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Dáil Éireann debate -
Wednesday, 18 Nov 1931

Vol. 40 No. 13

Public Charitable Hospitals (No. 2) Bill, 1931—Second Stage (Resumed).

Question again proposed: "That the Bill be read a Second Time."

The viewpoint of this Party in connection with this Bill was clearly stated on the last occasion that the measure was before the House. I ask Deputies to throw their minds back to the time that the principal Bill was introduced. That Bill was introduced for a specific purpose. We were faced at the time with a position in which the hospitals were threatened with disaster and, although the legislation was not such as we should like to see developed very far, nevertheless, in the circumstances, the Bill was passed. Any member of the Dáil can go into the library and look up the article in the encyclopædia dealing with lotteries. Lotteries have a history. A Bill was brought into the English Parliament to make them illegal because they had become "a public nuisance." If we allow this method of raising money to develop too far and to get hold of the life of the country, we may be obliged to deal with a matter which will have become "a public nuisance."

I do not want to say that the present promoters are running their sweepstake in any but a fair and reasonable way. But I myself have had a certain experience in connection with it. I hope the Ceann Comhairle will allow me to develop it because it will show where the matter may lead. I had Dublin citizens coming to me and handing me letters from the most dignified place in this city—the Mansion House—asking people all over the world to write to the Mansion House, Dublin, for sweepstake tickets. The residence of the Chief Magistrate of the City of Dublin was being used as an agency for the sale of sweep tickets. I consider that that is almost leading to abuse. It would be most undignified if legislators in this House or in the Seanad were to find themselves servants of the institution which is running that particular sweepstake, as was the case put to me. I did not raise this matter or deal with all the correspondence here, but I took the matter up with the Hospitals Trust. They immediately saw my point. I explained that if in a neighbouring country letters addressed to the Chief Magistrate of the capital were opened and found to contain vouchers and money —the address of the Chief Magistrate being calculated to mislead the authorities—it would be most undignified. The Hospitals Trust immediately saw my point and cancelled the agency. The amount of money received by the person concerned does not concern me one bit.

It does not seem to concern the Bill.

That particular gentleman who happens to be legislating in this House and happens to be occupying a very important position in the Dublin Corporation had a distinct grievance because I had cut off from him——

The Deputy is giving particulars of personal experiences which do not appear to concern this proposal. This is a proposal to extend the purposes to which the sweepstakes fund may be devoted.

The original Bill was introduced with diffidence by the promoters. It was supported in the same manner here. The only argument for its passage here was the acute distress of the hospitals in the city of Dublin. Lotteries have a history. Lotteries have been run in various countries by private individuals and under State auspices. With this in mind, the representatives of the people in this House decided to allow sweepstakes to be run until the need would disappear, realising that they would render signal help to the hospitals. It was in most of our minds that they would end there. Additions have been made. The county hospitals have come in. They required certain facilities. If we allow this system to develop, we will have demands for sweepstakes for all sorts of purposes. I might come in and say that the Coombe was in such a state of distress that the Act authorising sweepstakes should be extended to provide housing accommodation there. Every Deputy in the House could come in and make a very good case for particular objects and make a sincere appeal to have the Act extended to cover those objects.

The objection to it is this. If you once establish vested interests or if you agree to a system extending this particular scheme too far, you may have afterwards to reckon with a situation such as people had to reckon with in days gone by. I recommend Deputies to study the history of lotteries and they will find that the legislation introduced to prohibit them was due to the fact that they had become a public nuisance. In the same way I want to say from my own experience the very fact that a person occupying a prominent public position—

The Deputy has worked in enough of this matter.

I thought you were asking me to explain it.

The Deputy is not explaining it. He has been relevant in his arguments to a certain point but he has gone on to allege abuses in the Hospital Trust——

I am not saying there are abuses in the Hospitals Trust.

Or abuses in the case of somebody.

If you rule that I cannot develop my argument along that line I must say that I think you asked me to prove the relevancy of my own personal experience.

The Deputy was discussing the question whether the purpose for which the money was originally earmarked might be extended. That is absolutely relevant but the Deputy goes back again to tell us the original story. He has told that story already.

Is it irrelevant to give the reasons as to why I should oppose the extension of a certain measure?

It is not irrelevant to give relevant reasons.

I am asking does it become irrelevant when I choose to give certain reasons which to others are sound reasons for opposing the extension of this particular measure?

The Deputy must give relevant reasons.

I am giving my own personal experience of what I consider relevant reasons.

I consider the Deputy's experience is not relevant to this question.

May I suggest to the Ceann Comhairle that Deputy Briscoe is trying to point out that a person has taken an advantage of a public position to do certain things?

I do not want to be put into the position of explaining to Deputy MacEntee what Deputy Briscoe is doing.

I really do not think the Ceann Comhairle understands what I am endeavouring to do. As a matter of fact what I want to prove is this, that where a person has a public position——

Not only does the Ceann Comhairle understand what the Deputy is trying to do, but everybody who reads this will understand. It is quite clear.

Is it a fact that a person may not, in trying to prove that there are dangers in extending a principle of this kind, point out from his own experience where there is a danger of corruption?

The Bill is quite simple. Deputy Briscoe.

I am not to go on then?

The Deputy can deal with it at the Dublin Corporation.

The Minister knows something about it. As a matter of fact the Minister knew it a long while ago. If you rule it out I cannot go on.

The Deputy has gone as far as he could go with it.

I have not gone half the distance or quarter the distance that I intended to go. However, I will probably find another occasion to do it. We hold that when the Bill was prepared in its original state, and when it was promoted by Deputy Sir James Craig, he led the House to believe, and he certainly gave us to understand, that the Bill was for a specific purpose and that when the time would arrive, when the want, which the proceeds from the Bill was intended to supply, would no longer exist, this particular way of raising money would cease. Nobody wants to see money made available for the particular purpose, which the promoters of this particular extension desire, more than I do, but I say this is the wrong way to go about it. As a matter of fact I asked the President on the Second Stage of the Bill if it was his intention to stop the payment of certain grants, which we had been giving to the particular nurses who are affected by this measure, once this Bill is passed, and to leave it to the Hospitals Trust to provide for them, but he gave no answer.

