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An unholy trinity : (Record no. 102074)

000 -LEADER
fixed length control field 02499cam a22002297i 4500
003 - CONTROL NUMBER IDENTIFIER
control field DLC
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20170630120224.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 170329t20162016ie b 000 0 eng d
020 ## - INTERNATIONAL STANDARD BOOK NUMBER
International Standard Book Number 9781908308924 : (pbk)
040 ## - CATALOGING SOURCE
Original cataloging agency YDXCP
Language of cataloging eng
Transcribing agency YDXCP
Modifying agency IeDuRDS
082 00 - DEWEY DECIMAL CLASSIFICATION NUMBER
Classification number 362.109415
Edition number 23
100 1# - MAIN ENTRY--PERSONAL NAME
Personal name Kirwan, Liam,
9 (RLIN) 121967
245 13 - TITLE STATEMENT
Title An unholy trinity :
Remainder of title medicine, politics and religion in Ireland /
Statement of responsibility, etc. Liam Kirwin.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Dublin :
Name of publisher, distributor, etc. The Liffey Press,
Date of publication, distribution, etc. 2016.
300 ## - PHYSICAL DESCRIPTION
Extent x, 288 p. :
Dimensions 23 cm.
504 ## - BIBLIOGRAPHY, ETC. NOTE
Bibliography, etc. note Includes bibliographical references.
520 ## - SUMMARY, ETC.
Summary, etc. Written by an Irish medical insider, Professor of Surgery Liam Kirwan, An Unholy Trinity is highly critical of the historic relationship between politics, the Church and the medical profession, which he argues is the genesis of the dysfunctional health service in Ireland today. As it is necessary to study the famine to understand how Ireland evolved, we similarly need to go back to the events of the 1950s to appreciate how our inefficient and inequitable health system has developed. The seeds of this dysfunction were sown in 1951 when Noel Browne, Minister for Health, attempted to introduce a free "Mother and Child Scheme" which was fiercely opposed by the Catholic hierarchy, in particular by the all-powerful Archbishop McQuaid. The Hierarchy wanted Big Church, Small State, which also suited the medical establishment. The verbiage of Browne's antagonists was hysterical with the Irish Medical Association speaking of "the cancer of socialised medicine" and the Bishops of "totalitarianism". Despite the benign and inoffensive nature of the scheme, the Government capitulated completely to the Bishops and Browne was forced to withdraw his proposal. The defeat of Browne, a coup d'eglise, saw the victory of an unelected sectional interest with the Bishops retaining control of most important hospitals which they delegated to compliant senior doctors. Arguments presented by the profession and the Bishops with regard to the threat to patient confidentiality and clinical independence were bogus. The elites, Church and medical, effectively ensured that patients should be triaged according to their means rather than their pathology - a hybrid and unequal arrangement. What is disparaged today by the citizens as "the two-tier system" was born.
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Medical policy
Geographic subdivision Ireland.
9 (RLIN) 85926
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Public health
Geographic subdivision Ireland.
9 (RLIN) 69627
651 #0 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name Ireland
General subdivision Politics and government
Chronological subdivision 1949-
9 (RLIN) 50157
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme
Koha item type Loanable Book
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Collection code Permanent Location Current Location Date acquired Total Checkouts Total Renewals Full call number Barcode Date last seen Date last checked out Price effective from Koha item type
          Irish Collection Library Library 2017-06-15 2 4 362.109415 KIR 000413327 2019-02-01 2018-02-02 2017-06-15 Loanable Book

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