Ivan Yates: Irish Water doomed to follow in botched footsteps of the HSE
How does a good idea turn into a bad plan? When politicians attempt to transform a public service into a modern public utility.
In the late 1980s, amidst severe cutbacks in health spending, a political consensus emerged that eight regional health boards should integrate into Bord Slainte.
The rationale was that multiple management structures (human resources, accounting etc) could be streamlined into a cohesive centralised unit; all procurement could be done cheaper through economies of scale; best management brains could develop synergies to focus tertiary specialist hospital services on a regional and national basis – avoiding wasteful duplication.