We have had experience before of grants which were given to hospitals by this House before the Hospitals Bill was introduced. Immediately the Hospitals Trust became a success and was able to supply large sums of money to these hospitals, the grants from the Government were stopped. The local authorities, at least the Dublin Corporation, intended to do the same thing, but fortunately good understanding and reason came to the rescue and the grants from the local authorities and the Dublin Corporation still continue. If the Government want to establish a precedent that they can shelve their responsibilities, large or small as they may be, by having the funds which they contribute lessened or wiped out altogether because the Hospitals Trust will provide the money, I say it is altogether wrong. I feel that it is the Government's responsibility. The Government must shoulder that responsibility and not try to shelve it. I do not want to develop the matter further except to say that I am sorry Deputy Sir James Craig or the promoters of the original Bill are not in the House. I would like to hear what they have to say.

To-day we have Deputy Anthony introducing a further extension of this legislation. Every Deputy can bring forward very good reasons to have the operations of this Bill extended to his own particular locality. If you are going to support Deputy Mongan coming forward one day with one extension and Deputy Anthony coming forward another day with another extension, you will probably have Deputies from every part of the country coming forward week after week with their own particular extensions until the thing would become altogether unwieldy and impossible, or until you have everything, which the State should look after, financed in this way with nothing left to us to discuss here except the weather. The danger is there. It is up to us to consider our position seriously before we proceed further on this particular line.

I wish strongly to support the Second Reading of this Bill. My principal reasons for doing so are that I am aware of the very valuable work that is being done all over the country by these nursing associations. In Westmeath there are two such associations and were it not for the fact that they are being subsidised by the board of health they would be unable to carry on. They function in areas to which the Tuberculosis nurses and other officials, who function under the board of health, are unable to attend. I do not think I would be in order in referring to the remark of Deputy Briscoe.

Does the Deputy mean the remarks of Deputy Briscoe which were ruled out of order?

I am referring to his comments in calling the Free State Sweepstake a public nuisance. I do not think his remarks would be endorsed by anybody—particularly by the people of the City of Dublin who have received such vast benefits from these sweepstakes. I think Deputy Briscoe knows that.

On a point of order I did not describe the Hospitals Sweeps as a public nuisance, and Deputy Shaw knows very well that I did not. What I said was that the misuse or abuse that would occur if the thing were extended could possibly become what it did become in the past. If you look at the encyclopaedia in the library you will find that they were put out of business because they had become a public nuisance. These sweepstakes here have been run in a fair manner and with great success; and I dispute the interpretation that Deputy Shaw has tried to put upon my words.

Deputy Briscoe is adopting the usual attitude of the Fianna Fáil Party. When anything has become an outstanding success in this country they try to blacken it. They are trying to do so in connection with the sweepstakes movement because it is going to bring everlasting benefit to the poor and sick of this country. I am sorry that on this day when the whole world is watching the huge success of the Free State Sweepstakes, any Deputy should get up and talk of it as a public nuisance.

I wish to repeat that I did not call them a public nuisance: and if Deputy Shaw wishes to speak truthfully about my remarks, he cannot find any such interpretation in them.

I know your remarks will not be appreciated by anybody in Dublin or Ireland or anywhere else.

I do not intend to say very much with regard to this measure, but I do say that it would be a foolish thing to oppose the Second Reading. There is no doubt about the need of nursing throughout the country. I should say that the nurse was as necessary in a district as the doctor. And not only should I like to see the West and the North-West supplied with nurses, but I should like to see nurses supplied to every dispensary district throughout the country; and for that reason I am supporting the Bill in the heartiest possible manner. There is no use entering into any recriminations about whether the Bill is immoral or whether it is not. The Act of Parliament is working now, and it has done, in my opinion, a great deal of good to the poor. The original intention of the Bill was to help the poor in the Twenty-Six Counties. This Bill is a continuation of that principle. By its operation we are going to help the poor by supplying nurses to as many dispensary districts in the Twenty-Six Counties as it is possible to supply. I consider that this is a splendid thing. Deputy Hogan, I think, spoke of the necessity of keeping up the nursing institutions throughout the country. I want to do more than merely keep up the institutions that have fallen behind for some time and that have not been able to supply nurses to all the districts that wanted them. I want to see this Bill, when it is passed, doing more than supplying the districts which have been already supplied—I want it to operate in a much more extensive manner. I support the Bill in the heartiest way.

I rise to support this Bill. Certain portions of the County of Cork have had experience of the manner in which their duties have been carried out by those nurses. In the Midleton rural and urban area a Jubilee nurse has been carrying out the duties entrusted to her by the organisation under which she works; and we have had experience of the work which she has done during the year. She paid 6,461 visits to the poor and especially to the children; she has paid 5,173 visits to houses where there are children who require care; and she has also paid 3,495 visits to children under the Child Welfare Act. That is work done in the district of Midleton alone. The people there are very anxious that the Act should be extended so that the funds which pay those nurses may be augmented within the next few weeks. The Youghal rural and urban area is getting another Jubilee nurse. As Deputy Sir James Craig has said, those nurses are as essential to the needs of the poor people as doctors. We have from time to time heard of grievances under the board of health as to the welfare of the poor people and of the children attending the schools. This nurse whom I speak of in the Midleton area attends with the doctor at the schools and assists him in looking after the children there, and she also comes to the assistance of the assistant doctor who attends in the town of Midleton under the Tuberculosis Act, and she gives of her assistance freely without fee or reward. I understand that this Bill is to be made universal in the Free State. That being so, I need scarcely say that every public board in Ireland will appreciate the action of this House in passing the Bill; and they will appreciate it in more than one sense. The doctors practising throughout the country know well that these nurses have exercised exceptional care in their catering for the poor.

