English: Thank you, Deputy Presiding Officer. I'd like to thank Members of Plaid Cymru for bringing forward this debate, which we will be supporting more than wholeheartedly, because in today's NHS we are constantly talking about the need to prevent rather than cure and isn't prevention so much easier, and, if we can go out and capture people who might have the misfortune to develop a cancer of this type, then let's try and stop it, and let's try and stop it now. It doesn't cost, as Rhun ap Iorwerth said, too much money when you start looking at what the effects of this would be further on down the line. Let's not just think about the individual and what they may go through, but actually the cost in terms of employment, the cost in terms of all the state support, and the cost in terms of the impact on their lives and the lives of their families. So, I think that we must adhere to this prevention agenda, and it does tie in so very clearly with the way the Government says they wish the direction of travel to go. We're asking people to take responsibility, to step up to the plate, and we're saying, 'Get thinner, stop smoking, do more exercise', and here's something that we could quite easily do that would help eradicate just some of those opportunities that are out there for somebody to develop what is the most unpleasant of conditions. We're not asking the Welsh Government to do something that's never been done before. Let's be really clear: teenage males get this in a number of countries around the world, New Zealand since 2008 - they really were trailblazers - Austria, Croatia, large swathes of Canada - about four of the big provinces of Canada - and the lessons that they've learnt is that the prices of this injection will drop with the economies of scale. So, again, it's very hard to look at that and refute the whole desire to do it. But, above all, we keep saying how much we rely on our clinicians, how much, we say, that we need our clinicians to make the best decisions for us, and our clinicians have been very, very clear, and I'd like to reference one of them, in fact, Dr Evans. She is a consultant clinical oncologist at Velindre hospital in Cardiff, and she has said - I'm not even going to say what the mass name is for all of these cancers, I'm not sure that I could pronounce it, but, essentially, head, neck, tonsils, tongue and throat cancers have trebled in Wales over the past 15 years, and she says there is a direct link between these cancers and HPV. So, here's a clinician, very well respected, world renowned, and she led a campaign - quite a strong campaign, because we supported her, the Welsh Conservatives - in August of last year when she was really coming to the table and saying, 'We ought to look at this'. So, again, Cabinet Secretary, the parliamentary review, the vision for health, clinician led, clinician decisions - clinicians are saying we really ought to look at this, and I think that you should. I'm not entirely clear how Rhun ap Iorwerth got the funding numbers, because I have to tell you in all honesty that my numbers are significantly higher than yours, but I'm quite prepared to say that my numbers could well be out - but I did also find a solution. It'll be wildly unpopular, I know, so try not to hiss too much, but analysis of NHS Wales data estimates that, if paracetamol, aspirin, ibuprofen and co-codamol were removed from the Welsh NHS list of free medicines to those who are not destitute or vulnerable or have chronic conditions, there would be a saving of some £16 million annually. When I can go into very large supermarkets - I'd better not name them - and buy a packet of ibuprofen for 32p, and then other people can have a life-saving treatment - . Because there isn't money growing on trees, so I do have some sympathy, because I think it's going to cost more than £0.5 million. If we looked at subsidising the vaccination of Wales's 36,000 12 to 13-year-old boys, then that would cost - at a high street cost of some £300, which is what a very famous, large chemist is currently charging, that would, at the most, cost the NHS an estimated £11 million. So, I would say to you, Cabinet Secretary, prevention is better than cure. We're trying to have a public health message, we're trying to prevent people from getting sick, so that the long-term cost to both the NHS itself, to the state in general, to employment, and the awful, awful pressure it brings about on the individual and on families - if we can start eradicating all of that, then there's every reason in the world why we should just go ahead, listen to the clinicians, and do this. And you can afford it by actually asking someone like me, who earns the money I do, to pay 32p for my ibuprofen, whilst you're still protecting the vulnerable and the poor.
