We were discussing the amendment in connection with the medical officers. I am sorry that the Government has chosen to reject this amendment, because I think that a great deal can be said for it from every point of view. I quite regret that the Minister has not yet spoken in this debate, but the power behind the throne has clearly indicated the views of the Government on the matter. I think Deputy Corry told us on the last day that he really could not accept this amendment. I am sorry to hear that particular announcment of the Government policy because I think a strong case can be put up for the various other bodies of men who were affected by this Bill, and a particularly strong case can be put up for the dispensary medical officers. If there was any truth in the contention of members of the Government and of Deputy Corry that the country was never so prosperous as at present and the people never so well off, if there was any pretence that the Government believe that, it is very hard to understand their attitude in this particular matter. Why should they actually propose to hit these particular professional people? We have heard very strong appeals from different sides of the House. We have heard particularly strong and able appeals from Deputies Rowlette and Davitt, who gave out very strong reasons why this amendment should be accepted by the Government. If I might say so, I think that, instead of adopting the Government's point of view that the country is so prosperous now that there is no justification for the Bill, they should look the actual facts in the face and admit that the community is hard hit and that the farmers particularly are hit.
I suggest, however, that one of the first classes that feels how hard the farmer is hit is the dispensary doctor. Everybody who knows anything about the country knows that it is not on account of the salary attached to the post of dispensary medical officer that that position is sought. It is sought for two reasons. One reason, but it is not the major reason, is the salary attached to the position. There is another reason as well, namely, the desire of the doctor to establish himself in a particular district, and the official position that he has, and the salary that he has, inadequate as it may be, as a dispensary medical officer helps him to the attainment of that end. If the Minister makes inquiries he will find out that the private practice, which with most of them forms the greater portion of their real income every year, is gravely hit by the economic crisis. What the Minister is doing is practically this: The economic crisis having taken away a percentage of the major portion of the doctor's salary, the Minister now proceeds to take away a certain portion of the rest of the salary. Undoubtedly there are many doctors who now, practically speaking, have to attend cases for which before they would get paid and who have now little prospect of getting paid. That is a consideration that particularly hits this class of practitioner. If anybody has been hit severely by the economic war, hit directly and quickly, I say, after a certain amount of inquiry, that it is the dispensary doctor. Therefore, I should be glad if the Minister could see his way for once to revise the opinion of his main force behind the throne and consider this amendment favourably.
A great deal of the salary of the medical officer goes in expenses in connection with carrying out his duty and a great deal of these expenses goes in attending cases for which he is getting no return in the way of private fees. The necessity of a motor car in modern times and the cost of it should be taken into account in this connection.
I suggest that the Minister should not follow the example of others who get up here and be full of sympathy for the doctor, full of appreciation of the services he gives, especially to the poor, and then, not satisfied with what he has suffered in his private practice, seek to inflict this further hardship upon him. If the Minister is not willing to accept the amendment, I suggest that he can, at least, spare the House and the profession his lip sympathy and his appreciation of the excellent work they are doing. It speaks well, not merely for the medical profession, but for humanity in general, the way in which doctors as a whole, or at least the great bulk of them, treat the poor. They may occasionally charge heavy fees to the rich, but the very best service of the profession, even where there is no obligation to give the very best service, is at the disposal of the poor, and especially the very poorest. Everybody knows that. I suggest that it is no real appreciation of that humanitarianism on the part of doctors to come along now when, as I say, the country practitioners, are so severely hit, and, in addition to the blow they have already received gratuitously to inflict this particular blow on them. I ask the Minister, therefore, for once to take his courage in his hands and now, as the Deputy has not yet turned up, accept this amendment before he is caught.