Of course there are certain sections of the people in general who are against lotteries, but this feeling should be set aside when it comes to the question of considering the welfare of the poor people. There are persons in rural Ireland who have from time to time gone into different towns and villages and into towns and villages where there is bad housing; and we find that the work carried out by these nurses among that class has been exceptionally great. They look after the children suffering from certain diseases with great care, and they also look after the poor people who, in their declining years, do not care to go into Homes. These people are looked after in their own families by those nurses. There is no doubt that anyone who will enquire into the work of those associations in Cork County will find that the work entrusted to those nurses has been well done and that their capabilities to carry out their duties are exceptional. Therefore I have much pleasure in supporting the Second Reading of the Bill.

Deputy Carey has stressed the fact that the work of these nurses is as essential as the work of the doctors; and members from all sides of the House have paid tribute to the work that they do. If it is the fact—and I agree that it is—that the work which these nurses do is very essential to the happiness and to the welfare and to the health of the districts which they serve, why should it be left to chance? If they are as essential as the ordinary dispensary doctors, why should it not be put definitely on the Government or the local authorities to supply the need? We here in this Assembly have no authority whatsoever over the voluntary organisations that are running these nursing associations. The people in charge of them may be estimable and may have done good work, but we have no authority over them whatsoever, and we have no authority to direct that they should place nurses in the districts that need them most. All we can do here is to pass the Bill to give the money. The Dáil has given these organisations funds in the past out of taxation, and the local bodies have given them funds out of the rates; and now again they are going to get money under this Bill out of a fund which is of a public nature. That fund can be directed one way or the other by the Dáil. I prefer to see either the local authorities or the Government performing their duty in this respect, taking over these nurses, paying them a decent wage, and ensuring that sufficient funds will be forthcoming to put one of them in every district where she was required. There is plenty of wealth in this country, if properly used, at least to ensure that the poor people will be properly attended to in the way that these nurses can do. We are simply shirking the issue if we are going to throw these organisations £10,000 and then forget about them; clap ourselves on the back that we have done a great work and done our duty in that regard. We have not done our duty to the people while there is wealth being squandered in this country and poor people here are badly in need of the nursing attention that these people give.

Deputy Aiken to-day and Deputy de Valera on Friday last raised a note here that I think it would be wrong if this debate were allowed to end without attention being directed to it. The note struck by Deputy Aiken is that there is plenty of wealth in this country, therefore the Government should do all this, or the local authorities should do all this. We are to do without voluntary organisations, we are to do without charity, and we are to do without these particular things without which all the wealth and all the efficiency in the State could not bring either the sick or the poor the things they really want. I suggest to Deputies on the other side, when Deputy de Valera says every one of us here knows that there are other dangers to democracy than merely an armed attack, that there could be no greater danger to society here than that people in responsible positions, people close to the machinery of the State, should say that what is wanted in this country, in respect of medical attention to the poor is State attention, State money and nothing voluntary and nothing charitable.

Deputy Carey suggests that this Bill will be applied to the country as a whole. In fact, as far as I understand it, the intention of the Bill is to help limited and poor areas where we have at present organisations acting entirely voluntarily, filled with a charitable spirit and the spirit of bringing help and assistance out of money freely provided and services freely given to the poor to help and comfort them in their sickness and poverty. Deputy Aiken says that we have no control over these voluntary organisations. That the State should have a direct and gripping hand over the activities of voluntary organisations dealing with anything like charitable purposes would, I think, be disastrous. The experience of the Local Government Department is that voluntary organisa tions are most ready to work in with the general policy and the general outlook of the Government Department dealing with the relief of the poor. After an examination of the work done in the West of Ireland, particularly through the Dudley nursing system, we came to the conclusion that as far as was in our power we should assist them with State moneys. An examination of their work showed that it could reasonably be estimated that part of their work was maternity and child welfare work. Under a vote of this House, moneys are provided to the extent of 50 per cent. of the expenditure on maternity and child welfare work, whether carried out by local authorities or by voluntary organisations. We were gratified to be able to give 50 per cent. of half their expenditure, that is one-quarter of their total expenditure, to the nursing associations working in the West of Ireland.

I am sure that Deputies who have experience of them in the West of Ireland will not want to take these nurses and link them up with and make them directly responsible to the local authorities and take away from them the advantages of voluntary help that they have. Their whole efficiency would be impaired. Their work would be carried out in a cold, almost helpless, atmosphere. At present in the carrying out of their work they have the assistance of the members of these voluntary associations who are in touch with the poor attended by the nurses.

There is a linking up of understanding between the people of different classes that, apart altogether from the advantage of pure charity, has a very distinct social advantage.

Is the Minister going to disestablish the medical services now and give them over to charity?

Or the educational services?

Or the educational services. I am not going to suggest that the voluntary associations which surround the work of these nurses in some parts of the country should be taken away. I shall tell you what I am doing, as far as I can. It is worth drawing attention to here, because it points a finger to what is desirable in connection with some of these nurses. Take our county homes. Deputies know that our county homes at present are intended to contain aged people. alone. They actually contain aged people and they contain unmarried mothers, epileptics, and different classes like that. In most cases the matron of the county home is a nun and she has some religious Sisters with her and some lay people. We are trying in a gradual way to bring about a situation in which county homes, instead of being under the direct management of the local authorities, will be under the management of a religious order, responsible to the local authority for taking into the institution, on a capitation basis, persons whom the local authority directs should be taken in. At present the lay servants in county homes are appointed by the local authority. The matron and the community who have primary responsibility for running these county homes have no say as to the type of person who may be sent into them as a, servant. You have dual control. You have the inner details of discipline of religious communities, where it touches upon the administration of the county home, very often brought out in public discussion.

Happily, in one particular area, that of North Cork, we have brought about a situation in which a religious order, which devotes itself entirely in a vocational way to working for the aged and for the sick, have come into that area and taken premises that are much more suitable for a home for the aged than the old county home in Mallow, and have entered into an arrangement with the North Cork Board of Assistance that they will take on a per capita basis all the aged people transferred to them. We have then a situation in which, instead of having a county home run in the old workhouse, with the local authority interfering directly in its administration, and a religious community carrying out the administration of the building with that interference which, as I say, at times is very disagreeable and very unnecessary, an institution which is entirely controlled by a religious organisation particularly devoted to that particular class of work. There is a firm connection with the public body and public funds are fed into that institution in one way, but the institution is not cut away from the funds that charity can bring, or from being rooted in an atmosphere of charity rather than in a State atmosphere.

