A confidential report into Ireland's ambulance service says that targets for response times can't be met.
According to the Irish Times, the document claims Ireland is too rural to support a service that compares with its English counterpart, and Irish people are less than half as likely to call for an ambulance, compared to English people.
These two factors mean the cost of running the service is much higher here.
The research was completed by UK based firm Lightfoot Solutions, and commissioned by the HSE.
