Additional funding from general taxation would finance specific programmes (traineeships, medical specialisations and tertiary education). The bill also envisages the abolition of the complementary VHI scheme by 2019, and its replacement with an income-dependent contribution that will be more efficient to administer. This reflects a number of factors: the shift from bed-day payments to case-based (DRG) payments, tariff reductions and rationalisation during the crisis, and the rise of day care (from 11.1% of all hospital cases in 2005 to 30% in 2013).