Here's a trivia question: which minister was first to impose a smoke ban on Dublin? Micheál Martin or Mary Harney? Here's a clue: it was a no-brainer of a decision.

If you're over 30 you'll remember how thick smog used to choke Dublin's streets on still winter evenings. As a teenager working for the Irish Press; I used to dread those nights when it turned Burgh Quay into a horror movie set. My first 'job' was death-notice messenger, which was macabre enough without added atmosphere. Undertakers would phone in their notices, ask for a copy to be sent to the Indo and I would be flung, jibbering, out the door with a ream of print-outs.

Eight times a night I crossed the Liffey with a list of dead people under my arm, terrified that some nutjob would lunge out of the smog at me. Then, in 1990, Harney banned 'smoking' bituminous coal and the smog vanished forever. It was one of her best achievements.

Nineteen years later, she says she wants to ban sunbeds. Getting rid of something that's bad for you is a "no-brainer", she said last week.

Her old friend, Bertie Ahern, doesn't believe in getting rid of something that's bad for us – namely himself. He's indicated that he will stand again if there is a snap election, to make up FF numbers. To Bertie this is a no-brainer. He's right – only the brainless would think it a good idea to put him back in the Dáil.

Ahern, the man who blew the boom, is proof that all political careers end in failure. The same may be said of Harney. She started out so well though. When she was expelled from Fianna Fáil in 1985 for defying Haughey over the Anglo Irish agreement, many of us thought, 'Here's a woman with integrity.' We saw the formation of the PDs and thought, 'New liberal party with integrity. Looking good,' and then watched as Fianna Fáil slowly enveloped it, like a grubby smog.

The first signs of Harney reverting to FF type came in 2001 when she used a government plane to fly her to the opening of a friend's off-licence in Manorhamilton. (She's since been embroiled in the Fás expenses scandal.) Despite this, many still had high hopes for her when she took over Health in 2004.

Her first move was to set up the HSE. Two years later, the Euro Health Consumer Index ranked our healthcare 26th in Europe – out of 26 countries. In 2008, we were ranked 11 out of 31. So some improvement there, and there are others to be fair. Such as in monitoring of standards and infrastructure. The overhaul of St Vincent's is a good example of the latter in Dublin. Saying that, Loughlinstown is terrifying.

Standards, in general, are getting better in our hospitals. The problem is getting into one. Waiting lists are a disgrace. For instance, don't get a hernia in Tallaght. There is an 11-month wait to get it repaired at Tallaght hospital. By comparison, in Britain, the maximum wait for any procedure is 18 weeks. For suspected cancer it's two.

Wrap your children in cotton wool, too. Last Wednesday, Crumlin said it didn't know when the 25-bed ward and operating theatre there would reopen – it's been closed since May.

Other areas are dreadful too: stroke, mental health, cystic fibrosis care… The HSE is still an overstaffed, incompetent mess and responsibility for this lies with Harney.

Last week, Labour's Jan O'Sullivan said Harney has "lost interest in the job. She hides behind the HSE and doesn't want to engage with people." When she does, her "dictatorial approach backs people into corners" and makes matters worse.

All the signs point to this. Harney's best days are behind her. Her party's dead. Health – the job no one wants – is now a sinecure for her, like Ahern's Dáil seat is one for him. They both share the same breathtaking level of arrogance and self-entitlement.

Occasionally, she ventures out of Fortress HSE and makes a pronouncement. Last week it was about sunbeds. Harney told Lance Armstrong's cancer conference that she was looking into banning them. She was talking rubbish. In 2006 she said she would introduce legislation banning children from using them – and it still hasn't arrived. How long would it take her to bring in an all-out ban? She could do it tomorrow, if she really was interested. Her department, by the way, doesn't even fund any skin cancer awareness campaigns.

Harney made a fool of herself last week. The international reaction to her halting of the €7m cervical-cancer vaccine scheme was mortifying. She is looking for cuts of €800m from the HSE and can't spare €7m to save lives. Up to 80 women a year die from cervical cancer. What is the cost of treating a cancer patient, minister?

All political careers end in failure. Some will remember Harney as the minister who banned smog. All of us will remember her for failing to protect Irish women.

Harney has become an arrogant, cantankerous journeywoman. She's not stupid – she knows she can redeem herself. The only thing standing in her way is pride. And a paltry €7m.

It's a no-brainer, Mary.

dkenny@tribune.ie