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On a clear autumn morning in 2004 Rachel O’Reilly, a 30 year-old mother-of-two, was brutally battered to death in her home. It was a merciless killing that stunned the small, trusting community where she lived, and devastated her close-knit family. In the days that followed the discovery of her body, it was thought that Rachel was the victim of a bungled robbery attempt. It soon emerged, however, that police investigating the case believed Rachel had known her killer and that her murder had been carefully planned months in advance. The spotlight immediately fell upon Rachel’s husband, Joe O’Reilly, who admitted in a number of extraordinary press interviews that he was a prime suspect in his wife’s slaying. The 32-year-old advertising executive vehemently denied any involvement. It was a crime that captured the imagination of the public, who watched as the illusion of the idyllic suburban life the couple shared together began to shatter.
This title includes chapters on decentralisation and reform, an international perspective on decentralisation, opportunities and challenges for leadership and collegiality and moving forward, amongst others, in a geographically decentralised Irish public service.
This searing indictment, David Healy’s most comprehensive and forceful argument against the pharmaceuticalization of medicine, tackles problems in health care that are leading to a growing number of deaths and disabilities. Healy, who was the first to draw attention to the now well-publicized suicide-inducing side effects of many anti-depressants, attributes our current state of affairs to three key factors: product rather than process patents on drugs, the classification of certain drugs as prescription-only, and industry-controlled drug trials. These developments have tied the survival of pharmaceutical companies to the development of blockbuster drugs, so that they must overhype benefits and deny real hazards. Healy further explains why these trends have basically ended the possibility of universal health care in the United States and elsewhere around the world. He concludes with suggestions for reform of our currently corrupted evidence-based medical system.