Ten-year waits in the public system, or a private sector with more jurisdictions than a Cayman Islands shell company.

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Public healthcare systems must prioritise finite resources, operating theatres, and medical personnel based on immediate physical urgency and mortality risks. Allocating capacity to non-urgent elective procedures increases wait times for critical operations—like oncology resections and cardiovascular surgeries—where delays cause permanent physical damage or death. Furthermore, public resources should not be prioritised for complex treatments that rely on long-term specialised therapy or hard-to-source medications from abroad. Even if a patient seeks private care, private clinicians and facilities remain strictly bound by Irish medical law, Medical Council ethical guidelines, and statutory prescription regulations. As a result, going private offers faster access, but it does not bypass the legal frameworks, prescribing laws, or duty of care required across the Irish medical system.

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