I move:
Being of opinion that measures for social security for our citizens constitute the first and most urgent consideration in our post-war planning, Dáil Éireann requests the Government to introduce proposals for the establishment of a scheme of social security, in which all the existing social services shall be unified and co-ordinated under a Ministry of Social Services, and all persons in gainful employment brought under the provisions of a comprehensive scheme of social insurance.
This is a double-barrelled motion. First of all, it requests the Government to initiate and establish a social service scheme for our citizens. The second part of the motion is cutting across Government policy and it asks the Government to change a system that has been in existence for the past 22 or 23 years, and establish a Ministry of Social Service. There is this reason for that suggestion. At the present time we have social services divided between two Departments. The Department of Industry and Commerce looks after workmen's compensation, family allowances, unemployment insurance and unemployment assistance. Then we have the Minister for Local Government, who is responsible for widows' and orphans' pensions, old age pensions, national health, the dispensary system, hospitals and public bodies throughout the State.
We will try to convince the Government that, in the interests of all concerned in this State, it is desirable to have a separate Department for social services and allow the Minister for Local Government to devote his time to purely local government work. We recognise that in this post-war period public bodies have considerable responsibility in relation to house building, sewerage and water schemes, and we feel that the Minister should be more in touch with those local bodies in order to give them advice and assistance wherever they may be needed.
If you view the position to-day you will observe the unnecessary duplication of Ministries. You will see that you have one set of citizens in receipt of unemployment insurance, through the Department of Industry and Commerce, and you have others in receipt of widows' and orphans' pensions, controlled by the Department of Local Government. We recognise that since Dr. Ward was appointed as Parliamentary Secretary some progress has been made in regard to sanitation and public health. We believe that greater responsibility should be placed on a particular Minister. The citizens will then realise that there is one person solely responsible for looking after services from which they may be deriving benefit.
I should like to quote the case of a workman—I am familiar with a couple of such cases—who meets with an injury in the course of his employment. That aspect is controlled by Industry and Commerce. We find that after his accident the workman has to submit each week a certificate of his inability to work. After 13 or 14 weeks the insurance society will write to a local doctor. To my own knowledge they send five guineas for a report on the injured man. The doctors in some areas find that the man is capable of light work, but his previous employer refuses to give him any light work.
What is the position of a poor individual of that type? He may be brought before the local courts and his benefit is stopped. His solicitors are unable to bring a case into court for another three months. That man has nothing to exist on unless he gets home assistance. During a period of two or three months his mind is tortured, apart altogether from the illness following his accident, as to how he will provide for his family. He may receive 10/- or 15/- a week by way of home assistance pending a settlement by the insurance society. Very often we find that before the sitting of the court the man will be prepared to take a small amount by way of compensation sooner than go into court.
That finishes him. There is no one to look after him, no one who will try to cure him or give him hospital treatment. We say that such a case should be the responsibility of a Minister for social services. He should be in a position to see that a workman who is injured while in employment will receive fair compensation, and should be adequately protected by a scheme of national insurance. Not alone should he receive compensation, but he should be given proper hospital treatment.
What position do we find in the country? We have a dispensary system which is, in our opinion, out of date. The dispensary doctors are not adequately paid. In some cases they have to look after populations of 5,000 and upwards and they have to travel long distances in remote portions of the country. In some areas the dispensary doctor has a maximum salary of £300.
The doctor has to depend on red tickets. We have one section of the community receiving red tickets, but there is another section, including small farmers, small tradesmen or shopkeepers in rural areas and others with limited means, and they do not receive adequate medical attention. Very often the man with a small income is unable to pay for adequate medical attention and the result is that his disease develops. It is only when he is in the last stages that he is brought to a Dublin hospital and the first question asked about him is: "What means has he? Has he £40 for an operation, or £30?"
The result is that his whole life-savings are gone and his case is so far advanced that the operation fails to cure him. If we had a Minister for Social Services, medical aid would be available for all sections—the small farmer, the agricultural worker and the business man in the rural area. These sections of the community would take advantage of the medical services available, and, if these services had been available in the cases I have mentioned, many of these men would be alive to-day.
