matter from the Irish Examiner today:<br /><a href="http://www.irishexaminer.ie/ireland/half-of-adults-avoid-gp-due-to-cost-of-visit-124353.html#ixzz0szotrqkL" rel="nofollow">“Half of adults avoid GP due to cost of visit”</a>Mark McGovernhttps://www.blogger.com/profile/17133619200829364366noreply@blogger.comtag:blogger.com,1999:blog-38545607.post-56867131309130703762010-07-07T02:36:44.066+00:002010-07-07T02:36:44.066+00:00Good that someone is getting their teeth into this...Good that someone is getting their teeth into this (sorry...). I wonder is it the case that dentists' incomes from private patients fell around the same time that their income from public patients rose so spectacularly? It would only be a coincidence of course.Kevin Dennyhttps://www.blogger.com/profile/17891633553910348880noreply@blogger.com