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        <title>Report of the Royal Commission on National Health Insurance</title>
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      <div>200

MAJORITY REPORT.

OEE

VOLUNTARY CONTRIBUTORS.

469. In considering the classes of persons to be insured under
the Scheme, the general principle to be aimed at should, in our
view, be to include as far as possible all those persons who cannot
reasonably be expected by their own individual efforts to make
provision similar to that which may be obtained under the Act.
This principle is perhaps of easy application in the case of persons
engaged by an employer, but there are, of course, large numbers
of persons who are not so employed but whose need for the benefits
 provided by the Act is equally great. We have considered
whether it is possible and desirable to make provision for the
voluntary insurance of this class, which includes the small shopkeeper,
 the hawker, the crofter, and the like. We questioned Sir
Walter Kinnear on this subject and may quote from his reply : ©“ 1
may say with regard to the question of voluntary insurance of the
small shopkeeper, and persons of that class, there is, of course,
no employer in respect of such persons, so that there is no
machinery by which we could properly get in the contributions.
The Commission are aware that the 1911 Act allowed such perons
 to be insured as voluntary contributors at a rate of contribution
 graded according to their ages. The Ryan Committee
in 1916 recommended that admission to this class should be
abolished on the ground that only some 28,000 persons had
availed themselves of the right of voluntary insurance and this
number did not justify the troublesome administrative machinery
that was required. This was done by the 1918 Act. Under the
Contributory Pensions Act passed during this year a very wide
door has been opened for a limited time to entry into voluntary
 insurance of persons who have at some time since July,
1912. had 104 weeks’ insurance or excepted employment. So
that, of course, the matter to a large extent has rectified itself.
This will meet the case of the great majority of persons not now
insured who may reasonably be allowed into voluntary insurance.
Tt would not be practicable without a grading of contributions
to give a continuing right to uninsured persons to come in 28
voluntary contributors, and we rather suggest that no extension
of the existing provisions in this respect is called for, especially
in view of the Pensions Act of this year.” (Q. 23,398.)

470. At no time since the inception of the Act has the number
of voluntary contributors been considerable, and we are informed
that at the present time the number in England is only about
30,000. These are in the main persons who, having been employed
 contributors, desire to continue in insurance after ceasing
insurable work. Voluntary contributors pay the whole weekly con”
tributions themselves and receive the ordinary and additional
benefits of their Society, subject to the limitation that a voluntary
contributor whose total income from all sources exceeds £250</div>
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