With regard to old age pensioners, the majority of workers are receiving a cost-of-living bonus which now amounts to 15/- a week, but the poor old age pensioner in the rural area is expected to live on a maximum sum, which he receives only if he gets nothing from a relative, of 10/- per week. We are told that there is an extra half-crown available, but in my county only one out of five receives that extra half-crown. The public body does not provide anything additional to pay that extra half-crown to old people in the area, and we expect these old people to exist on this miserable pittance, although it costs the State four times as much to maintain a criminal. On that basis, we hold that some improvement in social services is necessary.
We come then to the widows of non-insured persons who are expected to exist on the 5/- a week because their husbands, by reason of illness or otherwise, were unable to become insured. The amount which these people receive has to be supplemented by the rates and a deduction is made in respect of every shilling earned by a daughter or son who goes to work. In other words, if the son or daughter goes out to work for 5/- or 6/- a week—and I have known cases of it—they forfeit the 5/- a week widow's pension. Directors of factories and large employers of workers are all anxious to put social services into operation. We see large insurance companies taking advantage of the position and guaranteeing pensions, sickness benefit and so on at a certain age, and the greater the delay by the State in putting such social services into operation, the more we will get into the position in which there will be only the casual or the unemployed worker to insure, because employers of labour are, as I say, insuring their workers for pensions and other social services at present.
The Minister for Finance said here some time ago that the scheme we proposed would cost a very considerable sum of money. We recognise that, but I am sure the Government realises that any money would be well spent if it resulted in an improvement in the position of the people and in giving them some security. Take the case of blind persons of whom we have a large number at present. The State grants a small allowance, but again fails to provide a trade for the blind boy or girl. I admit that, in the case of deaf and dumb people, there is a school where a trade is provided, but, in the case of the person afflicted with blindness, there are no such facilities. In County Wicklow, a blind person over 15 and under 30 years of age receives 12/- a week. A married man under 30 years of age receives 15/- a week and a married man over 30 years receives 2/6 per week additional for each child, but no arrangements are made to fit the children to earn their own livelihood.
With regard to national health insurance, a man receives 26 weeks full benefit, and, after 26 weeks, gets 7/6 a week until he reaches the age of 70, and again no provision is made for the treatment of illness. He is allowed to linger on until his national health insurance benefits cease and he gets the old age pension. There is no provision whatever for curative treatment, except in relation to the treatment of tuberculosis in its early stages which is now being made. Hospital treatment will be given only on a temporary basis. Small farmers and others are not availing of the red ticket system and they have not got the money to bring in a private doctor. The doctor is not brought in until the patient is in the last stages, when, perhaps, it is too late to do anything for him. It all arises from the fear of the exorbitant fees charged by professional men in Dublin, even before an operation.
The Minister for Finance said the scheme would cost over £26,000,000. I do not deny that we have made progress and that certain benefits have been given. I do not deny that we have schemes of widows' and orphans' pensions and family allowances, and I do not propose to contrast what other countries are doing. What may suit an industrial country may not suit an agricultural country like ours, and we can evolve our own scheme which will give security from want to our people. The Minister said that we were advocating something like the Beveridge Plan and that it could cost £39,000,000. We never advocated the Beveridge Plan.
At the time the Minister made his statement, 14th November, 1945, about the Beveridge plan, it was not proposed to put all of it into operation at the one time but rather by stages. We are submitting that all classes, civil servants and others, should contribute to this fund for social services as well as every person engaged in employment. We say it is the duty of the Government to provide the people with gainful employment instead of unemployment assistance as at the present time.
