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Dáil Éireann debate -
Wednesday, 19 Mar 1947

Vol. 104 No. 17

Committee on Finance. - National Health Insurance Bill, 1947—Committee Stage.

Sections 1 to 18 agreed to.
SECTION 19.
Question proposed: "That Section 19 stand part of the Bill."

I want to put these considerations to the Minister. I do not say my experience in this respect is unique. I think it is the experience of many Deputies in this House. I, in the course of my activities, deal with various kinds of cases. One thing that appals me is to see a man who can maintain himself and his wife and his family all right so long as he is working and living, leaving his wife and children without any adequate provision when he dies, very largely because he is not able to make such provision, the household demands being what they are—always hoping he will survive until his family are reared and educated and go into employment. But very often he is fallible in his hopes in that respect, with the result that if he dies his widow and orphans, deprived of his income and with no adequate insurance, are left to fend in any way they can. I have seen people, very respectable people while the breadwinner was alive, simply hawking their case from one charitable organisation to another, having been shocked into destitution by the bread-winner's death, hoping to get some relief here and there, wherever they can. I am sure the Minister could have these things verified by consultation with any charitable organisations.

My main concern in this matter is for the widows and orphans. If the husband does not regard the health side as a good bargain, it should be some consolation to him to know that he pays that price in order to cover his widow and children in the event of his death. It need not be a bad bargain for him on the health side; it may not be attractive, but it need not be a bad bargain. It is some provision whereby the widow and children can be covered, the widow and children getting an automatic right to a contributory pension in the same way as if the husband had insured for industrial insurance purposes. The insured person under the Widows and Orphans Pensions Act can get a cover for widows and orphans pensions purposes at a premium which no outside insurance company would accept.

The purpose of the amendment, therefore, is to help these people to make provision for widows and orphans. I cannot see why the Minister would decline to do it; to bring in these people will mean bringing in good economic units for insurance purposes, not uneconomic units for widows and orphans pension purposes. I know many people who would be glad to be insured for widows and orphans pensions, but they would be beyond the £400 limit. I urge the Minister to make provision for them by making them compulsorily insurable. I know that the widows and orphans will be glad if the Minister accepts this and I appeal to him to do so.

My objection to the proposal is that we are dealing with a Bill, all stages of which quite unexpectedly we are asked to take to-day. We are asked to take in a number of people, maybe 10,000, according to the Minister, or it may be 15,000—he does not know which—in addition to the 30,000 who are brought in under the Bill. We are asked to take them and fix them with responsibility for coming in under a National Health Insurance Bill. My first reaction was that it would be a good thing to do it, but my second impression was that here we have a measure raising the amount of benefits that will be given to certain people who are in under the scheme already and holding under the scheme people who would be pushed out simply because of an increase in wages and we are doing that without any indication as to what principles the Minister will proceed under in the future. The Minister indicated that he was going to proceed in a way that perhaps would be satisfactory, although I do not quite understand the impact of the new health code on the matter.

We ought not, without some chance of consideration, to be asked to extend the level of wages from £400 to £500 and bring in an additional class of people here at five minutes past five, this evening. This Bill will go to the Seanad and, perhaps, between this and the time the Minister deals with it in the Seanad, he will have consultation with somebody concerned; we, too, may be able to have an opportunity of considering it among ourselves. Then, if the Minister thinks it well to introduce an amendment in the Seanad raising the £400 to £500, we will have an opportunity of discussing that when the Bill comes back here again. It is an unreasonable thing to ask us now to take such an important decision. It is unreasonable to ask even for all stages of the Bill, because we understood we were going to deal only with the Second Stage.

Is it realised that, if the Minister fails to do this, the effect of Deputy Mulcahy's protest against extending the £400 to £500 will be to leave widows and orphans uncovered in the future, as in the past?

I understand nothing of the sort in that general kind of way. I understand that we are simply declining to take here to-day, inside the space of a few minutes, a decision on a very important matter. We are declining to bring 15,000 additional people under the scheme. I suggest that this should be allowed to go to the Seanad and that will give us a change of amending it in the meantime.

There may be no chance of amending it, or of pressing the Minister if the proposal is not approved in the Seanad. We may not see the Bill any more.

Is the amendment being moved?

I would not be prepared to accept it unless all Parties are anxious for it.

Perhaps the Chair will interpret this note which I got from the Ceann Comhairle some 20 minutes ago? I want to see what my rights are as a member. The Ceann Comhairle writes:—

"Re amendments. See Standing Order 104 (1). To increase the remuneration limit for insurability— Section 19 of this Bill—from £400 to £500 would involve a charge on the Exchequer."

This is not a definite communication that I cannot move an amendment. It is a reference to a Standing Order. I suggest that an amendment to increase the ceiling from £400 to £500 does not impose any charge on the Exchequer. While in respect of everybody you bring in there would be a State subsidy towards benefits in administration, there is no definite increase in the charge on the Exchequer itself by increasing £400 to £500 and the State might well not pay any additional contributions in respect of administration in connection with that plan. What interpretation am I to put on this mere quotation of Standing Order 104 (1), which conveys no decision to me beyond a quotation of a Standing Order with which I am already familiar?

If it involves a charge, it would be out of order unless a member of the Government moves it.

I am contending that it does not impose a charge.

What has the Minister to say to that? There is no direct evidence before the House that it will involve a charge.

It is the Ceann Comhairle's interpretation.

It is a quotation of a Standing Order. I intimated when I was discussing this Bill on Second Reading that I proposed to move an amendment to raise the ceiling from £400 to £500. Following that intimation by me, I got this note from the Ceann Comhairle which does not say that I am prevented from moving the amendment. In any case it would only mean a charge if it were carried and, even if it is carried, it may not impose a charge. I submit therefore that I would be quite in order in moving an amendment to Section 19.

Might I suggest that if the matter is going to be pressed to a division, it would be desirable that we should have some time to consider the point? Could we not move to report progress now and take the Bill to-morrow?

We had hoped to get all stages of the Bill to-day.

Suppose you get all stages to-morrow?

I had some hope that the Seanad would take it to-morrow.

They could take it to-morrow evening. I want to try to provide for these people now that we have got a chance. We will give the Minister all stages of the Bill to-morrow, immediately after questions. We can finish the Committee Stages now, and take the Report Stage to-morrow on the understanding that Section 19 will be recommitted.

I cannot press it in the circumstances.

Question—"That Section 19 stand part of the Bill"—put and agreed to.
Title of the Bill agreed to.
Bill reported without amendment.
Report Stage ordered for Thursday, 20th March.
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