I am sorry the Minister did not take the opportunity, in presenting these Orders to the Dáil for confirmation, of making some general statement on his attitude to the continuance of the imposition of duties and tariff protection in relation to our industries. As Deputy Sweetman said, at a time when the whole of Europe is considering the establishment of free trade, it is particularly depressing to find we are still clinging to the protection policy, without, apparently, any attempt to break out from the cul-de-sac in which we appear to have arrived over the past 30 years. I think the Minister should have made a very strong positive statement warning the industrialists there is to be a limited time during which we shall continue to afford this protection to these industries, that there should be some suggestion such as that of Deputy Sweetman for a continual progressive diminution in protection over the years and that if they cannot survive in that atmosphere, then they will have to go to the wall.
I fully appreciate the Minister is a prisoner to a considerable extent because of the last sentence usually contained in these applications for tariff protection: "If you do not grant it to us, the factory will have to close down and we shall have to put men out of employment." I think that is a proposition the Minister has to face and master. If the country is carrying many uneconomic industries, we have to face that. The person carrying this is the consumer.
Recently we had a lecture from the Taoiseach on the influence which wage increases have on the general national economy, and he implied or threatened that the worker would have to be educated to realise he could not have these increases in wages because it was his view that higher wages brought higher priced industrial products and consequently we priced ourselves out of European and world markets. It seems to me that one of the most important factors in this whole question of the higher priced low quality product is this unending protection we are giving to many of these industries which no longer deserve it.
It was quite permissible in the earlier years, but surely the time has come now when the older established industries should be warned that the era of protection is ending, that they must learn to stand on their own feet and that the alternative employment will have to be provided by the energies of the State itself by finding the capital to establish industries and run them competently rather than allow private enterprise to run them incompetently as at present.
I am particularly interested in Order No. 78, which is No. 23 in the explanatory memorandum. It relates to medicinal tablets and it strikes me that the Minister's approach to the imposition of that tariff was unnecessarily clumsy. I admit that in his position it is difficult for him to examine and try to safeguard the public completely from the repercussions of the imposition of tariffs of one kind or another. However, I think that in the question of these medicinal tablets, special circumstances pertain which are not normally or usually found, and I think it would have been better from both the Minister's point of view and that of the public if he had taken steps to consult the various interests concerned before introducing the Order imposing this tariff on imported medicines and drugs.
I know that the Minister for Health and the Department of Health have their row with the Irish Medical Association. That is their own affair, however, and I do not see why the Minister for Industry and Commerce should feel he is involved in that dispute. It should have been possible for him to have sought the cooperation of the medical profession, first, and of the pharmaceutical industry, in the second instance, in order to protect, not the medical profession or pharmaceutists— I am not particularly concerned with either of those interests—but the public who are the people most affected by any of the repercussions of an Order such as this.
I should like to ask the Minister why he did not take some steps on this occasion to try to find out whether the medical profession would assist him in this matter. He is completely in their hands because, unless the doctors agree to dispense, sell, order or prescribe the home manufactured drugs, then he cannot force them to do it. The patient is not in a position to ask for the home manufactured drugs and consequently the cost of medicine to the patient is ultimately greatly increased, and unnecessarily increased. Quite clearly, there are a number of these home-manufactured drugs which will be just as good as the imported article and it is merely a question of trying to establish the goodwill of the medical profession, to persuade them, in the first instance, that the home-manufactured drug is as good as the imported article, and in that way try to get them to persuade their patients that the home-manufactured drug is completely satisfactory in every way.
It is quite a difficult problem for a doctor to try to break a patient from one kind of drug which the patient believes is the only possible drug or the most effective, from his point of view. If the patient continues to hold faith in a particular imported drug and refuses to transfer his faith to a home-manufactured drug, then the Minister will not persuade the doctors to do that, unless he asks them for their cooperation. I fail to see why he has not done that because, whatever ill will there may be between the doctors and the Minister for Health, I do not think there is any such ill will between the Minister for Industry and Commerce and the medical profession and the Minister is very much dependent on getting their goodwill in this case. The job is hard enough, because, as I say, even with all the goodwill in the world, it is difficult for a doctor to change a patient from one drug to another, and when a doctor does change a patient from one drug to another, he has to be certain that the home-manufactured drug is of the highest possible quality, is non-toxic and that it has the standdard of sterility and potency which is on the label. Who is to assure him of this?
That is the other point which the Minister neglected to safeguard before introducing this Order, that is, to be in a position to assure the medical profession that, because of tests carried out by an independent body, a research standards bureau, the home-manufactured article is just as good as the imported one. If the Minister could assure the doctors of that, then the doctors in turn could assure the patients and all the mechanism of changing over from the imported article to the home-manufactured article could be smoothly and readily operated.
That, of course, certainly presupposes that the Minister, in the first instance, would have consulted the medical profession and got their cooperation, and would then establish some form of bureau of standards, an independent bureau of standards, which would be in a position to assay, test, examine and give completely reliable assessments of the quality, toxicity, potency and so on of the various drugs manufactured at home. Neither of these preconditions to a smooth and satisfactory change over has been observed by the Minister and I think that he has failed in his duty to the public to that extent. I do not think there is any doubt that, with very few exceptions, the members of the medical profession are still continuing to order the more costly imported drugs when there is a comparable home-manufactured article available, though, as I say, I do not know if it is satisfactory or not.
I do not blame the doctors who refuse to advise their patients to change over until they are certain the home-manufactured article is of the quality stated, and I should like to ask the Minister if he would tell us whether, in the drug list maintained by the Department of Health for the use of pharmaceutists in the local authority health institutions, it is intended to lay down that only the home-manufactured medicinal preparation, which is to be substituted for the imported one, will henceforward be used by the members of the medical profession in such institutions. If that rule is to be laid down, then it seems to me he is moving towards a direction, or dictation, to the medical profession as to what drugs they are to use in the treatment of their patients and it seems to me that is a very dangerous precedent to establish. If he does not propose to do that, then it seems to me he is imposing on the health authorities a very considerable additional burden of payment for imported drugs when there is a home-manufactured substitute available.
On the other hand, I think the Minister would have no difficulty making the home-manufactured drug acceptable to the medical profession, if he were prepared to establish a reliable bureau of standards which would assist the medical profession in assessing the quality, toxicity, potency, and usefulness of the home-manufactured drugs. In the final analysis, I think the Minister would have been very well advised to withhold the making of this Order until he had established such a bureau of standards, in the first instance, and, secondly, until he had consulted the medical profession and pharmaceutical interests. In that way, he would have protected the public from paying the very considerably increased sums which they now have to pay for medicines, simply because, as far as I can see, the doctors are not ordering the home-manufactured article.