Léim ar aghaidh chuig an bpríomhábhar
Gnáthamharc

Dáil Éireann díospóireacht -
Thursday, 25 Jul 1996

Vol. 468 No. 4

Adjournment Debate. - Medical Cards Retention.

I am glad the Minister of State at the Department of Social Welfare, Deputy Durkan, is replying to my question on medical cards retention. The Minister for Social Welfare, Deputy De Rossa, expressed great concern in The Irish Times this week that the co-ordination and proper arrangements were not in place for this Government provision in the budget. The Minister also expressed deep concern about another issue. It is interesting to note that one can be in Government and not know the measures that have been introduced. However, I welcome the fact that the Minister is concerned.

Major problems are emerging over the application of the new schemes to take on long-term unemployed people. This week it was disclosed that promises made in the budget on the retention of medical cards for the long-term unemployed have not been honoured. No administration or legal basis has been given for that decision and it is well nigh six months since the announcement in the budget.

It has also emerged that there is a complete lack of co-ordination between the new jobstart and the existing back to work allowance schemes operated by the Department of Social Welfare and only 100 people have been recruited to the jobstart programme so far although we were told 5,000 people would be taken on under it. Interestingly, there is not enough money in the budget for it. In a reply the Minister for Enterprise and Employment, Deputy Bruton, admitted to me that the amount of money he had in the budget for this scheme was £1 million which would allow for 436 people to take up employment. This failure to progress these issues is typical of the lack of focus in relation to unemployment.

Today's debate was all about focusing agencies, Departments, activities and determination to severely punish criminals and stop them living off the backs of vulnerable people. There are too many Ministers and Ministers of State with responsibility for different unemployment issues. They are all doing sound work, but the only person who suffers from this overlapping is the claimant who wishes to benefit from an application to one of the myriad of schemes. At the last count, nine different Ministers or Ministers of State had separate responsibilities for various programmes and initiatives. As a result, responsibility for issues fall between different Ministers and there is little cooperation.

Nobody is co-ordinating the action plan on unemployment. That is also the position in regard to the medical cards. The budget trumpeted the provision letting those who came from the ranks of the long-term unemployed and got work to retain their medical cards for three years. It claimed that people on unemployment benefit or unemployment allowance needed that carrot to encourage them to go back to work. I do not believe that. In my constituency work I have never come across any person who is genuinely seeking a job wishing to stay on unemployment benefit. They come to me looking for jobs.

However, this change was trumpeted in the budget and many a Minister and Government Deputy "dined out" on it on radio, television and newspaper interviews but it has not taken place. I share the grave anxiety and concern of the Minister as to why there has not been a push to implement this measure. We have submitted queries to the health boards and the Minister for Health has been informed that no administrative or legal decision has been taken. Perhaps it was taken since Tuesday and, if so, I will be glad to hear of it. The Minister for Finance trumpeted this measure and the Minister for Enterprise and Employment, and other Ministers, basked in it, but nobody told the Minister for Health to implement it. The push has not taken place.

My complaint is that nothing happened and that there is no co-ordination. As I indicated to Deputy Eric Byrne earlier today — I silenced him for once — the number of long-term unemployed has risen by 3,500 since the Government took office. No amount of shouting or posturing will take from that sad fact. I wish I did not have to say this on the plinth once a month.

When the Government decided to allow long-term unemployed persons to retain their medical card on entering employment it considered that it had done a good day's work, but it forgot to follow through on its great idea. I am sure that the Minister of State's heart is in the right place and that he will announce that he has, at least, done something about this matter, if only to meet the considerable concern expressed by the Minister for Social Welfare, Deputy De Rossa, in the columns of The Irish Times. He did not, however, ask if this had been done.

I thank the Deputy and you, a Leas-Cheann Comhairle, for affording me the opportunity to reply to the debate on behalf of the Minister for Health who is, unfortunately, unable to attend.

I welcome the opportunity to explain the background to the medical care system, the conditions under which medical cards are issued and, in particular, the positive and creative manner in which the Government, recognising the need to assist the long-term unemployed take up employment, is addressing disincentives which affect their return to employment.

