Mary McCarthy joins The Hard Shoulder to discuss the crisis in Irish dermatology, highlighting long public waiting times and prohibitive private costs for treating severe teenage acne. She shares her personal story of enduring chronic acne and the emotional toll it took on her self-esteem, including a painful memory of being mocked by peers. McCarthy contrasts Ireland’s inaccessible care with the affordable, efficient system in Brussels and proposes a hybrid model of dedicated clinics and online monitoring to improve access.