This Estimate reflects to a considerable extent the run down in our economy, which in turn has increased the number of unemployed persons in the State in a short 12-month period by 10,000 persons per week. This is a shocking reflection on the economic policies of the Government. This Estimate shows, therefore, the inflated extent of the Government's shortcomings in economic policy, and we regret that notwithstanding the total size of the Estimate, it is grossly inadequate to provide the relief which ought to be given to the people who, as a direct result of the Government's failure in economic policy, are suffering. It is unfortunate, too, that the Estimate, as it is, is unable to provide some 200,000 of our people with an adequate diet and sufficient clothing to preserve them in a reasonable state of health. That, unfortunately, is the situation.
The Department of Social Welfare is a Department of State which might reasonably be expected to have at least one skilled and trained sociologist on its staff. Strange to relate, the Department with its thousands of officers has not got one sociologist, not even one person with the training and skill necessary to advise the Minister as to whether or not the existing schemes of social welfare meet the needs of the people whom the whole code of social welfare is intended to benefit.
We in Fine Gael have complained for a number of years now that the approach of the Department, and of successive Fianna Fáil Ministers in particular, has been that of accountants or book-keepers, persons not concerned with policy, and not concerned with whether or not the money doled out by them is sufficient to meet the needs of the persons entitled to benefit. What has happened here is that we have added a little here and a little there to a welfare structure which began in the days of the good Queen Victoria when poverty and destitution were rampant in this land and the poor law rate was struck on what were described as property-owners for the purpose of avoiding the worst extremes of poverty and destitution.
We have, thanks be to God, come a little way along the line. Our economy has improved and we have fewer people to feed, fewer mouths to fill. There is for a larger number of people a reasonable living standard, but this is like a front which conceals behind and keeps away from the public view and public conscience human misery which can be as painful and as tragic to the individuals who are suffering as misery may be for people collectively.
We must express on this occasion our appreciation of the very worthwhile and valid investigation conducted by the Ignation Sodality in Limerick when they carried out a social survey of the unmet needs of 64 elderly people living alone in the city of Limerick. The report in question underlines my complaints, and the complaint of Fine Gael, that the Department of Social Welfare is not properly informed. It underlines our often repeated appeal to the Minister to appoint to his Department a number of trained, skilled, experienced sociologists. We are glad to say that the number of graduates in the social sciences passing through our universities has been increasing in recent times. Several local and health authorities have engaged some of these graduates, but, in the main, this pool of skill is not being tapped and several of these graduates are forced, by non-availability of employment here, to seek their living elsewhere; other societies and jurisdictions are benefiting by their skill.
The Ignation Sodality in Limerick, who are people who have no political gain to make out of the exposure of the unmet needs of people living on their own, made disclosures which ought to have shocked our society. In the main, what they disclosed has passed unnoticed. What this investigation disclosed in the relatively small city of Limerick is something which it is fair to say can be repeated in every urban centre in this country. If it exists on the scale spoken of in Limerick how bad must it be in the city of Dublin?
Time and again from these Fine Gael benches, we have complained that there were many unmet needs of social welfare recipients. We complained that the whole structure and administration of our welfare services could not cope with these needs, that the system the Minister tried to work prevented him from taking cognisance of these needs, even if he were aware of them. The report to which I refer pointed out that one in every ten old age pensioners living on their own in Limerick ate square meals less often than weekly—imagine one out of every ten old age pensioners in Limerick did not even have a square meal a week—38 per cent of the old age pensioners living on their own in the city of Limerick have a square meal twice a week only; only 50 per cent of the old age pensioners have a square meal once a week.
In Dublin and elsewhere throughout the country, the authorities in charge of geriatric hospitals have daily evidence of the fact that old people come under their care in institutions grossly undernourished. Many of them, because of undernourishment and poverty, are literally run-down human beings. After a week or two of adequate nourishment in these institutions, many of them become transformed, appear to be years younger physically and mentally, and it is not uncommon, particularly in Dublin geriatric hospitals, for such people to be restored to health and able to leave. But, time and again, such people, on release, returning to their appalling surroundings—with the inadequate provision made for them by the State —again deteriorate and have to return for a kind of transfusion of life, for a restoration to health, a restoration which is necessitated only by the grossly inadequate provision made for them in their own homes.