We were gratified to receive from the Canon in that Parish where that took place a letter saying that he thanked God he had seen the day that there was an Irish Government in the country looking after the interests of the poor in the spirit of the Gospel. So satisfactory is that arrangement for the particular local authority in question that another institution dealing with tuberculosis may be established there in the same way. It is common knowledge to Deputies that every institution in the country dealing with unmarried mothers is run in the same way entirely under the control of religious organisations fed by State money in one way on a definite basis but under the control of the religious orders and drawing funds and inspiration and help from charitable, as well as State, sources. I think it would be well, as we are trying to do it, if we had an extension of the understanding improvement for the aged and for the afflicted in other ways, than such arrangements would bring about. These institutions are not without public supervision; they have public supervision by a board of visitors or by any kind of arrangements the local authority may set up. I submit that from our experience, and I am sure from the experience of Deputies who have been up against these particular changes that have taken place, it is a much more satisfactory link between the State and work of this particular kind than simply direct administrative control. Take our county homes and even our hospitals—

Is this all relevant to the Bill? Are we to go into the question of county homes or keep to the organisations mentioned in the Bill?

I think I have said sufficient to wind up with this; that it would be disastrous to the poor and to others than the poor if the discussion of this particular measure had ended with a note that medical work for the poor and lots of other work that is done for the poor should be cut away from voluntary associations, from the influence and advantages of charitable moneys or charitable effort and should be left to be dealt with entirely by the State.

There is one point that I would like to have some explanation on. The Minister evidently has some intention in respect to the money that will be placed at his disposal if the Bill is passed. Would he give some indication of what is in his mind?

I have no intention at all about money that I have not got. This Bill has yet to go into Committee. The President dealt with the point as to what would likely be possible with say £10,000 this year and £10,000 next year and £10,000 the year after that. I see nothing possible but to make a fund out of it, that will supplement any suitably worked out scheme of moneys received in a voluntary way by these organisations. I think it would be quite wrong that simply because we got £10,000 this year, that that £10,000 should be spent on this particular class of work in that year. Such organisation and such work generally as is being done, are the result of ordinary natural growth, and my present outlook on the matter is to assist that ordinary natural growth not by putting £10,000 into that now, but by seeing what moneys are as likely to be available in the future and how something could be done so that that money will not come to a sudden stop in a year or two, or that coming to a stop in a year or two will not place a burden on the local authority which they should not be asked to bear.

It seems to me that the case for this Bill has not at all been made out. Those responsible for it have rested their case entirely upon an appeal ad misericordiam. We have heard about the zeal and devotion of the nurses. Nobody questions it and nobody dare question it. Any of us who are familiar with the work they have done is isolated and out of the way places can have nothing but admiration for them. We have been told about the need for nurses. Any of us who know the Gaeltacht and the poorer, areas in the country are not going to dispute the need for them, but if the nurses are zealous and dutiful, and if there is a crying need for their services, what is the logical consequence of the whole of that argument?—that there is an unquestionable need for a State nursing service and a State nursing organisation.

Deputy Sir James Craig told us that in his opinion, in many cases, the nurse is even more important than the doctor. If the State feels it incumbent upon it to provide medical services for the poor, and if we have a distinguished member of the medical profession getting up in the Dáil and telling us that as a result of his experience he is convinced that in many cases they nurse is even more important than the doctor, surely if the State provides the doctor it ought also to provide the nurse. The conclusion which emerges from the debate upon this Bill is that the need for a proper nursing service for the Irish poor is so great, that it should be made the responsibility and duty of the Government, and that only the Government can fulfil that responsibility and meet that need. If there is anything at all in the case the President made in favour of the Bill, and which the Minister for Local Government and Public Health has made, it is this, that every time the Government fails in its duty and shirks its obligations to the Irish poor it should bring in a Bill to extend the basis, of the Sweepstakes and to create more vested interests in the continuance of that undertaking, let us, they say, bring in a Bill that will so compromise the position that if ever at any time another Government might feel that if public lotteries are going to be run at all, they should be run by public servants more directly responsible to the people than those engaged on the present undertaking are, it will be virtually impossible to bring about any change no matter how desirable experience may prove it to be.

The Minister ostensibly is going to support this Bill upon the plea that there will be no greater danger to society than that people in responsible positions should say that the medical. services and the nursing services should be provided, by the State and that there should be nothing left to charity. What is the purport of this Bill? It is to provide monies for certain, nursing organisations, but, those monies are not being provided out of charity. They are provided as the result of a mere sordid gamble upon the part of millions of people, not a single one of whom at the present, moment when he buys a sweep ticket is animated by any motive of charity whatsoever. There is no charity, and there is no charitable element in the manner in which these monies are collected.

In that, connection I would like to safeguard myself and, say this that there are a number of eminent people engaged in the administration of the sweepstakes in honorary positions who are doing what they conceive to be a public duty and who are animated by the highest motives. But for every single ticket sold in connection with that sweepstake, for every service rendered in connection with it, there is payment out of the proceeds of the sweepstakes. With the exception possibly of the people I have mentioned there is not a single individual engaged in the sale of tickets or in the promotion of the sweepstake who is animated by charitable motives. These monies do not come from charity. It is purely a business matter and the monies secured are the products of a monopoly which have been conferred upon certain individuals in the State. The Minister deliberately attempts to deceive the people when he says that those who are opposing the extension of the sweepstake, as, this Bill is designed to extend its operations, are opposing it because they believe that there can be no place in Irish social life for the virtue of charity.

I do not think that any of us would for a moment accept the position into which the Minister has tried to put us. Charity, it has often been said, is a cloak for a multitude of sins. It should not be made a cover. for Governmental inactivity and neglect. Private charity is intended to deal with the accidental and abnormal cases which are created by the vicissitudes of our social organisation and our social system. Where the need is wide-spread and general, where it cannot be adequately dealt with by private effort, it becomes the duty, of the State to deal with the situation.

