Ceisteanna—Questions. Oral Answers. - Free Health Services.
- EEC health cover for non-contributory pensioners 10 speeches
EEC health-cover rights generally extend to people insured under Irish social welfare legislation, but not non-contributory pensioners visiting other countries. The Minister acknowledged the disparity and said any remedy would have to be addressed at European level.
John F. O'Connell, Charles J. Haughey
- Medical cards for diplomatic corps members 10 speeches
Deputies questioned why members of the diplomatic corps might qualify for Irish medical cards while non-contributory pensioners lack health cover abroad. The Minister said the matter was outside his responsibility or depended on eligibility guidelines, and invited a written question about the number of cards issued.
John Boland, Charles J. Haughey, John F. O'Connell
- Cross-border health-service eligibility 6 speeches
Deputy Harte said people moving between Donegal and Tyrone faced uncertainty about access to free health services. The Minister said eligible Irish social welfare recipients and contributory pensioners have reciprocal rights in the UK, as UK residents do in Ireland.
Patrick D. Harte, Charles J. Haughey
asked the Minister for Health the classes of persons from Ireland who are eligible for free health services in the EEC countries; and the classes of persons from other EEC countries who are eligible for full health services in Ireland.
Comment on this
Irish persons who have eligibility under EEC regulations are those who are insured under the Irish social welfare legislation or have contributory pensions under that legislation or the dependants of such persons. If the eligible Irish person is resident in another EEC country he is entitled to full medical services on the same basis as an eligible person in that country. If he is a short-term visitor to another EEC country his entitlement is confined to whatever urgent medical attention he may require.
A national of another EEC country who is insured under the social security legislation of that country or has a contributory pension under that legislation, or the dependants of such a person, has entitlement under the EEC regulations while in Ireland. If he is resident in Ireland he is entitled to the full range of Irish health services while if he is a short-term visitor to Ireland he is entitled to receive whatever urgent medical attention he may require.
The cost of services provided under the EEC regulations is the responsibility of the country where the person concerned is insured. This responsibility may be discharged between two countries by the country with the greater liability making a net payment or by an agreement to waive all payments by both countries.
Comment on this
Is the Minister aware of the situation whereby a non-contributory old-age pensioner who may have reason to visit another EEC country is not entitled to any health benefit in that country?
Comment on this
Would the Minister agree, then, that such an impoverished person would be at a disadvantage should he wish to visit another EEC country for the purpose, say, of seeing relatives? Can anything be done to remedy this situation? Is there not a serious disparity between entitlements for Irish people going abroad compared with people from other EEC countries in terms of the level of health services in each country?
Comment on this
There appears to be unfair discrimination as between contributory and non-contributory old age pensioners in this regard.
Comment on this
I have a particular case in mind and I am wondering whether the Minister can do anything to help a non-contributory old age pensioner who finds himself in difficulties in another country in regard to health services.
Comment on this
This highlights another area of discrimination. Is the Minister aware that while a non-contributory old age pensioner from this country is not deemed to be eligible for health services abroad, a person in the diplomatic corps here who would be likely to be in receipt of a high income, is eligible apparently for general medical services and to be in possession of a medical card on foot of his insurability in his country of origin? In that sort of situation would it not be advisable to have the matter rectified as soon as possible? Will the Minister confirm that a member of the diplomatic corps is entitled to a medical card while he is here?
Comment on this
That would not be my responsibility. The question should be addressed to the Minister for Foreign Affairs.
Comment on this
Can the Minister say whether he would be prepared to consider an application for a medical card on behalf of a member of the diplomatic corps?
Comment on this
Would the Minister be in favour of a health board granting a medical card to such a person?
Comment on this
That would be a matter of whether the person applying comes within the particular guideline.
Comment on this
Would the Minister make inquiries about the number of medical cards that have been supplied to members of the diplomatic corps?
Comment on this
There are other people besides those in the categories Deputy O'Connell and Deputy Boland have been mentioning. I am not going as far afield. Persons from Tyrone who move to Donegal find, no matter what their income is, that they are entitled to all the free health services but they are not getting them. They have to establish their right to them. A person in the lower income bracket from Donegal who moves into Tyrone finds a different situation.
Comment on this
The situation is completely reciprocal. All the EEC countries receive from and afford each other the same facilities in this regard.
Comment on this
Is the Minister telling me that someone from the lower income bracket who leaves Donegal and moves into Tyrone will receive the same facilities?
Comment on this
I have indicated that the position is that any Irish person who has eligibility here under our social welfare legislation or contriburory pension has the same rights in the UK and vice versa.