The Minister will recall the several pleas from the Fine Gael benches for a new approach in the matter of social welfare—that he confine his outlook and activities not merely to monetary benefits but to the many services which could provide for old people more comfort and nourishment than could ever be given by mere money payments. Many of the old folk in this land—even had they the money— would not be able to care for themselves properly. Many of them have, through years of destitution and loneliness, become incapable of managing their own affairs. This underlines the necessity of having a proper domiciliary welfare service which will ensure that all old people living on their own will receive frequent visits from sympathetic people to assist them in their physical and mental requirements.
It is also extremely important that the Minister should give support, in a tangible form. to the growing number of meals-on-wheels organisations. I am aware that a number of health authorities are giving, out of their own limited funds, grants to some of these organisations, but this means that the level of contributions made by our society to these organisations will be controlled by the extent to which local politicians believe they can impose on the ratepayers. That, notwithstanding what people think about local politicians, is a very strong brake on the amount of assistance which local authorities would like to give to these less fortunate people. Therefore, it behoves the State, whose resources are certainly much greater than those of any local authority, to make direct and significant contributions in the form of subsidies for meals-on-wheels organisations and other domiciliary welfare societies.
It was interesting to read in this wonderful report from Limerick of the desires expressed by the old folk for assistance. What they expressed desire to get were: help with household shopping, with cooking, the fetching of fuel and with laundry. These are very simple things but things about which any home revolves. These are the simple, minute matters of a human being's life which make the difference between happiness and misery. There are very many things which are not a great hardship to people in their twenties and thirties, which can impose appalling misery on people in their sixties, seventies and eighties — these simple things like household shopping, cooking, carrying fuel and laundry can impose almost impossible burdens on the elderly people in our midst.
This again underlines what we are forever saying — that mere monetary payments will not fulfil all the requirements of old folk. I am quite certain that if it would be beyond the power of the State to provide these services, it would certainly be beyond the resources of old age pensioners to pay for those services out of any pension which the State can afford to give them. But it is not beyond the resources of the State, and should not be beyond the imagination of the State —and that is a commodity which appears to be extremely scarce — to devise and encourage schemes which would provide ample help for old folk, particularly those living on their own, with household shopping, cooking, fetching of fuel and laundry. In addition, you could possibly put the bathing of elderly people, many of whom are unable to do that personal task for themselves.
The Society expressed it in this way:
It was found there is a great need in the city for practical help for old people living alone in a whole range of personal and household tasks.
The Minister will concede that the whole approach of his Department renders impossible at present the practical help which the old people of Limerick and elsewhere require so urgently. I do not think the kind of services people are looking for here are proper to a health authority as such. One can see that there is, perhaps, a need for closer association between the Departments of Health and Social Welfare in looking after elderly people, but if economic factors are to be the only yardstick by which we determine what should be done, we in Fine Gael do not think that is the proper yardstick to have in mind when considering what we should do for human beings. It is, however, the Fianna Fáil yardstick and because the present Government consider that to be of extreme and exclusive importance, I ask the Minister to bear in mind that no matter by what multiple we increase the old age pension in our lifetime, it would probably be cheaper to do so than to maintain old people, those living alone, particularly, in institutions. If the old age pension were to be trebled in order to provide for old people living alone, it would still be cheaper to do that than to be providing for them in institutions.
There is a great deal to be said in certain cases for institutional care. In many cases, there is no alternative to institutional care, but institutional care is not the kind of assistance or treatment which many old people want. What many of them want, to preserve themselves physically, mentally, morally, is an opportunity to maintain their independence and dignity. That is not always possible in an institutional atmosphere. It is not uncommon to find in geriatric hospitals a large number of old people who fail to submit to the routine and the communal spirit or communal atmosphere simply because these people were at one time self-sufficient individuals who liked their privacy and wished to have it respected; and it is a cruelty on such persons to oblige them, by an inadequate social welfare scheme, to remain in institutions. We therefore hope the Minister, who, I think, has a sympathetic heart, will also have an imaginative mind and will endeavour to see to it that social welfare in this country will take on a new dimension, a dimension of giving practical help to the less well-off sections of the community, to provide them with the daily services and the personal attentions which are more important to many of them than mere increases in their weekly monetary subscriptions.
