Bernard Allen
Question:234 Mr. Allen asked the Minister for Health and Children the plans, if any, he has to provide medical cards to the disabled as an automatic entitlement. [23234/99]
Written Answers. - Medical Cards.
Entitlement to health services in Ireland is primarily based on means. Under the Health Act, 1970, determination of eligibility for medical cards is the responsibility of the chief executive officer of the appropriate health board. Medical cards are issued to persons who, in the opinion of the chief executive officer, are unable to provide general practitioner medical and surgical services for themselves and their dependants without undue hardship.
Income guidelines have been drawn up by the chief executive officers to assist in the determination of a person's eligibility and these are revised annually in line with the consumer price index. However these guidelines are not statutorily binding and even though a person's income exceeds the guidelines, he\she may still be awarded a medical card if the chief executive officer considers that his\her medical needs or other circumstances would justify this. Medical cards may also be issued to individual family members on this basis.
In view of this special provision, I do not feel it justifiable, nor did previous Governments, on health policy grounds, to extend an automatic entitlement to a medical card to any specific group without any reference to their means as a general rule. It is of course open to all persons to apply to the chief executive officer, of the appropriate health board, for health services if they are unable to provide these services for themselves or their dependants without undue hardship.