Medical card renewals

Sir, – I have just signed a medical card renewal form for one of my adult patients. He has had significant physical disability and medical problems from birth. He will never be above the income threshold for a medical card. Why do his parents have to go through the stress of submitting the same information again and again to ensure that he doesn’t lose his medical card? Unless he wins the Lotto, he needs a medical card for life. Is there no-one in the Primary Care Reimbursement Service and the HSE with the common sense to see that? – Yours, etc,

Dr ELUNED LAWLOR,

Loughboy Medical Centre,

Kilkenny.