Formerly education in this country was carried on by purely voluntary effort. When the need for education became so widespread that it was impossible for voluntary effort to provide it, the State was compelled to step in, to accept it as a responsibility and to discharge it as a duty. In the same way in connection with certain, hospitals provided for the very poorest of our people, the same principle holds. The same is true of the public health services, the dispensary services. The same is true of child welfare centres. For every one of these services, when private effort was no longer able to meet the need, the State had to accept responsibility, and everything that we had been told in this debate about the necessity for these nurses and about the good work which they do in every part of the country, is only an argument for the establishment, as I have already said, of some form of State nursing organisation. The Minister in that connection said that if such a service were to be established its efficiency would be impaired by the atmosphere of cold officialdom with which his Department would undoubtedly surround it.

The Minister has knowledge himself of services in which the State provides the funds and in which the administration is largely guided by and directed by organisations and, associations of charitably disposed people. He has told us to-day of his experiment in Cork. I would refer the Minister to the child welfare centres here in Dublin. The public authorities provides the funds and the funds are largely under the control and administration of private bodies. The fact that these child welfare centres are doing such good work shows at any rate, even though the funds have been provided from public services, that the fact has not been sufficient to congeal their efforts in this cold official atmosphere of which the Minister spoke.

What has been done by the child welfare associations could be done in exactly the same way, on the basis of having the money provided out of the public funds, if only the Minister and the Executive Council of which he is a member, would face up to their responsibilities in regard to the Irish people, and discharge them. If they did we would have a much more effective service that way because at any rate it would be based upon certitude. As it is at present, these nursing organisations, even though they are going to get a large grant from the sweepstake fund, are, nevertheless, going to live from hand to mouth. Because they do not know what their income will be from year to year. When the last Sweepstake Bill was before the Dáil, we were told I think by Deputy Shaw, who is one of those who would finance every service of the State by, a public, gamble and who would have the Executive Council manned by public gamblers—

Who told you that?

If the Deputy had his way he would turn, to use a hybrid word, the Free State from a constitutional monarchy into a pignocracy. He told us on the last occasion that in his opinion the proceeds from the next sweepstake—that is the one the draw for which is taking place to-day —would amount to nothing less than six million pounds. In actual fact the fund to be divided to-day is, proportionately slightly less than it was on the occasion of the Derby sweepstake.

Will Deputy MacEntee say when it was that I mentioned that the sweepstake would amount to six million pounds?

If I am wrong I will withdraw and apologise, but my recollection is that at the time I was countering arguments that the sweepstakes were going to provide a golden future for the Irish people, and I remember that Deputy Shaw, or some Deputy speaking in support of the Bill, mentioned a figure of six million pounds as the figure that might be reached by the next sweepstake.

I never mentioned such a figure at any rate.

Very well, we were told that the amount will go on increasing with every sweepstake until we would be dealing in billions.

Who said that?

I did not interrupt the Minister. The fact is that the amount which has been collected as a result of the present sweepstake even though, we had a much longer time to collect it is proportionately slightly less than the amount made available as a result of the Derby sweepstake. It may go on decreasing or increasing, but the fact is that there will be a big element of chance and uncertainty in it, an element which must militate very considerably against the sound administration of the nursing services and against their sound financing, because they will not know from year to year what their income will be. On the other hand if these organisations are to be financed out of State funds at least they will know the extent of their annual income—better possibly than the Minister for Finance will know it—and they will be able to organise their services in a regular and orderly way, which is the only way in which such services can be made efficient. Therefore I say even from the point of view of the nursing organisations themselves this is not the best way to provide the money.

I would like to emphasise that the Sweepstakes are not making provision of adequate funds for the nursing services as distinct from particular organisations. As Deputy de Valera said, the needs of the sick poor should not be left either to charity or to chance and I do not think there is any answer to that, if as Deputy Sir James Craig has told us in his experience the nurse is often more necessary than the doctor. If we provide a doctor out of public funds we ought to provide a nurse out of public funds also. I suggest to those in the Government Party who are anxious to see these nursing services extended that if they are in earnest about it at the meeting of the next Government caucus they should propose a resolution that some provision be made for the nursing of the sick poor in the Twenty-Six Counties of Ireland.

Again there is another reason why this Bill should not be accepted by the House. Under the present Bill one-third of the available surplus of the sweepstake funds is paid over to the Minister for Local Government for distribution amongst the local public hospitals. This Bill proposes to take one-twenty-fifth part of the quota which is allocated to these hospitals and empowers the Minister to pay it or apply it in such a manner as he shall think proper for the benefit of such nursing organisations as he thinks fit. There are certain nursing organisations which have been mentioned in connection with this Bill. The whole case for this Bill has been based on the personal experience which many Deputies have of the good work of two organisations which have been named. But there is nothing in this Bill which ensures that the Minister will make any grant whatsoever to those organisations. Any Minister who thinks that he can make a little profit out of a lady bountiful, can get three or four ladies together, who will be as politically minded as they are charitable, can constitute them a nursing organisation and can send them or their agents, into any hole or corner in Ireland, ostensibly on nursing work but really doing political work for whatever Government is in power. It need not necessarily be a Cumann na nGaedheal Government. I do not believe that the Cumann na nGaedheal Government are the only Government tarred with political sins. Other Governments may do it also. The Minister can as I say give the money wherever he wishes, to anybody or any organisation. I say that and the fact that the Minister can do that opens up the road to what may be very grave abuses. I think it is not right in view of all the possible misuse there may be of moneys provided out of a public monopoly that the House ought to insist that the organisations which are going to get the moneys should be specified in the Bill.

With regard to the organisations which, have been mentioned I know personally that the nurses have done very good work. I know there is a need for them, but there is one thing which I think ought to be borne in mind in this connection that these organisations as at present constituted are purely autonomous bodies. If we provide the money for these organisations in a semi-public way have they a right to maintain that autonomous position? When the moneys were being provided by the private and personal effort of those who controlled and were members of the two nursing organisations which have been referred to, undoubtedly they were entitled to have full freedom and liberty in disbursing those funds. But the moment we provide for them out of the proceeds of a public monopoly then I suggest they ought to, that it is desirable that they should come under some form of public control, that their present position cannot be allowed to persist unchanged, and that there will have to be some element of public representation included in their composition and constitution.

