In order to put this debate in proper perspective I think I should state shortly what our present health services are, what they mean to people and how they are financed.
Health services at the moment are financed 50/50 by the Central Fund and by local rates. Medical services outside hospital are given only to those who can establish that they are poor within the definition in the Health Act. Hospital and specialist services are only given on charges to insured people, to persons whose means do not exceed the statutory figure and to farmers up to £50 valuation. This, in effect, means that thousands of taxpayers and thousands of ratepayers who pay for present health services are excluded from all benefit.
It is against that background that the Fine Gael motion must be considered. The Fine Gael motion and Fine Gael policy have been based on a very simple, clear belief. They are based on a belief in community organised effort, tempered by the principle that the community should supplement but should never supplant individual effort. We have always rejected the idea of a scheme financed exclusively from taxation. Such a State scheme— because that is what it would be— would be inimical to human dignity and would, in any event, be unworkable. Indeed, I do not believe that any responsible person or group of people in this country today would advocate such a scheme.
Fine Gael views were put forward in this House in some detail on a motion tabled in 1961, debated in this House some months later, in April, 1961. That is eight years ago. At that time, in absolute complete detail, a workable scheme was put forward from these Benches. The Government tabled an amendment to the Fine Gael Health Motion of eight years ago. Their amendment was designed to set up a Select Committee. This Committee, I have no doubt, had as its object to commit the whole question of health reform into the political Limbo of forgotten things. I served on that Committee as did other Deputies in the present House. I think it is not unfair for me to say that years were wasted in an absolutely disgraceful manner by the then Minister for Health in an effort to establish that there was no public demand for a reform of our health services.
After three wasted years of service on that Committee I, on behalf of my Party, eventually circulated a document indicating our proposals for a reform in general medical services in this country. It was a detailed proposal. Every facet of what we were suggesting was carefully worked out. It was circulated to the members of the Select Committee. It was based on the principles of social insurance and that, a Cheann Comhairle, was the end of the Select Committee because they dissolved. But before they dissolved the then Taoiseach came into this House and he announced that a Fianna Fáil Government would never introduce a health scheme based on social insurance. It is an extraordinary thing that the many minutes of that Select Committee, which interviewed so many people, took evidence from so many organisations, have never been published and that the Committee ended its very useless life in 1965 without ever reporting and without ever considering the detailed memorandum submitted in my name on behalf of the Fine Gael Party.
After the collapse of that Committee we were back where we had been before. Deputy Seán MacEntee, who was Minister for Health, ceased to be Minister and he was succeeded by the late Deputy Donogh O'Malley. In 1966 a White Paper on the Health Services was circulated. It is a poor document. It contains some of our ideas but it clings to the poor law mentality of the Health Act of 1953. However, it represented some slight measure of reform. It was welcomed by us in that sense, not as showing any real step forward but as indicating at least some change of attitude by the Government. There it was in 1966, published, and we were promised this legislation in the autumn of 1966. We did not get it. Then we were promised legislation in the spring of 1967. We did not get it. Then we were promised legislation in 1968. We did not get it. Then, when the Dáil was meeting in the Mansion House to commemorate the 50th Anniversary of the First Dáil, the Government with such a disgraceful record in relation to this urgent matter of social reform made a gimmick of health services by introducing the First Stage of new health legislation. We were promised that at the first meeting of this Session of the Dáil in this House the legislation would be available to us. We have not got it. Fianna Fáil have made health a political issue for so long in this country——