Welsh: Diolch, Ddirprwy Lywydd. Hoffwn ddiolch i'r Aelodau o Blaid Cymru am gyflwyno'r ddadl hon, a byddwn yn ei chefnogi'n llwyr, oherwydd yn y GIG heddiw rydym yn gyson yn sôn am yr angen i atal yn hytrach na gwella ac onid yw atal gymaint yn haws, ac os gallwn fynd allan a dal pobl a fyddai'n ddigon anffodus i ddatblygu canser o'r math hwn, gadewch i ni geisio ei atal, a gadewch i ni geisio ei atal yn awr. Fel y dywedodd Rhun ap Iorwerth, nid yw'n costio gormod o arian pan edrychwch ar effeithiau hyn yn nes ymlaen. Gadewch i ni feddwl nid yn unig am yr unigolyn a beth y gallent fod yn ei ddioddef, ond am y gost o ran cyflogaeth, y gost o ran holl gymorth y wladwriaeth, a'r gost o ran yr effaith ar eu bywydau a bywydau eu teuluoedd. Felly, credaf fod yn rhaid inni lynu wrth yr agenda atal, ac mae'n cysylltu'n glir iawn â'r ffordd y mae'r Llywodraeth yn dweud y dymunant weld y cyfeiriad teithio'n mynd. Rydym yn gofyn i bobl gymryd cyfrifoldeb, i gamu ymlaen, ac rydym yn dweud, 'Collwch bwysau, rhowch y gorau i ysmygu, a gwnewch fwy o ymarfer corff', a dyma rywbeth y gallem ei wneud yn eithaf hawdd a fyddai'n helpu i ddileu rhai o'r peryglon o ddatblygu clefydau hynod o annymunol. Nid ydym yn gofyn i Lywodraeth Cymru wneud rhywbeth nad yw erioed wedi'i wneud o'r blaen. Gadewch inni fod yn glir iawn: mae bechgyn yn eu harddegau yn cael hyn mewn nifer o wledydd ledled y byd, Seland Newydd ers 2008 - roeddent ar flaen y gad go iawn - Awstria, Croatia, rhannau helaeth o Ganada - tua phedair o daleithiau mawr Canada - a'r gwersi a ddysgwyd ganddynt yw y bydd prisiau'r brechiad yn gostwng gydag arbedion maint. Felly, unwaith eto, mae'n anodd iawn edrych ar hynny a gwrthod yr awydd i'w wneud. Ond yn anad dim, rydym yn dweud o hyd cymaint y dibynnwn ar ein clinigwyr, cymaint o angen ein clinigwyr sydd arnom i wneud y penderfyniadau gorau drosom, ac mae ein clinigwyr wedi dweud yn glir iawn, a hoffwn gyfeirio at un ohonynt, Dr Evans. Mae hi'n oncolegydd clinigol ymgynghorol yn ysbyty Felindre yng Nghaerdydd, ac mae wedi dweud - nid wyf hyd yn oed yn mynd i ddweud beth yw'r enw torfol ar y canserau hyn i gyd, nid wyf yn siŵr y gallwn ei ynganu, ond yn y bôn, mae canserau'r pen, y gwar, y tonsiliau, y tafod a'r gwddf wedi treblu yng Nghymru dros y 15 mlynedd diwethaf, ac mae hi'n dweud bod cysylltiad uniongyrchol rhwng y canserau hyn a HPV. Felly, dyma glinigydd uchel iawn ei pharch, clinigydd byd enwog, sydd wedi arwain ymgyrch - ymgyrch gref, oherwydd fe wnaethom ei chefnogi, y Ceidwadwyr Cymreig - ym mis Awst y llynedd pan ddywedodd yn glir iawn, 'Dylem edrych ar hyn'. Felly, unwaith eto, Ysgrifennydd y Cabinet, mae'r adolygiad seneddol, y weledigaeth ar gyfer iechyd, dan arweiniad clinigwyr, penderfyniadau clinigwyr - mae clinigwyr yn dweud y dylem edrych ar hyn, a chredaf y dylech wneud hynny. Nid wyf yn hollol glir sut y cafodd Rhun ap Iorwerth y ffigurau cyllid, oherwydd rhaid imi ddweud wrthych yn onest fod fy ffigurau i'n sylweddol uwch na'ch rhai chi, ond rwy'n barod iawn i ddweud y gallai fy ffigurau fod yn anghywir - ond fe ddeuthum o hyd i ateb hefyd. Bydd yn amhoblogaidd dros ben, rwy'n gwybod, ond ceisiwch beidio â hisian gormod, ond mae dadansoddiad o ddata GIG Cymru yn amcangyfrif, pe bai paracetamol, asbirin, ibuprofen a co-codamol yn cael eu tynnu oddi ar restr GIG Cymru o feddyginiaethau am ddim i'r rheini nad ydynt yn amddifad neu'n agored i niwed neu bobl â chyflyrau cronig, byddai'n arbed tua £16 miliwn bob blwyddyn. Pan allaf fynd i'r archfarchnadoedd mawr iawn - byddai'n well i mi beidio â'u henwi - i brynu pecyn o ibuprofen am 32c, a bod pobl eraill yn gallu cael triniaeth sy'n achub eu bywyd - . Oherwydd nid yw arian yn tyfu ar goed, felly mae gennyf beth cydymdeimlad, oherwydd credaf y bydd yn costio mwy na £0.5 miliwn. Pe baem yn ystyried rhoi cymhorthdal i frechu 36,000 o fechgyn 12 i 13 oed Cymru, byddai'n costio - ar gost o oddeutu £300, sef yr hyn y mae fferyllydd stryd fawr enwog iawn yn ei godi ar hyn o bryd, byddai'n costio £11 miliwn amcangyfrifedig fan bellaf i'r GIG. Felly, yr hyn rwyf am ei ddweud wrthych, Ysgrifennydd y Cabinet, yw bod atal yn well na gwella. Rydym yn ceisio cael neges iechyd y cyhoedd, rydym yn ceisio atal pobl rhag mynd yn sâl, fel bod y gost hirdymor i'r GIG ei hun, i'r wladwriaeth yn gyffredinol, i gyflogaeth, a'r pwysau ofnadwy y mae'n ei roi ar yr unigolyn ac ar deuluoedd - os gallwn ddechrau dileu hynny i gyd, nid oes unrhyw reswm yn y byd pam na ddylem fwrw ymlaen, gwrando ar y clinigwyr, a gwneud hyn. A gallwch ei fforddio drwy ofyn i rywun fel fi, sy'n ennill yr arian rwy'n ei ennill, i dalu 32c am fy ibuprofen, tra byddwch chi'n parhau i amddiffyn y bobl agored i niwed a'r bobl dlawd.