I may say straight away that I have no objection to the Bill, and I am not offering any opposition, but I put it to the Minister that he is really trying to carry out an impossibility through the medium of an administrative machine and a multiplicity of medical boards. He is endeavouring to deal in terms of percentages, to assess the degree of disability from which a person is suffering whose disease originated 18 to 25 years ago. With all due respect to the Minister, and also to the members of my own profession, there is not a doctor living, or a board of doctors, which could examine a man to-day who is suffering from a disability acquired on service 18 or 20 years ago and, in the first place, say dogmatically, that that disability was or was not attributable to the service of twenty years ago, and further say dogmatically, that that disability is between 50 per cent. and 80 per cent. and not over 80 per cent. nor under 50 per cent. To a great extent, this Pensions Bill and the Disability Pensions Act of 1927 hark back to the Wound Pensions Act.
In the Wound Pensions Act applicants were pensioned according to the degree of disability resulting from wounds. Neither a medical board nor a lay board would have any great difficulty in putting into figures the disability a man suffers as a result of a wound. There is a simple table of disabilities and even those not mentioned in the table could easily be assessed by reference to it. The loss of an upper limb, a lower limb, of two upper or two lower limbs, the loss of one eye or of both eyes—each carried a certain percentage of disability, and other wounds and other disabilities as a result of wounds could be, in a rough and ready way, brought on the level of one of those scales.
We then moved on from wounds to disease and we attempted to pension people for disabilities as a result of disease attributable to service, on the percentage scale. At the time that Act was passed, if it was not an impossible proposition for a medical board, it was about as difficult a proposition as could be set. However, there is this to be said: at the time that Act of 1927 was passed, they were dealing with disabilities attributable to disease which had been acquired within eight or nine years previous. This is an amending Act, or an extending of that Act of 1927. Roughly, 515 cases did not apply within the time limit of the 1927 Act, or the extending Act of 1932, and we are now giving a further 12 months for these 515 cases to apply. They will apply. They are suffering, presumably, from some disability attributable to disease which originated on service possibly 18 years ago, possibly 25 years ago. They are going to be medically examined by a board, and the first question that will be put to that board is this: that man is suffering from a certain disease; is that disease directly attributable to service, 15, 17 or 25 years ago? There will be an answer—either yes or no. It is a matter of luck more than anything else: it is a matter of mood—the mood of the board on that particular morning—as to what the answer will be. But no definite answer, either yes or no, can be given with any real knowledge or foundation in fact behind it.
Most of these difficulties arise through administrative delays in dealing with these cases at a time when the origin of the disease was comparatively recent. I urged time and again that, if one board could not get through the work more expeditiously than it has been done, there should be a multiplicity of boards. My attention has been called to a considerable number of cases of people either dissatisfied with the verdict given or who have got no decisive answer to their claims, and I have put the case to them that I am putting here. You can bring up a case to-morrow of one who suffered from a lot of hardship on the hills, or in imprisonment or internment, in 1918, 1919 or 1922. That man has a bad chest now, or bad state of nerves. Where is the member of my profession who is going to claim that he is in a position to assess definitely whether that man's bad chest or nerves are attributable to conditions 18 years ago? Yet, people are either getting pensions or being refused pensions on the certificate of specially selected and experienced men—honest, reliable and trustworthy men who, if their backs were to the wall, would say that too many years have passed and that too much water has flowed under the bridge, for them to be definite.
I handled the documents of a case within the last 48 hours which was examined some four years ago. This man got his certificate to the effect that he had no disability attributable to service, and the service he was hanging his alleged disability on was 18 years ago. That man was able to mobilise immense influence in his case, such that only one in 5,000 applicants could mobilise. He was re-examined—"reboarded"—some three years ago and the result of that "re-board" was that he had a disability attributable to service, but that it was not 80 per cent. Whatever disability he had three years ago he had before that. He had the same medical document saying that he was continuously from 1922 to 1927 in medical hands. One board finds no disability attributable to service and the other finds a disability attributable to service 18 years ago, but not 80 per cent. They were both reliable, trustworthy and honourable boards, but is it right to be administering or refusing public funds with that margin of error?
