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PHARMACISTS AND AGE ACTION RECOMMEND DEFERRAL OF PRESCRIPTION LEVY IPU Issue latest advice on accessing medicines during Covid-19 Pandemic

Published 08/04/2020

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8 April 2020: The Irish Pharmacy Union (IPU) and Age Action have called for the Medical Card prescription levy to be suspended for the duration of the Covid-19 crisis. The IPU said that the measure is proving especially difficult for cocooning patients to administer and that suspending it would remove a barrier to vulnerable patients accessing medicines.

Commenting, IPU Secretary General Darragh O’Loughlin said, “One of the many challenges being experienced by people who are following official advice to cocoon at home is accessing medicines. This is being experienced most acutely by people over 70 or those with underlying conditions, the very people who are more likely to require regular medicines.

“Local pharmacies are supporting these patients by organising medicine deliveries directly to their homes, often with the assistance of Gardaí or other volunteers. It is currently obligatory for patients to pay the prescription levy, but that is proving impossible for them as volunteers are not in a position to take payments from them, so we end up with vulnerable elderly people turning up in pharmacies looking to make payment.

“Eliminating this charge at this time would be a small but compassionate gesture to those it hits hardest. We hope the Minister for Health listens to this request, which we believe would have a very real benefit to Ireland’s most vulnerable patients.”

Paddy Connolly, CEO of Age Action commented, “Age Action welcomes and commends the Irish Pharmacy Union’s call for Government to address prescription charges. Easing of the medical card prescription levy would provide a sensible solution and welcome peace of mind to older people who are cocooning and worried about how to pay for their essential prescriptions. The Covid-19 pandemic presents a very real emergency for many older people living on fixed incomes as they struggle to cope with new costs.”

In addition to this call, the Irish Pharmacy Union also issued updated guidelines to all people on accessing medicines in pharmacies during the Covid-19 crisis:

  • Pharmacies remain open and well stocked with all essential medicines;
  • Do not stockpile any medicine or purchase medication you do not need. One month’s supply of prescription medicines is the maximum quantity allowed by the HSE under the GMS or other Community Drug Schemes;
  • People who require medication on a regular basis should ensure their prescriptions are up to date. However, existing prescriptions which were issued for 6 months can now be extended to 9 months if deemed clinically appropriate by your pharmacist;
  • Patients or carers are asked, if possible, to phone the pharmacy two days in advance to ask that their prescription be dispensed for a particular time/date so that the pharmacy can have it ready when they come in;
  • Check with elderly family members and neighbours to make sure they have their medicines and, if necessary, help them to contact the pharmacy if they need advice or information;
  • Everyone over 70 years of age should remain cocooned at home as per public health advice, and for essential pharmacy items and food shopping, should call on family, friends or services to help you. Over 70’s should not be leaving home; and
  • People who are exhibiting fever, cough or other respiratory symptoms of Covid-19 should NOT attend at a pharmacy or GP clinic. Instead, they should stay at home and phone their GP or local HSE helpline without delay.

ENDS

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The new Bill is an inadequate response to the growing demand for the abolition of mandatory retirement.

According to Dr Nat O’Connor, Age Action’s Senior Policy Adviser: “Age Action strongly opposes the revival of the Employment (Restriction of Certain Mandatory Retirement Ages). Bill 2024, which is an inadequate response to the growing demand for the abolition of mandatory retirement.”

“Across political parties, in unions and among older persons, we see support for ending the practice of forcing people out of work before they are ready, but the proposed Bill makes no meaningful progress toward that end. The aim set out in its title, to restrict certain mandatory retirement ages, betrays its lack of ambition. All it provides for is the establishment of a complex, formal procedure so that employees can make a written request to stay on past their contractual retirement age; a request which can still be denied by their employer. This is the sole ‘restriction’ the Bill would impose on mandatory retirement.”

“This is a weak and ineffective Bill which is unlikely to help most employees who are forced out of work against their will for the offence of reaching a certain birthday. There is no reason for such timid action when we have seen other countries like Canada, New Zealand, Australia, the UK, and the United States abolish mandatory retirement entirely, in some cases decades ago. These countries have continued to enjoy well-functioning and productive labour markets and workplaces, showing that there is no foundation for the fears expressed by people who want to keep mandatory retirement.”

“Mandatory retirement is age discrimination. If the State allows a form of discrimination to be practiced, it must set out clear justifications for the practice. However, the popular arguments in favour of mandatory retirement are all myths. There is no evidence that older persons are less able to contribute to a workplace, or that they cost more than they contribute, or that they prevent younger workers from gaining employment. In fact, research has demonstrated the many benefits older workers bring to workplaces, including institutional experience, mentoring, and soft skills like better stress management.”

“Mandatory retirement is based on gross and insulting stereotypes about ageing. It is experienced by workers as a humiliating and dehumanizing injustice. It takes away our autonomy and our control over how and when we retire, which is a major life event. People who had no choice in retiring report poorer mental health, life satisfaction, health status, dietary habits, marital satisfaction, self-efficacy, and income adequacy, even years into their retirement.”

Dr. O’Connor concluded: “The proposed Bill is an incomplete and inadequate response to the problem of mandatory retirement, and by virtue of its incompleteness, reinforces and legitimises the dangerous ageism on which mandatory retirement is founded. We want our new government to take strong and decisive action, rather than tinkering around the edges of a serious problem. The Bill needs to be abandoned in favour of legislation that really helps the workers who wish to remain in work for longer.”

Churn:
It is not reasonable to suggest that the abolition of mandatory retirement would create a large problem for companies, when the scale of churn in the labour market is already far higher. The Irish labour market experienced 12.8% churn in quarter 3 of 2024, meaning that 1 in 8 jobs were created, abolished or vacated during this period, which was 365,750 jobs (Central Statistics Office 2024).

Compared to this level of hiring and resignations, managing the relatively small number of older workers who may seek to work longer or whose productivity may fall in older age is a much smaller human resources management issue for companies.

CSO (2024) Labour Market Churn Q3 2024 https://www.cso.ie/en/releasesandpublications/fp/fp-lmc/labourmarketchurnq32024/

Age Action’s detailed policy paper outlining the case against mandatory retirement can be accessed here: https://www.ageaction.ie/sites/default/files/age_action_paper_abolish_mandatory_retirement.pdf