Report of the Royal Commission on National Health Insurance

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Monograph

Identifikator:: 1740277147

URN:: urn:nbn:de:zbw-retromon-132094

Document type:: Monograph

Title:: Report of the Royal Commission on National Health Insurance

Place of publication:: London

Publisher:: Stationery Office

Year of publication:: 1926

Scope:: XII, 394 S.

Digitisation:: 2020

Collection:: Economics Books

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Document type:: Monograph

Structure type:: Chapter

Title:: Chapter XII. Consideration of certain major problems

Collection:: Economics Books

MAJORITY REPORT. 14 i 330. At this point therefore we need only discuss what imme- diate modification might be made in the existing arrangements for maternity benefit were the necessary funds available. We have been much impressed by the need for something beyond the present relatively small cash payment in view of the great importance to the future generation of adequate supervision and maintenance at the time of childbirth. 331. A large volume of evidence has been directed to show that the sum payable as maternity benefit is almost entirely absorbed in the fees of the doctor or midwife and that very little, if any, money is left over for the other needs of the mother and child. We are inclined to think that the original conception of the benefit was something wider than this. At any rate we do not feel that the payment merely of the fee is an adequate content for a maternity benefit in a developed scheme of health services. And obviously if any expansion were contemplated regard would have to be given, even in any immediate changes, to the medical side of the Insurance Scheme and to the parallel activities under the Maternity and Child Welfare Schemes of the T.ocal Authorities which we have described in Chapter IV. Tar WASHINGTON CONVENTION. 332. Our attention was directed by certain witnesses, including the National Association of Trade Union Approved Societies (App. XCII, 127-181; Q. 22,058 and 22,087 to 22,096) and Dr. Marion Phillips, on behalf of the Standing Joint Committee of Industrial Women’s Organisations (App. C, 17-27; Q. 23,034 to 23,041), to the terms of the Maternity Convention adopted by the International Labour Conference held at Washington in 1919 under the provisions of the Covenant of the League of Nations. These were as follows :— ““ In any public or private industrial or commercial under- taking, or in any branch thereof, other than an undertaking in which only members of the same family are employed, a woman :— ‘“ (a) Shall not be permitted to work during the six weeks following her confinement. ““ (b) Shall have the right to leave her work if she produces a medical certificate stating that her confine- ment will probably take place within six weeks. ““ (¢) Shall, while she is absent from her work in pursuance of paragraphs (a) and (b) be paid benefits sufficient for the full and healthy maintenance of herself and her child, provided either out of public funds or by means of a system of insurance, the exact amount of which shall be determined by the competent authority in each country, and as an additional benefit shall be

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