HIQA independence in question

TWO families who triggered the independent review of services at the Mid-Western Regional Hospital in Ennis are furious no one has been held accountable…The Health Information and Quality Authority (HIQA) found it was unable to blame anyone because of a lack of clarity around local accountability and the authority to make decisions (Irish Examiner).

Once again a so called independent investigation into death within the HSE has been unable to hold anyone to account. I don’t think anybody really expected anything better. After so many other whitewash reports why would anyone think this one would be any different?

We’ve had the usual waffle from bureaucrats and politicians who have employed the usual cynical strategies to protect their backs.

A particularly nasty but common strategy is to supply the report to the victims just hours before its publication. This means they have no time to read it in detail and as we’re heading into a long weekend it will be old news by next Tuesday.

Mary Harney had promised to supply the report to the families of the victims before publication; she did so, at 11.30 on the morning of publication. It’s difficult to get more ruthlessly cynical than that.

This is in stark contrast to how the State favours the Catholic Church. The Dublin Archdiocese Commission of Investigation into clerical sex abuse is due for publication in May or June but Archbishop Martin and others have already been given a copy of the report so that they can prepare their response to what is said to be an absolutely shocking litany of abuse (Irish Examiner).

A solicitor for one of the families involved in the Ennis hospital misdiagnosis scandal said that the report seemed to have a political agenda connected to the downgrading of hospitals.

This was put to the chief executive officer of HIQA, Dr. Tracey Cooper, on the Six One News (1st report, 4th item) yesterday, she replied:

“As an independent authority we’re established to take work independently from the rest of the system. What’s driven the findings of the investigation is that it isn’t about political agenda’s; it isn’t about territorialism of local hospitals.

It is about the fact that international evidence is very clear that patients that require emergency care, specialist care have to be treated in care by people who see sufficient volumes of patients with those types of conditions to keep their skills up to date.”

This statement could have been taken straight out of Mary Harney’s files so close is it to government (political) policy regarding the downgrading of hospitals.

The merits of this policy have been widely debated throughout the media but why is this so called independent authority that was supposed to be investigating the deaths of two patients by misdiagnosis, parroting Government policy as a justification for its conclusions?

Is HIQA independent? I don’t think so.

Copy to:
HIQA

Heading for the wasteland

Kevin Myers takes Fine Gael to task in yesterday’s Irish Independent for the party’s failure to adopt a Tallaght Strategy type cooperation with the Government. It wasn’t easy at the time, he says, for Fine Gael to cooperate with a “truly dreadful man like Charles Haughey” he continues:

“He was, moreover, personally horrible, a sneering, ridiculing bully, a hypocrite who escorted his mistress to fine restaurants as he preached Catholic values. And he was visibly corrupt (though just how spectacularly so, we didn’t know for decades).”

“We didn’t know for decades”??? I’m about average when it comes to adding numbers and ditto on ability to join up dots.

Since the early 80s I’ve been adding the numbers and joining the dots and the result has always been the same. Haughey was not just ‘visibly’ corrupt; he was corrupt to the core.

For all those decades when Myers wasn’t quite sure of Haughey’s pedigree I was ranting on to anybody who would listen that this man should be stopped, that he was very, very obviously doing enormous damage to Ireland and its people, that he should be rotting in jail to prevent him from spreading the deadly disease of corruption throughout the land.

Haughey’s career of corruption was a resounding success principally because people like Myers were, and apparently still are, incapable of seeing the brutal reality right before their eyes.

Let me spell out that reality to Mr. Myers, it may save us all from having to read of his shock and horror at some point in the future (hopefully not decades) when he finally realises just how ‘spectacularly’ corrupt Ireland has become.

The corrupt Haughey did not operate in a vacuum. He carried out his crimes within the comfort of a corrupt Fianna Fail party. Many of the people who unquestionably supported the corrupt Haughey are still in the party, some of them at the highest level.

The party leadership almost to a man unquestionably supported the chancer Ahern even when he was swearing under oath that he won his dodgy money on the horses.

