Fine Gael has proposed reducing the public service by 30,000 and dismantling the Health Service Executive and FÁS under its plan to stabilise the country's finances.
The party said a radical overhaul of the public sector would achieve savings of €5 billion.
Meanwhile, Enda Kenny has said his party would not support the Government if it faces difficulty over the forthcoming Budget, and was ready for an election tomorrow if it came.
Mr Kenny was speaking on RTÉ's This Week programme as his party launched a major plan to transform Ireland if in Government.
He said the health service would copy the Dutch system of local administration, with private insurance companies tendering to operate hospitals.
The Fine Gael leader said thousands of administration staff would have to seek employment with these trusts.
Mr Kenny's party would also seek to change how the Oireachtas operates, by reducing the number of TDs and abolishing the Seanad.
He said Fine Gael's attempts to restore the public finances would run ‘parallel’ with plans for job creation and investment.
He had ‘no faith’ in the Government which now had a ‘lack of any credibility’, he said, adding that there was a need for a new mandate.
The 'Reinventing Government' policy document also includes an overall reduction in the size of the public sector and a demand for pay restraint for senior public servants.
The party says it will reduce the public sector by over 30,000, it will also abolish 145 state bodies.
Speaking at the launch, Mr Kenny said that fundamental change needs to take place to ensure that State services are protected and the economy is put back on track.
Enterprise Spokesman Richard Bruton said: 'Fine Gael has a plan to make a step change in the way our public services are run that will reward effort and ingenuity and penalise waste and inefficiency.'
He said that the programme would see 'ministers and senior civil servants evaluate projects and take responsibility for outcomes while managers will be freed up to innovate and motivate their colleagues to serve the needs of the public'.