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Dáil
‹ Ceisteanna—Questions. Oral Answers. - Revised Health Scheme.

Contributions under revised health scheme

Summary

Boland asked whether farmers and workers in specified income brackets would pay more under the revised scheme. Haughey said comparisons were difficult because existing flat-rate contributions would otherwise have risen; he acknowledged some would pay more, arguing higher contributions help lower-paid people maintain services. They also disputed describing the scheme as free rather than insurance.

asked the Minister for Health if farmers, who are currently insured and whose PLV exceeds £31 approximately, will have to make heavier financial contributions under the terms of the proposed revised health scheme.

11.

Comment on this

asked the Minister for Health if non-manual workers earning in excess of £2,600 per annum, and who are currently insured, will have to make heavier financial contributions under the terms of the proposed revised health scheme.

12.

Comment on this

asked the Minister for Health if manual workers earning between £50 per week and £96 per week approximately will have to make heavier financial contributions than at present, under the terms of the proposed revised health scheme.

Comment on this

With the permission, of the Ceann Comhairle, I propose to take Questions Nos. 10, 11 and 12 together.

The flat rate health contributions originally fixed in 1971 have been increased at intervals to allow for increases which were taking place in the cost of the limited eligibility services. A further increase would have been necessary in the coming financial year to cover cost increases. This factor should be kept in mind when assessing the points at which persons at present liable to pay contributions at the existing flat rates may be paying more under the new scheme of income related contributions.

As the new scheme is income related it is inevitable that some persons will pay more but those with lower incomes, and in the case of farmers, those with lower valuations will pay less. This is one of the primary objectives of the scheme.

Comment on this

May I draw the Minister's attention to the fact that although the information given is useful and factual he has not really replied to the question? Can he say whether farmers whose PLV exceeds £31, whether non-manual workers whose income exceeds £2,600, and whether manual workers earning between £50 and £96 per week, will be paying more under the proposed so-called free scheme than they are paying at present?

Comment on this

The Deputy will understand that I cannot give any definite answer to that question because by April of next year it is certain that the existing level of health contributions would have been increased. We do not know by how much, but it would certainly have been increased in accordance with normal annual practice. We would have to compare the amount payable under the new pay related scheme with what the amount would have been if the new pay related scheme had not been introduced. It is difficult to settle that point. In the case of the worker I should like to make this additional point, that somewhere around £50, £60 or more the insured worker may be paying more under the health contribution but up to about £80 he will be paying less under the social welfare pay-related scheme. I am sure the Deputy will agree the worker does not go to great trouble to see what particular deduction is going where. It is the effect of the combined deductions in which he is interested.

Comment on this

Is it not a fact that the insured person to whom I referred now pays 50p a week or £26 a year and, under the terms of the scheme as announced by the Minister some time ago, he will be paying 1 per cent of his income? Is it not the case that people earning over £2,600 per annum will be paying more under the terms of the new scheme than they are paying at present?

Comment on this

He will pay more than he is paying at present, but he would have been paying more anyway next year in the normal course of events.

Comment on this

The answer is yes.

Comment on this

The general justification is that if you have a pay related scheme—and I am sure the Deputy will subsribe to this principle—the idea is that you help the lower paid, and if you help the lower paid and you want to give the same level or a better level of services, somebody must pay a bit more.

Comment on this

I subscribe entirely to that, but would the Minister not agree that it is incorrect to term the scheme a free scheme when, in fact, it is an insurance scheme?

Comment on this

The Deputy knows full well nothing in this world is free. Someone is paying for it somewhere.

Comment on this

The Minister sometimes forgets to mention that when he is having a press conference.

13.

Comment on this