MAJORITY REPORT.
3
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EE
We have no indication that employers have objected to the
arrangement under which they pay the contribution, and
although we do not think there is very much substance in the
argument that an employer would give preference to persons
with private incomes if he had not to pay a contribution, the
system provides a useful answer to such a criticism. We do
not think that exempt persons should be deprived of medical
benefit which they have enjoyed for 11 years. To do
so would be deliberately to go back on the provisions of
the 1913 Act, and we share the view of the Ministry of Health
that any removal of medical benefit from those who have enjoyed
it would be a retrograde step.
533. We suggest one small amendment in the system. Aft
present, where the total income of an exempt person, from all
sources, exceeds £160 a year, he is required to make his own
arrangements for receiving medical treatment and attendance.
This was the income limit in the 1918 Act, and it was not
raised in 1918 to meet the depreciation in the purchasing power
of money when all the other figures were raised by, approxi-
mately, 50 per cent. We understand that this was due to the
feeling of the medical profession at the time that there should
be as little extension of contract practice as possible. We think,
however, that in view of the limits otherwise provided in the
system, this limit should now be raised to £250 per annum.
MEN SERVING IN THE FORCES OF THE CROWN.
534. Men serving in the Armed Forces of the Crown are
required to be insured under the National Health Insurance
Act, but, inasmuch as their service pay continues during illness
and full medical attendance is provided by the Service Authori-
ties, the only insurance benefit to which they are entitled is
maternity benefit. The contribution payable is 34d. a week,
the whole of which is paid by the Service Departments. This
contribution, in addition to covering the cost of maternity
benefit, provides the funds required to enable the men on dis-
charge from the Forces to continue in full insurance as civilians.
No contribution cards are used during service, but the contribu-
tions are paid in bulk by the Service Departments to the National
Health Insurance Fund and are credited to the appropriate
Approved Societies on the basis of a record, obtained from each
man on his enlistment, of the Approved Society of which he is
a member.
535. Tt was stated in evidence given on behalf of the Ministry
of Health that this system gives rise to some administrative
inconvenience, owing to the difficulty of obtaining from a man
on his enlistment correct particulars of his Approved Society
(Kinnear, Q. 373). Many men are found on discharge to have
been members of Societies, although on enlistment they stated