However I
am increasingly concerned by what the journalist Ian O’Doherty succinctly
described this morning on the Pat Kenny Show on Newstalk as ‘Narrowcasting’ –
In using this phrase he clearly was referring to the narrow focus of the
response to the pandemic which is focussed only on the infections and direct deaths
from Covid19 with no reference to the broader picture which of course includes the
thousands of undiagnosed cancers, heart conditions, pulmonary disease, children
in agony awaiting scoliosis surgeries, transplant patients, mental health
patients with suicidal ideation and a growing waiting list of urgent surgeries
which will take years to catch up with and on which many will die because help
came too late! Not to mention of course the ongoing destruction of our economy,
Sport and the Arts and a recession greater than any in our history which will further
hamper us in rebuilding our health services in order to minimise the numbers of
ongoing casualties which most predict will (if it has not done so already) far
outnumber the direct deaths from Coronavirus.
Do I blame
Tony Holohan and his colleagues for this? No – not for a moment – he is doing
his job very well – he was asked to flatten the curve and he and his colleagues
with our cooperation have done that – He wasn’t asked to look at the bigger
picture, the side effects on other areas of medicine or the devastation of the
economy and society. And rightly so because he wasn’t qualified to do so. The
problem is that nobody on NPHET (which he chairs) – the group appointed to coordinate the State’s response
to COVID 19 is qualified to look at the economic and social consequences of
their policy – They are all medical!
The sad
truth of this is that the Taoiseach and his ministers, have abrogated their
responsibility to lead. It started well with a truly statesmanlike speech from
the Taoiseach and initially it seemed a broad government ministerial
involvement but as the weeks have gone on we have heard less and less from the
Taoiseach and the only visible leadership figure in the country is Tony Holohan
whose daily updates have become the closest thing we have to governance in the
country. This is neither fair on him or on us. He is not elected or qualified
to lead our country through this crisis. Of course one might argue that in the
present political shambles the Taoiseach himself has a very fragile authority –
but at the moment he is all we have got and he needs to step up to the plate
and take this burden off Tony Holohan’s shoulders and put it on his own and
give a broader leadership to this country which takes account of the broader
consequences of this pandemic and the disastrous effects of the counter
measures. If the lockdown must continue so be it – I would prefer to hear that
from the Taoiseach and know that other factors including but not exclusively
the advice of Tony Holohan had been taken into account in making the decision.
I know that these are not easy decisions and that lives literally hang on what
is decided but that is the responsibility of Government not the chief medical
officer.