In the Budget Statement the Minister for Finance announced a number of measures aimed at strengthening social solidarity, in particular, a wide range of employment measures for the long-term unemployed. He emphasised the Government's belief that the intractable nature of long-term unemployment is unacceptable and the Government's determination to ensure that the long-term unemployed share in the benefits of economic growth with other sectors of society. In particular, he stated that the Government has agreed that persons who have been unemployed for at least one year will retain their medical cards for three years after entering employment to remove the disincentive which the potential loss of the medical card could have for long-term unemployed persons entering employment.

The chief executive officers of the health boards who have statutory responsibility in this area have previously agreed to implement the following measures to assist medical card holders who take up employment or participate in schemes and who could be considered to remain entitled to a medical card: persons who held the medical card while on the live register are allowed to retain their medical card for a period of two years after securing paid insurable employment if they qualify for family income supplement in respect of that employment; persons who held a medical card while on the live register are allowed to retain their medical card for a period of two years after securing a placement on the community employment programme; persons on the live register starting their own businesses who are paid a back-to-work allowance by the Department of Social Welfare and who are paid family income supplement in respect of that employment are allowed to retain their medical card for a period of two years; disabled persons participating in the employment support scheme who held a medical card before entering the scheme are allowed to retain their medical card for a period of two years; persons on the live register who participate in education, training or other recognised development courses are allowed to retain their medical card; weekly payments made under the community employment programme, the back-to-work allowance and family income supplement schemes are excluded income when assessing a person's eligibility for a medical card.

Discussions have taken place between the Department of Health and the chief executive officers regarding the implementation of the budget provision. I am pleased to confirm that arrangements for the implementation of the provision were agreed with the chief executive officers on 19 July. The Department of Health will place a press notice, inviting those who are likely to benefit from the new arrangement to get in touch with their local health board office, next week.

The Minister regrets that it has taken some time to agree the administrative arrangements, but I assure the Deputy on his behalf that any difficulties that may arise from this will be dealt with in a most sympathetic manner by all chief executive officers.

The long-term unemployed can thank the Minister for Social Welfare, Deputy De Rossa, and myself.

The Minister for Social Welfare, Deputy De Rossa, and the Minister for Health, Deputy Noonan, contrary to what the Deputy said, expect to have 15,000 participants on the back-to-work allowance scheme by the end of the year. That is ample proof of the Government's commitment to the long-term unemployed.

I was not talking about the back-to-work allowance scheme.

I am sorry, but I must call Deputy Lawlor to raise his matter.

I would like to correct the record. I was not talking about the back-to-work allowance scheme. All the Minister of State could do was laugh foolishly.

On a point of order, the Deputy raised the question of the Government's commitment to the long-term unemployed.

I was talking about the jobstart programme. The Minister of State should not try to put words into my mouth. I will not stand for it.

On a point of order, I would like to correct the record.

I would like to correct what the Minister of State said about me.

The Deputy referred specifically to the Government's commitment to the long-term unemployed——

To the jobstart programme.

The Deputy should check the record to find the reference.

The Minister of State did not answer; all he could do was laugh foolishly.

Apparently, the Deputy does not remember what she said.

We have a very tight schedule. I call Deputy Lawlor.

The Minister of State is a disgrace.

Let us hear the Deputy in possession.

The Minister of State obviously does not know what jobstart means.

We are eroding valuable and precious time. I ask the two Members to desist while Deputy Lawlor deals with his matter of business.

The Minister of State either laughs foolishly or signs constituency letters in the Dáil.

I do not wish to prolong the argument, but I strongly object to the undignified remarks made by the Deputy opposite.

I strongly object to what the Minister of State said about the long-term unemployed.

I wish to reiterate what I said.

I ask Deputy O'Rourke to desist.

Will you ask the Minister of State to desist also?

I object——

I will have no alternative, but to adjourn the proceedings.

Barr
Roinn