According to this morning’s Irish Times, Taoiseach Leo Varadkar has “expressed his frustration that higher public health spending is not improving services” because the number of people on hospital trolleys remains stubbornly high. He went on to express his regret to those members of the public who are affected. The Taoiseach also added: “This is the third year in a row that we’ve had more resources, a bigger budget, more staff, more beds, more home care, and despite all that we haven’t seen an improvement”. I hope we still have enough citizens in this country who have the testicular strength to shout “Bollix to that”! Anyone with a titter of wit could tell you that pouring money into a failed system is more than careless. And continuing to pour money in when you know that it will not bring better results is sheer insanity.
In fairness to him, I presume that Leo meant to reassure us all. The Taoiseach is lucky though that he has only to put up with frustration. I wonder has he stopped admiring his socks and taken stock of what is happening under the stewardship of his Government? We are being traumatised by the incompetence of those whom we have elected. We are being bewildered by the verbal gymnastics of Ministers, T.Ds. and oh-so-many other experts, advisors, and hangers-on who are running out of words to dodge their responsibilities while the world as we knew it is crumbling around us. Is dying on a trolley in a hospital corridor deemed an improvement on dying alone and cold on the streets of the City? Starting at the top of the incompetent organisation the old-fashioned tried and trusted rule of your beloved capitalist neo-liberal system is “piss, or get off the pot”.
I am sorry, Taoiseach, that you are frustrated. Nevertheless, you and your retinue of sycophants should be down on your bloody knees in sack cloth and ashes begging forgiveness for what you have done, continue to do, and even worse, you plough on condoning the behaviour of banks and other financial institutions, courting favour with foreign fascists in the name of diplomacy, endorsing failure and blaming everyone but the culprits.
Why is this happening? Simplesh, says the meerkat! First of all, there is the Peter Principle and that allied with Parkinson’s Law is the HSE in a nutshell. The Peter Principle arises from the simple observation that when people are promoted in an organisation they are usually selected on the basis of their current skills and performance in their current role, rather than on the abilities relevant to the intended role. And this is repeated ad nauseum until eventually they reach a point where they are not able to do their job. Stated simply, the Peter Principle asserts that every member in an organisation is eventually promoted to the level of their incompetence. In the case of the HSE, this mistake was compounded by transferring redundant personnel from the old Health Boards and finding space, rather than jobs, for them in the new super-duper HSE.
Then there is Parkinson’s Law which states that “work expands so as to fill the time available for its completion”. When one has an organisation staffed by “ropey” managers, supervisors, and administrators, who do not know how to manage the work of others who report to them, and when many of the those employed lack motivation, you have all the ingredients for an Irish Stew of Gargantuan proportions!
I suggest that Leo Varadkar’s final statement merely adds insult to injury. Indicating that individual hospitals will be called to account for their performance, he said the Government will have to learn “why some places have very few patients on trolleys – in the case of Cavan, zero – and why others have many more”. Isn’t that a brilliant idea! How come no Government has come up with that idea before now? Makes me wonder what Health Ministers and Department of Health officials have been doing all those years. Perhaps they were just playing the “Pass the Potty” game!