There are many reasons why it should be so. A large number of the people responsible for the control of these organisations are not sympathetic to the political or religious ideals of the mass of the people. We as politicians have to look at the political aspects of these things. We have possibly in another capacity to consider the other aspect as well, undoubtedly it is a factor which has to be borne in mind, and it is a factor to which attention should be directed and which should be taken into consideration by those responsible for the introduction of this Bill. We know the sort of influence which some of these organisations have been accused of exercising in the past. If moneys are to be provided in this semi-public way, those who, take the responsibility of introducing the Bill to provide the moneys must also take the responsibility of seeing that the constitution of these organisations be so altered that any uneasiness which at present exists in the public mind with regard to them must be dispelled.

Would the Deputy mention one instance where Catholic clergymen, representing the majority of the people of Ireland, objected to these organisations in an individual or collective capacity?

I made it quite clear that so far as the nurses themselves are concerned, I had nothing to say.

They are the people who come into contact with the sick.

I am talking about the people who control the organisations. I will just read down their names and you will see how acceptable they are to the Irish people——

They do not nurse the sick.

—and what is the traditional regard of the Irish people for them. We know why a large number of these charitable organisations were originally established. Those of us who know Irish history know what the original idea behind everyone of them was. If the saving grace of charity has prevented them from fully carrying out what was one of their objects that is no reason why we should blind ourselves to the possible dangers that exist even in the present situation.

I do not think it is necessary for me to say any more. I would like to reiterate that every argument that has been used in favour of this Bill is an argument for the establishment of a State nursing service financed by funds provided out of the public purse and administered, if you like, by local committees of charitable people whom everyone in a district would know, people whose activities would be under the eyes of their neighbours and not people with headquarters in Dublin, and affiliations elsewhere. That is the sort of nursing service which we think would meet the needs of our sick poor; that is the nursing service which will be acceptable everywhere. It is no argument to say that funds cannot be provided by the present Government. The funds can be provided by the present Government which is paying millions of the Irish people's money to Great Britain, every penny-piece of which might be retained at home. If nurses are required in Connemara or Donegal, it is the duty of Deputies who feel that there is need for nurses in these districts to see that before the provision of such nurses is made dependent on a public gamble, the Government which has control of public funds and which pays away the Irish people's money for the purposes to which I have referred, should at any rate put the claims of the Irish poor before the R.I.C. pensioners.

Mr. Byrne

It is difficult to understand the mentality of those who oppose this Bill. The idea has been put forward by Deputy MacEntee that the needs of the sick poor should not be left to charity or to chance. I wonder why that argument was not used before the introduction of the Sweepstakes Act. What were the sick poor dependent upon before the Act came into operation. Where did the funds come from to keep the hospitals going efficiently? Is it not common knowledge that hospitals in the City of Dublin were mainly dependent on the charitable public? If it was good enough for public money to help the sick poor then what is the objection to the charitable public coming to the help of the sick poor now? I can only characterise such an argument as a piece of the basest hypocrisy, and the people of County Dublin whom Deputy MacEntee represents will not be thankful to him for his attitude towards this Bill. He has endeavoured in a veiled sort of way to belittle the success of the Irish sweepstakes, and he has endeavoured to show that the funds were, more or less, on the wane, and that the Sweepstake proceeding at present was not as successful as the previous one. Coming from a representative of County Dublin that appears to me to be a most extraordinary argument. Everybody knows that the Dublin hospitals never refused to treat the sick and the poor no matter where they came from. These hospitals had only two sources of income—a small subscription from the Dublin Corporation and the subscriptions they received from a number of charitable people. Not a single hospital received sufficient from these sources to pay overhead expenses. Practically every hospital was in debt until the Act was introduced. Now, when it has been such a wonderful success, a success that this House never anticipated, we hear the argument that the sick poor should not be left to charity or to chance. I say that that is an argument of pure hypocrisy. If a certain capital sum to help the Jubilee nurses is secured by the passing of the Bill, is this not a very simple method of dealing with that money?

Cannot that money be invested and a certain annual income go to the upkeep of the Jubilee nurses in Connemara? It seems to me that any Party which has been talking for the past week about retrenchment and economy and which wants to saddle an extra service like this on the State, in view of the Supplementary Budget which it was necessary to introduce owing to world-wide economic depression—it seems to me that a Party which does that is neither honest nor logical. If the charitable public and the sporting public are willing to find the necessary money for the hospitals, as they have been doing, surely it is not the duty of any public representative here, and especially, a representative of the County Dublin, to belittle the wonderful success of the sweepstakes.

Objection has been taken because midwives have not been included in this Bill. I would remind those who made that objection that this House passed a Midwives Act and that under that Act midwives have received very important professional privileges. One of the effects of that Act was to eliminate a number of semi-skilled women, who had operated with great effect and with great charity heretofore. The midwives have not been included in this Bill and, from what one reads in the papers, it would appear that pensions are at the back of the minds of some of the nurses. I think the present Dáil will never agree to the passing of a measure such as that. Objection has also been taken because the Minister under this Bill possesses certain discretionary powers. I think that that is one of the most important advantageous points in the Bill. When the Midwives Act was passed, certain very great hardships arose. Certain fully qualified nurses appealed to me to be brought within the scope of the Act but nothing could be done because the Minister possessed no discretionary power. Under this Bill, the Minister has discretionary power and we can rest fully confident that that power will be utilised in a proper manner. It appears to me that the Deputies opposed to this Bill, who have thought fit to make this a Party measure, are plainly at variance amongst themselves.

Deputies Aiken and MacEntee urged the rejection of the Bill because the organisations of nurses which will benefit under the Bill are autonomous and not subject to the State. Deputy Derrig, on the other hand, said that it was in the interest of the public that they should continue to be autonomous. They cannot have it both ways. They cannot have them autonomous and under State control at the same time. I have great pleasure in supporting the Bill and I hope the House will pass it by a large majority.

