What they're proposing/doing now is that all cardiac services be removed. Even if you could get victims to Limerick or get Limerick to respond in time, my sad experience with the Regional is that they cannot cope and the staff are so demoralised that it's going further downhill. Remember they failed a recent audit, Nenagh did fine in same round of audits.
As you say Regional cannot cope currently, so it makes no sense whatsoever from a care pov. Thiis is about headline 'cutting numbers/cutting costs', but I'm just saddened that our elected representatives are not calling soon looking for votes. There are plenty of places where practices could be changed to save enormous amounts of cash, but that would deviate from the policy of large-scale centralisation and syndication /privatisation. Until the policy of using agencies and private firms (at up to 100% more), and of having a major bureaucratic cash swallower in the HSE that we simply do not need is reversed then the service will continue to contract and drop in standards as the resources to run it properly are cut and cut again.
We needed a major step and Reilly promised that; he is not delivering and is just tinkering with where the cuts go instead of making sweeping closures of unwanted sections of the HSE bureaucracy. It's not front-line cuts that are needed, but elimination of unnecessary layers of very costly bureacracy. That is not happening though, because the very people who are the source of the problematic and unnecessary spend are those in charge of the decision-making (i.e. they won't vote for Christmas, but it's easy to close a functional unit or not hire necessary nursing or technical staff).