Fianna Fail has been in power for most of the history of this blighted state and it has corrupted the state to its core, not just some ‘visible’ corruption, but to its very core. Nothing will change until that reality is faced up to, until the rot that eats away at the heart of Irish society is ripped out and destroyed.

It is that corrupt entity that is still in power; it is that corrupt entity that Mr. Myers apparently thinks has the vision, courage and honesty to take us out of the crisis.

Myers tells us that if Fine Gael continues to oppose in order to court popular approval. . . the road ahead will lead to a wasteland.

No, Mr. Myers, if Fianna Fail is not destroyed as a political entity as a first step towards reform of our corrupt political system – then we are indeed heading for a wasteland.

Copy to:
Kevin Myers

HIQA joins HSE in the sewer of cynical strategies

The Health Information and Quality Authority (HIQA) was set up only two years ago and already it has descended into the sewer in company with the Health Service Executive (HSE).

Just like the HSE, HIQA has now apparently adopted the cynical strategy of waiting for the most opportune moment to bury unfavourable reports (Irish Independent).

It became clear that HIQA had descended into the sewer of cynical strategies when they published the report into Rebecca O’Malley’s misdiagnosis on the day Bertie Ahern resigned.

Nobody knew in advance that Ahern was resigning but it’s likely that HIQA had the report ready and were waiting for the right moment.

It could have been argued that this was perhaps just a coincidence, like all the other amazing ‘coincidences’ in Irish public life but the latest report publications leave us in no doubt that HIQA has abandoned its commitment to “operate to the highest standards of corporate governance.”

The report into cancer misdiagnosis at University College Hospital Galway was published (buried) on the eve of the Budget when it was certain to go unnoticed by the media.

Another report; that of the misdiagnosis of Ann Moriarty, was published (buried) just after the budget and before the Easter Bank Holiday weekend.

Karl Henry, whose wife died of breast cancer a year ago after doctors failed to diagnose her cancer in Ennis General Hospital, said:

“It is a cheap stunt. Are we being taken for complete and utter fools?”

Unfortunately, we are being taken for complete fools. The person/s in HIQA who are responsible for publishing these reports are probably congratulating themselves on how clever they are as they head off to enjoy the long weekend.

By next week it’s likely that their betrayal of the people they claim to serve will be forgotten as they consider how best to bury the next report.

Copy to:
HIQA

Learning the truth

Sam Smyth, whose daughter suffers from Cystic Fibrosis, is still in the process of finding out just how ruthless and uncaring Irish politicians are when it comes to looking after their own petty interests.

As part of the deal (which, by the way was secret and thus totally undemocratic) to support the formation of a government Independent TD, Finian McGrath was promised that CF sufferers would be looked after.

As soon as he withdrew his support these ruthless people pulled the plug on the deal. In other words they were only interested in political power not the welfare of very vulnerable citizens.

In the shadow of the Tsunami

Last October I wrote the following regarding the global financial crisis.

“We’re in a moment just like that before a Tsunami strikes. The sea is sucked out a great distance from the shore and people, in their ignorance and excitement, rush out to stare at beached fish flapping about. There’s absolutely no realisation of what’s just beyond the horizon.”

We’re still at that point, the Tsunami hasn’t hit yet. The political fish are still flapping about on the beach trying to convince us that they know what they’re doing.

This emergency budget can be seen as the shadow of the Tsunami as people begin to look away from the flapping politicians and stare at the gathering darkness on the horizon.

Irish citizens are beginning to realise that their politicians are incompetent and to a large extent, corrupt. They are beginning to realise that our corrupt system of administration will always give priority to favoured sections of society.

They are beginning to realise that in the coming year or two they are going to be stripped clean of most of their assets.

The question is – will they tolerate it?

Paddy Kelly is a happy man

The final act in protecting bankers and developers has now been taken with the transfer of €90 billion of toxic assets from the banks onto the shoulders of the taxpayer.

There remain now only a few loose ends to tidy up such as lifting the limit on bonuses and setting up yet another ‘regulator’ to protect the corrupt and greedy.