I am partially in agreement with the provisions of this Bill. What surprises me is that the discussion has taken such a very wide turn. It is a Bill containing only a couple of sections. One section deals with the contribution from the Sweepstake Fund to aid the nurses in their good work and the other section gives the Minister power to supervise the spending of this money. Nevertheless, we have had a discussion on poor relief, medical services and practically everything but what is contained in the Bill. The question is really narrowed down to whether this House is agreeable to give some help to the nursing associations. I do not think there should be any objection to that. From the speeches here, I think it is generally agreed that the nursing associations have done wonderful work in the past. As a result of the assistance which they hope to receive from the passing of this Bill, I am sure that that work will be continued. Nobody who has a knowledge of their work will question that they have done it well. Throughout the Free State the nurses of these associations have visited the sick in their homes and, as a result, have brought joy and comfort to many humble homes. The association in County Louth has done very valuable work and I am glad to say that they command the support and co-operation of the people of every section. The sum these associations will receive, assuming that the Sweepstakes will be as successful as they have been in the past, will be about £10,000. I do not think there should be any objection to voting them that sum. I only hope it will be more.

As regards the point raised in respect of the future of these associations in the event of their receiving this money, I think it would be a sad day for this country that all charitable institutions were dispensed with and that their places were taken by the State. It would be better if we had more of these charitable institutions. The idea inspiring the work of the people interested in these institutions is a noble one and I, for one, hope that they will continue, as in the past, to solicit subscriptions from the public. If, in addition, they get a little help in this way it will be all to the good.

The only criticism I had to offer was in connection with the powers of the Minister. I do not know whether it is the intention to ear-mark all this money for the West of Ireland.

Not at all.

I do not think that it is the intention, judging by the President's remarks. I was under the impression in the early stages of the debate that the money would be earmarked for the Gaeltacht. While I would have no objection to the Gaeltacht getting its required share of the money, I hold that we should not, on these matters, take a parochial view and that the money should go to those places where it is most needed, irrespective of situation. Consideration should, I think, be given to those districts which have carried on this work without any help, beyond public subscriptions. These subscriptions may, owing to economic conditions, be more difficult to obtain in future, and it would be well that in these districts the nursing associations should receive some little help under this Bill. Half an hour should have been quite sufficient to devote to this Bill because we should be unanimous about it. As a result of the passing of the Bill, I hope that the nursing associations will be enabled to extend their activities.

Tá an oiread ráidhte faoi'n mBille seo le dhá lá agus nach bhfuil call dom-sa mórán a chur leis—go mór mór tar éis an rud adubhairt an tAire Rialtais Aitiúla. Dubhairt seisean an chuid is mó den rud a bhí fúm-sa a rá. Ba mhaith liom a rá agus a chur i gcéill don Teach nach trócaire ná grádh Dia atá mé ag iarraidh ar son bocht na tíre. Rítheadh achtanna sa Teach seo le cúpla blian anuas ag tabhairt airgid d'ospidéil na mbailte móra agus le maitheas a dhéanamh do lucht na mbailte móra sin a bheadh tinn. Anois, más grádh Dia é sin a dhéanamh do lucht na mbailte móra, sé mo bharúil-se go mba cheart é leathnú i gcaoi is go ndéanfadh sé maitheas do lucht na tíre. Sin é an méid grádh Dia atá mise a iarraidh.

Do réir cainnte go leor Teachtaí sa Teach seo, shílfeadh duine go raibh fúm-sa é seo go léir do choinneál don Ghaeltacht ach ní mar sin atá; tá súil agam go bhfuighe 'chuile dhuine de bhoicht na tíre cuid de—thiar agus theas, o thuaidh agus o dheas. Tá súil agam anois go bhfuil sé sin sáthach soiléir, agus nach mbeidh níos mó caitheamh ar an nGaeltacht. Dubhairt Tomás O Deirg, Teachta, go raibh na dochtúirí in sna contaethe a raibh an Ghaeltacht ionnta ag fáil níos lugha go mór thicéadaí dearga na bhí na dochtúir atá sna contaethe saibhre a fháil. Shílfeadh duine go mbeadh bród ar Theachta O Deirg muintir na Gaeltacht bheith ag dul ar aghaidh agus go dtig leo na dochtúirí d'íoc, ach do réir a chuid cainnte tá brón air nach bhfuil níos mó ticéadaí dearga ag dul go dtí na dochtúirí. Marach na banaltraí go bhfuil mise ag iarraidh an airgid ar a son, bheadh níos mó go mór de na ticéadaí dearga á bhfáil ag na dochtúirí thar mar tá. Anois as béal a chéile labhair an Teachta De Bhailéara, an Teachta O hAodhagáin, agus an Teachta Mac an tSaoi, gach aon duine aca ag cur 'chuile rud ar an méir is fuide, á chur anonn agus á chur anall, ach ar chuala siad ariamh go bhfághann na ba bás an fhad is bhíonn an féar ag fás. Nach cuma leo san cén t-achar a bhéas an féar ag fás—ní baol go bhfuighe De Bhailéara, Teachta, a bhean ná a chlann, ná Mac an tSaoi, Teachta, ná a bhean ná a chlann, na Mac Uí Aodhagáin, Teachta, ná a mhuirín bás ná bascadh oireasa dochtúra ná banaltra. Níl ortha ach dul treasna na sráide, agus mara bhuil dochtúir Sheáin istigh ná a bhanaltra, dul chuig dochtúr Phroinsiais no a bhanaltra agus mara mbidh siad-san istigh bí cinnte go mbeidh Eamonn no a bhanaltra istigh le freagra a thabhairt ortha. Ní hé sin an chaoi leis an tír in áit a bhfuil dochtúr no banaltra chúig mhíle déag on duine a bhéas tinn. Nach cuma le Teachta De Bhailéara, le Teachta Mac an tSaoi no le Teachta O hAodhagáin cén chaoineadh ná éageaoin ná géarghol a bhéas ar na daoine bochta seo ag iarraidh dochtúra ná banaltra an uair atá siad féin agus a leithéidí slán? Seo iad na daoine a leigeann ortha go bhfuil siad i bhfábhar na ndaoine bochta agus 'chuile rud atá ag baint leo agus go bhfuil siad i bhfábhar na Gaeltachta agus áiteacha dá leithéid, ach tá sean-ráidht ann "gur fearr an gníomh a cruthuitear ná na ráidhte bréagacha as béal na mbréagadóirí."