Is there an engineer who would look at a building in 1940 and assess its condition in 1916? That is the kind of question that is being put to medical boards. There may be an answer given to satisfy the official mind, but there could not be an answer given that would satisfy the knowledgeable mind. The point I wish to make is that, if cases have been left unattended, unexamined, "unboarded", we are trying to achieve the impossible now and trying to get a board to assess whether the disability a man has to-day was or was not attributable to some experience, some hardship of his, 20 years ago. I think it would be better to link up the whole thing with service and, if the service board has already found, as a result of investigation and evidence, that a man did give service of a lengthy and reliable kind, to increase his service pension by a reasonable percentage and accept his "crockiness" as having been at least associated with service.
I remember that the wording of the original measure was about as rigid a wording as was ever put into an Act, namely, that the disability must have been acquired on service and be directly attributable to service. Now, these words were stolen from the Wound Pensions Act. It is easy enough to say whether a wound was acquired on service and was directly attributable to service, but, even dealing with cases of three months ago, it is impossible to say, with equal definiteness, that pneumonia was acquired on service and was directly attributable to service. You have no witness who can come forward and say: "I saw the bug of pneumonia enter his chest and he was on service at the time," but you can bring witnesses forward to say: "I saw him hit with a bullet." You cannot bring witnesses forward to say: "I saw him hit with the bacilli of tuberculosis or the germ of pneumonia."
In its very origins, a major blunder was made when you tried to work the phraseology of a Wound Pensions Act into a diseases Act. It was a mistake at the time when you were dealing with a matter that only went back five or seven years. It was a blunder then, but it is a blunder on the double and on the treble now when you are presuming to deal, in an official way, with cases that may be 25 years' old. It cannot be done. If there are hard cases to be met, and if public money has got to be spent, do not give it the appearance of being spent in a rigid watertight way, in conformity with the most rigid phraseology that could be invented by the most vigilant Department of Finance because there is no one, from the Minister down to the actual board, and from that down to the applicant himself, who can say with any definiteness that any disease disability from which any man suffers to-day was attributable to any particular phase of activity 18 or 20 years' ago.
I would rather see the Minister put his mind down to the justice of what I am saying. I guarantee that if the Minister calls his medical advisers before him he will find there is not one of them but will agree absolutely with every word I am saying: that it is correct to say they are being set an impossible question to answer reliably. They are giving the best answer they can. It may be a good answer from the applicant's point of view, or it may be a bad answer. The answer depends as much on the mood of the examiner as it does on any evidence he can have before him to-day.
Now that is not fair, either to the State or to the applicants. It would be better to take these arrears of cases— take the cases that have not yet been dealt with, take the cases that have a disability swinging between one percentage and another, take the association between that disability without any of us attempting to say whether it is a 40 per cent., a 45 per cent. or a 51 per cent. disability—and say that there is reasonable evidence, that there is a reasonable amount of medical certification to demonstrate that a man's disability could have been attributable to such a period of service and because of that "increase his service pension". If I were in the Minister's position, if I were giving disability pensions now under this Bill or under the Acts of 1932 or 1927, and found that those disease disabilities were hanging around and harped back to service and hardships undergone in 1916 or in 1917, I could not look into a mirror, address myself and say: "Conscientiously I am entitled to give that, or conscientiously I am entitled to refuse that." One might as well take a coin in his office when each claim came in, toss it, and say: "Heads I will get a pension and harp I will not." Now, that is not a proper system for dealing with cases of disability and cases of genuine hardship. It would be better to mobilise all your applicants, get them together, and decide to do the best you could for them out of some lump sum; but do not perpetuate the mistake of pretending that there is any board that could be created that is capable of assessing, in percentage degrees, the disability that any man is suffering from to-day, and say, further, that that disability is directly due to disease which was acquired 22, 24 or 26 years ago.