There is no justification for the subsidising of private healthcare by the State. The two-tier system of healthcare and, in particular, the mingling of private and public care in our public hospital system, is the key obstacle to equity of access and a fit-for-purpose national health system open to all and free to use. In the 1950s, the VHI was established as a not-for-profit State insurance company to provide health cover for the top 15% of income earners who were then not able to access the public hospital system…