It's claimed Ambulance services in Clare and across the region could be scaled back if staff vote for strike action.
SIPTU says it has no option but to ballot members for industrial action over the failure of the Health Minister to publish a review of the service.
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The union also claims Leo Varadkar has failed to implement measures aimed at freeing up front line paramedics from duties like hospital transfers.
SIPTU organiser for the Midwest, Ted Kenny says that despite improvements in recent months, the level of ambulance cover here still isn't at an acceptable level.
