Document Type



Available under a Creative Commons Attribution Non-Commercial Share Alike 4.0 International Licence


3. MEDICAL AND HEALTH SCIENCES, Health policy and services, Business and Management.

Publication Details

World Medical & Health Policy


The Irish health-care system is a complicated mix of public and private providers, with inequitable and unclear routes for health-service users to access and navigate the system. In 2011, the Irish Government committed to significant health reform to develop a universal single-tier health system. In line with other European nations this was to be underpinned by the principle of social solidarity, with equitable access based on need rather than ability to pay. The road to this reform and its recent collapse highlights the practical implications of political and policy choices in health care, and has implications for financing and delivery, but ultimately for the delivery of national public health.