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Smear Tests No Longer Covered by Medical Card

category national | rights, freedoms and repression | opinion/analysis author Tuesday March 16, 2004 12:13author by Joleen Kuyperauthor email joleenkuyper at eircom dot net Report this post to the editors

Cervical Smear Tests are no longer covered by the medical card and the only reason I found out about this was a notice in my doctor's office. How can the government do this without even letting the people know?

While waiting to see my doctor recently I had a look at some of the notices on the board. One was a list of various procedures no longer covered by the medical card. There were quite a few, but the most outrageous was smear tests. I saw nothing about this on the national news, I was unaware the government were even discussing it. It may seem like a small issue in comparison with the other things the Irish government are doing against the will or without the knowledge of the people but this makes it all the more important that we do not ignore this issue. There are women who will not be able to aford to have regular smear tests done if they are not covered by their medical card - are they doomed therefore to die of cervical cancer? All the time I hear how important it is for women to do regular breast checks, have a smear test every three years, in order to catch any sign of cancer early enough to stop it and receive treatment. I thought that was something we now had a right to, being part of a modern country like Ireland. it seems it is only the case as long as we can afford to pay for it.

author by Eoin Dubskypublication date Tue Mar 16, 2004 13:00author address author phone Report this post to the editors

Thank you, Joleen, for posting this on Indymedia. I know that some Irish journalists who write for mainstream publications check the site regularly, and I hope they'll follow up this story.
In France I believe they practically pay you to get regular smear tests. Its complete idiocy for a state to make such early-warning checks against cancer and STDs more expensive. What are the government playing at?

author by Caitrionapublication date Tue Mar 16, 2004 15:23author address author phone Report this post to the editors

This is the first time I've heard about this-not only do women have to wait for 4 months for the reults of a smear, (even in the case of there having been irregular cells detected in previous results), but now those who hold a medical card will be forced to pay. I have just enquired about Well Woman Clinics and medical card holders are still covered-I wonder if this has come from pressure from G.P.s. as a result of the very long waiting time for results. Cervical cancer is a preventable disease-if detected and treated-in time.

author by pat cpublication date Tue Mar 16, 2004 17:28author address author phone Report this post to the editors

But hundred of millions in tax concessions go to the horse breeding sector. how sick can you get. c'mon everybody bring this to the attention of every journalist you know & write letters to the papers about it & hassle your TDs & councillors and kick up mayhem! picket "health" board meetings etc.

author by catpublication date Tue Mar 16, 2004 17:36author address author phone Report this post to the editors

if this is why smears not covered by medical cards:

http://archives.tcm.ie/irishexaminer/2003/10/14/story153014770.asp

then shouldn't smear tests be covered again for 2004 with the commencement of a new fiscal year? or am i looking at this way too simplistically?

author by pat cpublication date Tue Mar 16, 2004 17:46author address author phone Report this post to the editors

its a matter of life & death. its not some kind of cosmetic test. lack of money is no excuse. the subsistence expenses of health board members would cover the shortfall in this area.

its unacceptable that for even a sjhort duration, that medical card holders should be denied this test.

author by catpublication date Tue Mar 16, 2004 18:12author address author phone Report this post to the editors

looking at the Irish Cervical Screening Programme Ireland website www.icsp.ie, it says all services provided are free.

so i spose it would be the logical thing to do to register with the ICSP and get sent for free smears and not pay the doctor for visits? wouldn't make a difference if a person had a medical card or not then, i presume-anyone know for sure? anyone feel like ringing them?

is there such a scheme for men to register for free prostate etc tests?

author by pat cpublication date Thu Mar 18, 2004 10:59author address author phone Report this post to the editors

not sure if theres a free scheme for that, must check up. but i have come across some stats from the US NIHs re cervical & prostate cancer.

where localised prostate cancer is detected at an early stage and treated, 100% of victims were still alive after 5 years.

where localised cervical cancer is detected at an early stage and treated, 96% of victims were still alive after 5 years.

author by Chekovpublication date Thu Mar 18, 2004 12:35author address author phone Report this post to the editors

Just talked to a GP from a deprived urban area. The Doctor confirms that smears are not covered by the medical card, but 2 years ago the health board advised the practice to perform smears on the medical card and they would be re-imbursed. 2 years later they have not received a penny from the health board and it appears that they will not. I guess that this is why the practice mentioned in this report has now decided to withdraw the service. This type of deception is apparently quite a common practice by the health board and is one of the reasons for the extremely poor relationship between GPs and the health board.

author by pat cpublication date Fri Mar 19, 2004 17:40author address author phone Report this post to the editors

England has come a long way in improving cancer survival rates in the past 30 years but still does not match up to Europe and the US, a report says. The National Audit Office found cancer rates have risen by 31% since 1971, but death rates have fallen by 12%. It also showed a regional difference with people more likely to die of cancer in the north than in the south.

*Full story & some interesting links at:

Related Link: http://news.bbc.co.uk/1/hi/health/3520130.stm
author by Jessaminepublication date Sun Mar 21, 2004 14:37author address author phone Report this post to the editors

I went for a smear test 7 years ago, in Dublin7, and was charged for it -even though I had a medical card- and also never even recieved the results. That was their standard practice then; maybe other regions did it for free/gave out results? Concidering the 'health' system has no interest in health (womens' or otherwise), it shouldn't be a surprise..

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