The Minister, of course, pointed out the cost of the present schemes. We are not wedded to the Beveridge scheme or to that outlined by Dr. Dignan. We do not care what you call the scheme so long as a scheme of social security is put into operation. We approve of the abolition of the dispensary system. According to returns published by the Government, we find that public assistance and poor law expenditure are costing £2,540,312 a year; unemployment insurance, £1,361,488; national health insurance, £914,672; widows' pensions, £809,451; old age pensions, £3,815,000; children's allowances, £1,548,000; unemployment and emergency schemes, £1,250,000; free milk and school meals over £1,000,000, making a total of about £13,234,000. Dr. Dignan, in his scheme, estimated that we are spending each year over £4,000,000 on health services; £11,000,000 on social insurance and £3,000,000 on social services, making a total of £19,500,000. The citizens, by their State contributions paid directly or indirectly in taxation, provide every penny of that sum. You have these relief schemes detached from one another and you have duplication of staffs. You have inspectors for widows and orphans, and more inspectors for family allowances. The means test is applied by these inspectors in the case of poor persons, of old age pensioners, and the non-insured contributor looking for a widow's pension. There is no means test in the case of family allowances. Seeing that all other nations are trying to better the position of their citizens, and seeing what the present schemes are costing, we think that all these services should be put under one Department so that better results would be obtained. With contributions from all in gainful employment it would be possible to provide a service which would remove the stigma of charity from individuals looking for home assistance. The fears of people in times of sickness and unemployment would be removed if given the grants that they are entitled to expect from the State.
People talk about giving something for nothing. We are not suggesting that. At the present time over £19,000,000 are being paid, directly or indirectly, by the people through taxation or out of the rates for the services they are getting. We believe in Dr. Dignan's plan that a sum of something like £20,000,000 would give the people security, assuming that all hands were engaged in employment. I ask the House to consider the present position of the small man with a horse and cart working on the roads or of the small farmer or agricultural labourer. They have been praised for their work for the country in the last six years. What return have we given them for that? The sections I have mentioned are the worst treated in the community at the present time. In the rural areas widows and orphans are treated differently from widows and orphans in the towns, while the old-age pensioners do not get the same benefits as those in the urban areas. There is always the excuse that it costs more to live in a town than in a rural area. I ask Deputies to picture the plight of an old man in a cottage in the country trying to exist on 10/- a week, with the extra half-crown allowed in some counties. The small working farmer has not the money to call in a doctor when he gets sick. Therefore, he is neglected. He does not get medical aid as a rule until it is too late or until his condition has become known to the clergy or other people in his area. When I asked a hard-working farmer in a hospital why he did not get the doctor earlier his reply was that he had not the money. He said he was afraid that he would be sent to a Dublin hospital and that he had not the money to pay for an operation. A lot of these men will not look for medical aid on a red ticket. In most cases it is too late when their poverty becomes known to the local board. A number of valuable lives are lost owing to the fact that those people did not get necessary medical attention.
While recognising what the Government has done during the last five or six years we are appealing to them to scrap the present dispensary system. We recognise the improvements that have been carried out in the last six years. We think there should be a scheme to give medical treatment to all sections of the community engaged in employment.
Abolish home assistance, and provide that the public bodies contribute their share to supplement the sums granted to sick people and persons unemployed. We are not advocating a scheme that would apply in the case of a big industrial country. We do say that we can afford a scheme of social services, and that we can give a lead to other countries at a cost that will be only a few million pounds more than what we are paying to-day for the half-social social services that we are giving.
The Government may say that we are proposing to cut across their policy by advocating the setting-up of a separate Ministry. We believe that is necessary. We believe that if the real feelings of the representatives of the country were tested it would be found that the people would support a scheme to abolish the dispensary system and would approve of the setting up of a special Ministry to be solely responsible for the administration of these social services. Each Department at present has enough work to do and should devote its whole time to it. Members of the House who have experience on public boards are aware that the Department of Local Government and Public Health is divided into different sections. I believe the Minister for Local Government should be more in touch himself with the feelings of the representatives on public boards. All Parties will have to cooperate in a big post-war housing scheme and sewerage scheme. We expect immediate attention from the Minister, who has experts to advise him, and we expect him to assist the public boards. At the present time responsibility is delegated to a Parliamentary Secretary, but the Minister is responsible and he is regarded by the public boards as being solely responsible. In respect of amenities such as pasteurisation, dispensary, and other social services, it is our opinion that it is better to have one Minister solely responsible and to have another Minister for Local Government to look after and to assist public bodies in the work that they have to do.
