§ 2. Mr. McTaggartTo ask the Secretary of State for Scotland what further representations he has had concerning persons with Alzheimer's disease paying the poll tax.
§ Mr. LangI have received a number of representations about this issue, including a letter from the director of Alzheimer's Scotland.
§ Mr. McTaggartI note what the Minister says, but does he agree that people suffering from Alzheimer's disease who wish to rebuild their lives in the community should be given every encouragement to do so? The additional pressure to find extra money to pay the poll tax from their already meagre and stretched resources will mean that many of them will end up returning in desperation to the hospitals that they recently left. Would it not be a small price to pay for that already vulnerable group to be exempt from this immoral and unfair tax?
§ Mr. LangBecause of the gradual onset of the disease, many people suffering from degenerative disorders seek to play a full part in the community, which includes contributing to the cost of local government. If they are entitled to a rebate on financial grounds, they will be eligible to claim that rebate and I expect that many of them will do so.
Mr. Robert HughesAs the Minister defends his decision not to grant exemption on the ground that there are difficult medical choices to make, is he aware that there 261 are two principal benefits for which medical and clinical judgments are the only criteria? I refer to mobility and attendance allowance. If such criteria are good enough there, why cannot the Minister show at least some compassion for people suffering from Alzheimer's disease?
§ Mr. LangI have great compassion for people suffering from that disease. That is why I do not seek to make political capital out of it. The disease has a gradual onset, leading to a progressive decline in all aspects of mental functioning. The difficulty is one of diagnosis to establish precisely at which point any exemption should be made. During their last five years in office, the Labour Government made no attempt to exempt people in that condition from domestic rates.
§ Mr. DewarDoes the Minister accept that many people such as those in the Alzheimer's Disease Society regard it as offensive that an arbitrary distinction is being made between patients who, in practical terms, present the same level of disability, some of whom are being excluded simply because in their case the root cause is Alzheimer's disease? If the Minister is arguing, as I understand that he is, that general practitioners cannot be expected to assess the degree of impairment in patients with Alzheimer's disease, will he at least consult general practitioners or their representatives before slamming and locking the door in such an inhuman way?
§ Mr. LangOur attitude is not just to Alzheimer's disease but to all degenerative brain disorders of that kind. We have given careful consideration to representations from several sources, including medical interests. The balance of medical advice that we have received is that it is impossible to establish a method of assessing precisely at which point an exemption could be granted without creating more anomalies than would be removed.