Washing our hands of hygiene

It is not really possible to understand the Irish health service without some understanding of the attitudes and cultural backgrounds of the main participants.

Almost every single advance in the past has been due to a financial incentive – every time the government has wanted to improve services, they have always had to pay off some interest group. And because of that, and perhaps the avarice of some of those group’s representatives, it has become a truism that you can’t do anything, or change anything, without a pay-off to someone.

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