Too many boards and not enough health care
Radical reform of the health system isn't about re-writing job descriptions, re-defining roles and responsibilities and fiddling around with outdated organisational structures. These actions are important but are low-level management activities, will not effect change on the scale required to improve our health system and miss the real source of haemorrhage Health Boards.
How many individual, regional health boards, CEOs and boards of management can a country the size of Ireland sustain? It seems to be as many as the current health budget can afford, regardless of what is most efficient or effective number. This is the real source of the health crisis though its continually overlooked.