Limerick East): The long-term illness scheme entitles persons to free drugs and medicines which are prescribed in respect of a specific schedule of illnesses. The original aim of the scheme was to ensure that persons with a scheduled long-term disability or disease which is treatable by drug therapy would not have to suffer expense in order to obtain their required drugs and medicines. The long-term illness scheme has not been extended since 1975 and there are no plans to change the scheme or to expand the number of illnesses covered by the scheme, having regard to the fact that the needs of individuals with significant or ongoing medical expenses are now met by a range of other schemes which provide assistance towards the cost of prescribed drugs and medicines.
Where an individual or a family is subjected to a significant level of ongoing expenditure on medical expenses, such as general practitioner fees or prescribed drugs due to a long-term medical condition such as spinal injury, these expenses may be reckoned in determining eligibility for a medical card. In some cases a medical card may issue to a family member on a personal basis. Eligibility for a medical card is solely a matter for the chief executive officer of the relevant health board to decide.