On January 22nd last I wrote about happy property developers living in a banana republic. The post concerned the property developer Paddy Kelly who candidly admitted that he owed hundreds of millions to the banks but wasn’t the least bit worried.

And now we know why he wasn’t worried, he knew well that his political friends would bail him and the bankers out.

“We’re going to need steady heads to sort our problems and we need to be decent to one another and to help one another and for me compassion is so central to how we live and how we are.”

The ‘we’ in this quote obviously meant fellow developers, bankers and political friends.

What are the chances…

The global crisis coupled with our own economic meltdown has, for the first time since independence, forced our politicians to govern in the interests of the country rather than for personal, party or sectional interests.

It will be a miracle of biblical proportions if they succeed in taking us through this crisis simply because they have no experience whatsoever in governing a truly democratic country.

Take the analogy of a corrupt factory manager who has for years been cooking the books, robbing workers and lying to the owners. Although it’s obvious something is wrong nobody speaks up because the manager is adept at giving out favours.

Suddenly, the factory is on fire and the only person capable of putting it out is the corrupt manager because he did all the firefighting courses.

Unfortunately, it turns out that he never actually attended any course but instead headed off on a holiday paid for out of his expenses. Now everybody is looking to this corrupt, incompetent and greedy man to save their factory, jobs and future.

What are the chances?

For the first few decades after independence Ireland remained economically, politically and culturally static. There was no attempt whatsoever to make a real break with the past by creating a modern, progressive democratic country.

Instead, all energies were focused on hatred for the British as an excuse for our own incompetence, burn everything British except their coal was the rallying cry.

To make matters worse the Catholic Church was bestowed with enormous and unchecked power that had, and continues to have, devastating consequences for Irish citizens.

But the most serious deficiency was the complete failure to establish a properly functioning democratic system. Instead, we opted for the mafia type system of Clientism where citizens were encouraged to believe that power rested with the politician rather than with the citizen.

Politicians set up clinics where they bought votes in return for granting favours, usually at the expense of other citizens who weren’t as well in. The country was run on a wink, wink, nod, nod basis of benign low level corruption.

Corrupt Clientism became such an integral part of our culture that people began to vote exclusively for their ‘man’, for their own individual interest. It didn’t matter how corrupt he was so long as he continued to deliver favours, the good of the country at large became irrelevant.

It was an aspect of our culture that the tourists loved, ah shure don’t mind that Mr. American, we do things differently in Ireland.

It was only in the 1960s that we finally decided that perhaps it was time to come out from under our blanket of isolation and wallowing self-pity and join the rest of world. For a brief few years it seemed that a new dawn was indeed on the horizon but tragically it was not to be.

In December 1979 the corrupt Haughey came to power after defeating George Colley in a bitter leadership battle. The low level corruption that had underpinned Irish culture for so long became malignant after Haughey’s assent to power. His corrupting influence not only infected his own party but the disease spread to every level of society.

Ireland now became an overtly corrupt country. So called regulatory agencies not only turned a blind eye but frequently cooperated with corrupt practices. Politicians (of all parties), businessmen, civil servants and ordinary citizens all came to see corruption as a perfectly normal and acceptable part of our culture. Denial was the psychological mechanism used to avoid dealing with the brutal reality.

The global crisis coupled with our own economic collapse has stripped away that mechanism and is forcing us to face up to what we have become.

But it is, I fear, too late. The corrupt Irish system is not capable of uniting people for the good of the country. For too long we sold our votes to incompetent and corrupt politicians in pursuance of short term individual gain.

It’s the only way we know how to operate, that’s why there is so much argument and anger coming from a vast array of different interest groups (See Today with Pat Kenny (Monday) for an excellent example of this phenomenon).

They’re all demanding that they’re interests, rather than the common good, should be taken care of first. Unfortunately, Irish politicians are only capable of delivering favours to groups or individuals; they have no experience of actually working for the good of the country as a whole.

The politicians are standing there now, in shock, just like the corrupt factory manager, still pretending that they attended all the fire fighting courses, while citizens, still pretending they never noticed anything amiss, are screaming at them to put out the fire.

What are the chances?