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        <title>Report of the Royal Commission on National Health Insurance</title>
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      <div>2 
MAJORITY REPORT. 
of the present rate of 3 per cent. It should be noted that this 
proposal involves no change in the rate of 3 per cent. which is 
credited on reserve values. It is also worthy of observation, as 
bearing upon the Committees recommendation, that the interest 
income of Approved Societies is not subject to income tax, and 
that regard may consequently be had to the gross rate earned. 
175. With reference to the average annual rates of sickness 
and disablement for which provision should be made, the 
Committee draw attention to the fact that while among both 
men and women the claims for sickness benefit have been below 
the ‘* expectation *’ of the present basis in the years 1919 to 
1924 there are disquieting features in the course of the claims 
from year to year, especially among women. In the case of 
disablement benefit the Committee evidently look with concern 
upon the rapid increase in the claims which they have found 
and from which it appears that among both men and women 
the cost of this benefit in relation to the expectation, has doubled 
itself between 1919 and 1924. Tt is evident that the Committee 
have met with difficulty in dealing with these elements in the 
situation, and so far as women are concerned they have found 
themselves precluded from coming to a final decision. They 
propose, so far as relates to men, to retain the Manchester Unity 
Experience, 1893-97, on which the present basis in respect of 
sickness and disablement is founded, but to eliminate the 
addition of approximately 13 per cent. to the Manchester Unity 
rates for which that basis provides. In regard to women, they 
propose to discard the present basis and to substitute a new 
basis drawn from the experience of a large sample of the female 
insured population in the year 1923, with a loading of 10 per cent. 
to the sickness rates thus obtained. The explanation of 
the choice of a single year’s experience for this purpose 
instead of that of the three years 1921-23 which the 
Committee examined, is that the claims were rising steadily 
throughout the three years, with the result that the experience 
of 1923 was sensibly higher than the average of the whole period. 
The Committee explain that in fixing the loading at 10 per cent. 
they have had regard to certain small margins which they find 
to be available for the assistance of the Societies. 
176. With reference generally to the experience of sickness 
and disablement claims which the Committee examined, they 
draw our attention to a Memorandum appended to their Report 
which contains the results of a study by the Government 
Actuary’s Department of some of the more difficult features which 
this experience presents. They consider that these results should 
be examined, with a view to effective action, by the responsible 
Departments, and we concur in this opinion. The features to 
which attention is directed are evidently widespread and they 
should receive the serious attention not only of the Departments</div>
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