The question has been raised by all Parties in the House, and public bodies have sent resolutions in regard to the matter, of initiating some social security scheme in this country. This is the place in which to ventilate our grievances. I am not doing it for any purpose other than that I believe it is necessary to suggest these schemes to the Government with a view to bringing to their notice the effects of the legislation they pass and the expectations of the people in regard to it. I hope that it will be possible to keep the debate on this motion along the lines that we desire it to take, and that no advantage will be taken of it of a political kind. We are not particularly concerned as to who will bring in the scheme provided it is brought in. We will be satisfied if the scheme meets with our approval and if there is an effort made to implement it.
We regret certain statements that were made here and elsewhere that we have less benefits in this country than other people enjoy. Great Britain is preparing a much more ambitious scheme than any scheme which I think could be initiated here. However, we here are free to evolve our own plans in accordance with what we believe are the wishes of the people, in accordance with the dictates of the people.
I am glad that the Government have taken the matter seriously, and I hope that as a result of suggestions made on this motion, a comprehensive scheme will be devised which will be productive of the benefits we all desire. I think every member of the House desires to see a scheme initiated which will remove the fear of want from the majority of our people.
The big industrialists at the present time have made arrangements in this regard, and surely the State, with the responsibilities they have to the community, should see to it that a scheme is brought in which will benefit all sections of the community. We hope it will not be assumed by the Government that we are asking for something for nothing. We suggest that all persons in gainful employment should contribute. I am sure that no person in gainful employment would object to paying an increased contribution if he knew that in return for that contribution he would derive greater benefits, that his friends would derive greater benefits. I am sure the working farmers would not object to paying their share if they knew that in return they would be guaranteed hospital treatment and other benefits that the ordinary worker in industry receives at the present time. We are all in favour of the scheme. Most Reverend Dr. Dignan brought out a scheme and estimated the cost at over £20,000,000. At present we are paying over £19,000,000 for services which we admit are necessary but which we suggest will have to be improved for all sections of the community.
I hope contributions will be made to the debate which will give the Government some idea as to the nature of such a scheme. All sections are in favour of some such scheme being put into operation. That being so, I am sure the Government will have the active co-operation of all sections of the House. If we do nothing else but bring to the Government's attention the serious plight of the people that I have referred to, the motion will have done some good. We have introduced the motion, not for any ulterior motive or for any propagandist purpose, but because we recognise the position. The people must be content, and to make them content it will be necessary to give them the services we suggest. I appeal especially to the Taoiseach to remember that, in addition to the social services that we have mentioned, such as increasing the amount of national health benefits and workmen's compensation, other services are required. We should not rest there. That is why we suggest separate Ministers. We will first have to try to get every fit person to work. Then we must deal with prevention of disease. In that connection, also, we will want a separate Minister. If we are to have the healthy nation we all desire, we should have some Minister whose duty it will be to consider the question of increased sickness benefits and to prepare some scheme of prevention of the many diseases which unfortunately occur at the present time.
We recognise the duty of the Government. We recognise their difficulties, but we can get over those difficulties now. Millions of pounds were voted for the Army. That was necessary expenditure, and there was no question about it. Now our people require a guarantee for the future; our old people require greater assistance. We will no longer have that expenditure on the Army, and therefore we can initiate a scheme without increasing taxation, to give these people the security they desire. We will not give them the excuse that is being given at the present time about our neglect of our people.
We say that this is an opportune time for dealing with this matter. We have young men coming out of the Army and, when they are idle after coming out, they will not be contented with the allowance granted to them. There is also the danger of men coming across from another country and bringing certain ideas with them, forgetting that this is an agricultural country. They may try to expound their views. Then a large number may be demobilised from the Army with no prospect of employment. We say that it is a matter for the Government to provide gainful employment for these people and, under the insurance scheme, give them benefits that we desire for our people. I hope the contributions by speakers to this debate will show that all sections in the House, even Fianna Fáil Deputies, are desirous of having a scheme of social security for our citizens.
This motion has been on the Order Paper for a long time. Since it was put down I know that a committee has been inquiring into the position. I do not know whether that committee has reported or what it has reported. But that committee may receive some suggestions as a result of this debate which will enable the Government to introduce a scheme which will be not alone just, but will be a credit to the nation and to the Parliament to which we are all so proud to belong.