Vol. 498 No. 2
202 Mr. Sheehan asked the Minister for Health and Children the reason persons who suffer from Huntington's disease do not qualify for a medical or long-term illness card; and the entitlements of the patients in this regard. [26886/98]
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, without undue hardship, to provide general practitioner medical and surgical services for themselves and their dependants. Income guidelines have been drawn up by the chief executive officers to assist in the determination of a person's eligibility and these guidelines are revised annually in line with the consumer price index.
However, the guidelines are not statutorily binding and even though a person's income exceeds the guidelines, a medical card may still be awarded if the chief executive officer considers that his or her medical needs would justify this.
Medical cards may also be awarded to individual family members on this basis.
In view of this special provision previous Governments did not feel it was justifiable, on health policy grounds, to extend an automatic entitlement to a medical card to any specific group without any reference to their means or in the case of children, to their parents' 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 hardship.
