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The 2011 proposal for Universal Health Insurance in Ireland: Potential implications for healthcare expenditure


  • Connolly, Sheelah
  • Wren, Maev-Ann


The Irish healthcare system has long been criticised for a number of perceived weaknesses, including access to healthcare based on ability-to-pay rather than need. Consequently, in 2011, a newly elected government committed to the development of a universal, single-tier system based on need and financed through Universal Health Insurance (UHI). This article draws on the national and international evidence to identify the potential impact of the proposed model on healthcare expenditure in Ireland. Despite a pledge that health spending under UHI would be no greater than in the current predominantly tax-funded model, the available evidence is suggestive that the proposed model involving competing insurers would increase healthcare expenditure, in part due to an increase in administrative costs and profits. As a result the proposed model of UHI appears to be no longer on the political agenda. Although the Government has been criticised for abandoning its model of UHI, it has done so based on national and international evidence about the relatively high additional costs associated with this particular model.

Suggested Citation

  • Connolly, Sheelah & Wren, Maev-Ann, 2016. "The 2011 proposal for Universal Health Insurance in Ireland: Potential implications for healthcare expenditure," Health Policy, Elsevier, vol. 120(7), pages 790-796.
  • Handle: RePEc:eee:hepoli:v:120:y:2016:i:7:p:790-796
    DOI: 10.1016/j.healthpol.2016.05.010

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    References listed on IDEAS

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    Cited by:

    1. Burke, Sara & Barry, Sarah & Siersbaek, Rikke & Johnston, Bridget & Ní Fhallúin, Maebh & Thomas, Steve, 2018. "Sláintecare – A ten-year plan to achieve universal healthcare in Ireland," Health Policy, Elsevier, vol. 122(12), pages 1278-1282.
    2. Gorecki, Paul, 2017. "The savings from the 2016-2020 Framework Agreement on the Supply and Pricing of Medicines in Ireland: which counterfactual?," MPRA Paper 79481, University Library of Munich, Germany.
    3. Walsh, Brendan & Nolan, Anne & Brick, Aoife & Keegan, Conor, 2019. "Did the expansion of free GP care impact demand for Emergency Department attendances? A difference-in-differences analysis," Social Science & Medicine, Elsevier, vol. 222(C), pages 101-111.


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