Ceisteanna—Questions. Oral Answers. - Medical Cards.
- Small farmers’ medical card assessments 19 speeches
The Minister said health boards assess farm income from all sources, less allowable expenses, against general guidelines. Deputies objected to the detailed application forms and sought a clearer method for assessing small farmers.
James White, Charles J. Haughey, Michael Pat Murphy, Joseph Brennan
- Medical cards for limited eligibility patients 2 speeches
Deputy Nolan asked whether people with limited hospital eligibility should receive medical cards; the Minister said this would not be feasible in present circumstances.
Thomas Nolan, Charles J. Haughey
- Valuation-based assessment for small farmers 16 speeches
Deputies proposed assessing small farmers’ means by land valuation or a notional income formula, arguing the current system was unfair and burdensome. The Minister agreed to consider valuation-based assessment but said a fixed formula could conflict with the statutory requirement to assess each case on its merits.
Michael Pat Murphy, James White, Charles J. Haughey, John F. O'Connell, John Boland
asked the Minister for Health how means are assessed for medical card holders who get their income from small farms.
Comment on this
When an applicant for a medical card is engaged in farming his means are assessed on the basis of his income from all sources including the sale of produce and stock, social welfare payments and off-farm earnings, if any. These earnings, and expenses which might be set off against farm income, are then verified by the local community welfare officer. The net income is then assessed against the guidelines which apply to all applicants for medical cards.
Comment on this
With due respect to the Minister, the question I tried to ask was how exactly is the income of small farmers assessed leaving out, as we understand, savings or social welfare payments. If a man has four cows and four calves and a valuation of £10, how do the Department assess his income? That is the information I want.
Comment on this
Is there a standard application form for farmers? Does a similar form apply in the eight health board areas? Is each board entitled to make out its own list of questions for farmers?
Comment on this
I would have thought the Deputy would know the obligation to issue medical cards in appropriate cases is placed by statute on the chief executive officer in each health board.
Comment on this
I have not finished with Question No. 13. Did the Minister ever see one of these application forms which farmers have to complete to get a medical card? Does he know the type of form it is and the type of questions? It is almost impossible for any farmer——
Comment on this
I asked the Minister if he knows the type of form a farmer has to complete. It would take a person from his firm of accountants to complete that form in accordance with the demands of the health authorities.
Comment on this
Small farmers have to complete forms indicating the value of their one quarter acre of potatoes, their rood of turnips, their ten hens, and how much money they got for reactors they sold.
Comment on this
This is a ridiculous system for assessing farmers and I want to voice my disgust with that system.
Comment on this
Has the Minister considered the recommendation in the commission's report some time ago that people on the general medical services register and people with limited eligibility should all have medical cards rather than having this three way sort of situation? That recommendation was made some time ago. Has the Minister considered it or will he consider it in the future?
Comment on this
It would not be appropriate in present circumstances to bring about a situation where all persons who are eligible for limited eligibility for hospital services would be issued with medical cards. That would not be feasible.
Comment on this
The Deputy asked me how means are assessed for medical card holders who get their income from small farms. I have set out that information.
Comment on this
I should still like to know how the holder of a small farm is assessed. Would the Minister consider assessing that man on his valuation, as is done for other social welfare beneficiaries? That is the only sensible way it could be done. Would the Minister consider that and would he recommend it?
Comment on this
In view of the hardship caused to small farmers in completing the application forms, would it be possible to adopt a notional system and say that their income is £x for each £1 of land valuation? This would be a great relief to the farming community.
Comment on this
That is the same as the point Deputy White was making. I would imagine it would probably require a change in the legislation, because the legislation indicates that each case must be considered on its merits and in relation to the circumstances of the individual or the family. I do not think we would be discharging that obligation in the statute if we were simply to adopt a rule of thumb notional assessment based on valuation.
Comment on this
Will the Deputy not leave the farmer lobby to deal with this matter and he and I will look after——