Dubhairt Teachta O Cléirigh rud eicínt faoi na sagairt. Iarraim-se ar Theachta O Cléirigh dul go Gaoith Sáile, Cuanán O Duibh, Oileán Acaill, Coillte Amach, Poll an Tomáis agus a fhiafruighe de na sagairt agus de na daoine annsin, má tá sé de mhisneach aige, an bhfuil siad i bhfábhar an Bhille seo. Tá a fhios agam an freagra a gheobhadh sé dá ndéanfadh sé é. Ach níl baol air. Is furasta bheith ag cainnt sa Teach seo, na céadta míle o na daoine seo agus bheith ag ithe agus ag sciolladh ortha, ach nuair a bhéas duine i ngar dóibh is port eile ar fad é.

Anois, tá mé ag iarraidh ar na Teachtaí ar an taobh thall, go mór mór Teachta ar bith go bhfuil grádh Dia ar bith ina chroidhe, Teachata ar bith a bhfuil blas spioraid Gaedhil ann, na atá i bhfábhar na Gaeltachta vótáil don Bhille seo. Tá a fhios agam gur deacair dhá mháistir a shásamh. Sin é Teachta De Bhailéara, i ngeall ar a éad féin, ag iarraidh ar Theachtaí vótáil ina aghaidh, agus na daoine tinne ag scréachghail agus ag cneadach ag iarraidh orthá vótáil leis. Is agaibh féin atá roghain a dhéanamh go goirid. Caithfe sibh vótáil or thaobh eicínt.

Tá súil agam go mbeidh oiread spioraid ag cuid agaibh vótáil ar mo thaobh-se, mar sin é an taobh atá i bhfábhar na mbocht.
The Dáil divided :— Tá, 65; Níl 36.

  • Anthony, Richard.
  • Beckett, James Walter.
  • Bennett, George Cecil.
  • Blythe, Ernest.
  • Broderick, Henry.
  • Brodrick, Seán.
  • Byrne, John Joseph.
  • Craig, Sir James.
  • Davin, William.
  • Davis, Michael.
  • Dolan, James N.
  • Doyle, Peadar Seán.
  • Duggan, Edmund John.
  • Esmonde, Osmonde Thos. Grattan.
  • Everett, James.
  • Finlay, Thomas A.
  • Fitzgerald, Desmond.
  • Hassett, John J.
  • Heffernan, Michael R.
  • Hennessy, Thomas.
  • Hennigan, John.
  • Henry, Mark.
  • Hogan, Patrick (Clare).
  • Hogan, Patrick (Galway).
  • Holohan, Richard.
  • Law, Hugh Alexander.
  • Lynch, Finian.
  • Mathews, Arthur Patrick.
  • McDonogh, Martin.
  • MacEoin, Seán.
  • McFadden, Michael Og.
  • McGilligan, Patrick.
  • Mongan, Joseph W.
  • Carey, Edmund.
  • Coburn, James.
  • Collins-O'Driscoll, Mrs. Margt.
  • Conlon, Martin.
  • Connolly, Michael P.
  • Corish, Richard.
  • Cosgrave, William T.
  • Mulcahy, Richard.
  • Murphy, James E.
  • Murphy, Joseph Xavier.
  • Murphy, Timothy Joseph.
  • Nolan, John Thomas.
  • O'Connell, Richard.
  • O'Connell, Thomas J.
  • O'Connor, Bartholomew.
  • O'Donovan, Timothy Joseph.
  • O'Hanlon, John F.
  • O'Higgins, Thomas.
  • O'Leary, Daniel.
  • O'Mahony, The.
  • O'Sullivan, Gearóid.
  • O'Sullivan, John Marcus.
  • Redmond, William Archer.
  • Reynolds, Patrick.
  • Rice, Vincent.
  • Roddy, Martin.
  • Shaw, Patrick W.
  • Sheehy, Timothy (West Cork).
  • Thrift, William Edward.
  • Tierney, Michael.
  • White, John.
  • Wolfe, George.

Níl

  • Aiken, Frank.
  • Allen, Denis.
  • Boland, Gerald.
  • Bourke, Daniel.
  • Briscoe, Robert.
  • Buckley, Daniel.
  • Carty, Frank.
  • Clery, Michael.
  • Cooney, Eamon.
  • Corry, Martin John.
  • Derrig, Thomas.
  • De Valera, Eamon.
  • Fahy, Frank.
  • Fogarty, Andrew.
  • Geoghegan, James.
  • Gorry, Patrick J.
  • Goulding, John.
  • Harris, John.
  • Hayes, Seán.
  • Houlihan, Patrick.
  • Jordan, Stephen.
  • Kent, William R.
  • Killilea, Mark.
  • Kilroy, Michael.
  • Lemass, Seán F.
  • Little, Patrick John.
  • Maguire, Ben.
  • MacEntee, Seán.
  • Moore, Séamus.
  • O'Dowd, Patrick Joseph.
  • O'Kelly, Seán T.
  • O'Reilly, Matthew.
  • Sexton, Martin.
  • Smith, Patrick.
  • Walsh, Richard.
  • Ward, Francis C.
Tellers:—Tá: Deputies P. Doyle and T. Murphy; Níl: Deputies G. Boland and Allen.
Question declared carried.

Molaim an Bille seo do chur faoi bhrághaid Choiste faoi leith ar a mbeidh aon dhuine dhéag, agus fós go mbeidh cruinniú acu seachtain o iniú.

Ordered: That the Public Charitable Hospitals (No. 2) Bill, 1931, be referred to a Special Committee consisting of eleven Deputies to be nominated by the Committee of Selection; that the first meeting of the Special Committee be held on Wednesday, 25th November, and, that the quorum of the Committee be five.
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