I hope the Minister will not be tempted to question the validity of the Ignatain Sodality report. We have seen during the years Fianna Fáil Ministers query the validity of statements of people who questioned the inadequacy of our social welfare structure, and I hope we shall accept that the survey in Limerick was carried out in good faith, that it was conducted in a scientific fashion and that it was superintended by people who had the skill and the experience necessary to conduct social surveys of this kind. Apart from one comparatively amateur survey in Dublin, this is the first detailed survey in depth of the needs of old age pensioners in this country. It is very sad that that is so. We know a number of surveys have been done from time to time by the study faculties of our universities, but this is the first one which indicated to our society the real problems of our old people. We hope it will be accepted in good faith and that the Minister and his advisers will use it as a basis to conduct similar surveys in other centres. If we were to do that, it would ensure that in the not too distant future we shall bring about a fundamental alteration in our approach to social welfare which we must have if this country is to provide in our time a proper living for all sections of the community.
We are all aware that some old age pensioners have benefited by the facilities for free travel on public transport. It is a pity, however, that this improvement has been qualified by a number of unnecessary restrictions. We in Fine Gael have asked the Minister to amend the regulations so as to obviate the necessity for old people to carry around their pension books in unsafe places. There is an exhortation on pension books to people to keep them in safe places. I do not think a handbag or a pocket, possibly with a hole at the bottom of it, is the safest of places to be carrying around pension books; and to oblige elderly people to have their pension books always with them is not a prudent way to operate a free travel scheme. In other parts of the world, we know that travel vouchers are issued to facilitate the operation of similar schemes for old age pensioners. We urge the Minister to provide travel passes or vouchers, whatever one may call them, as a substitute for pension books. Otherwise, a large number of these books will be mislaid while being carried about outside their homes by elderly people for the purpose of getting free transport.
Last week I asked the Minister a question about the difficulties which have arisen for spouses of contributory old age pensioners in obtaining free travel facilities by reason of their names not appearing on contributory old age pension books issued in respect of a pensioner and his old age pensioner spouse. The Minister's reply was:
Since the beginning of October, the free travel facilities have been extended to include spouses aged 70 and over of old age (contributory) pensioners for whom increases of pension are payable. To enable those so qualified to avail themselves of the extension, separate pension books are issued to husband and wife on application to my Department.
Does that not exhibit a lack of appreciation of the simple fact that most of our people, irrespective of their age group, have a disinclination to write and that the elderly, people of 70 and over, are particularly disinclined to sit down to write formal applications to a mighty department of State?
I urge the Minister not to make it a condition precedent to getting a voucher for a spouse to apply to the Department. The Minister's Department already know the number of contributory old age pensioners who have spouses. All that is necessary is when next communicating with such pensioners to send out a travel voucher for the spouse. Earlier, I emphasised that we should prefer to see the travel voucher issued to all pensioners. We should prefer to see a travel voucher for the book-holder as well as for the spouse. If the Minister is still disinclined to give separate passes to all pensioners, we ask him at least to send them out without delay and without requiring applicants to write in for them. It is a simple request and I hope the Minister will receive it well and implement it.
Last year, when the Minister was replying to my contribution to this debate, he queried the emphasis which we in Fine Gael were putting on social obligations which would lie on this country in the event of our becoming a member of EEC. Whether or not, in the light of what has happened in the past few days, one should regard this as imminent is hardly appropriate to this debate and, therefore, I do not propose to develop it except to say that the Minister and the Government ought to be aware that an increasing emphasis is being put by the six members of EEC on the need to harmonise upwards all social welfare schemes.
We do not make light of the difficulty of harmonising the welfare schemes in Europe or anywhere else. We readily agree that there is an immense variation in welfare schemes between the existing members of EEC. The members of EEC are themselves keenly aware of this. That is why they now have their permanent Social Commission which is endeavouring to iron out these very difficulties. We are sticking our heads in the sand in pretending that, by ignoring the necessity for such nations to harmonise their schemes, we avoid the need to do anything ourselves. We have far more need to harmonise upwards than any of the six members of EEC. We are far behind in our social welfare code. We are particularly far behind in relation to family allowances.
This country has a tradition of family life without parallel in Europe yet we have the worst family allowances. We hope for a substantial improvement in family allowances whenever the Government again come to consider the redistribution of the nation's income. It may well be that the economy is not developing as fast as we would wish but this does not require that redistribution of the national income be delayed. One of the greatest fallacies of our time—repeated again and again by Fianna Fáil Ministers—is that social welfare improvements cannot take place without an increase in the wealth of the nation. That would be valid if nobody in the community were at any higher level than that of mere subsistence.
We know there are many inequalities in our midst. There are many people extremely wealthy. There are some whose wealth is growing and whose wealth is untapped by the society upon which they are growing. We do not consider it unfair to ask such people to make a contribution in tax commensurate with the wealth they are receiving from the community. Only by a fairer redistribution of our national income can we achieve justice.