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. (1) Fee to midwife ... (2) Fees to doctor for ante-natal and post- natal examinations (5s. each) ... bo, (3) Fee to the doctor to cover risk of personal attendance at confinement ... (4) Cash benefit 130 5. 0 1.0 40 LBD And in the case of uninsured women only : (5) Payment to doctor to cover other medical attendance during the ante-natal period, already provided for insured women as part of medical benefit ... The total charge on this basis would be £3 15s. 6d. in the most common case in which the husband was working but the wife was not. Where, however, the mother was herself an insured Person a portion of the liability would be covered by the existing medical benefit and the corresponding charge would be £3 5s. If both husband and wife were insured persons one set only of medical charges would arise, but a further 20s. would be appropriate as a cash payment in respect of the wife’s own insurance and the total charge would thus be £4 5s. In this case also questions arise as to the appor- tionment of the charge between the husband’s Society and the wife's Society. The adoption of this scheme would involve the abolition of the present incongruous arrangement under which In the case where the husband of an insured married woman is Not himself an insured person her Society is required to pay to her a double maternity benefit. 342. We referred to the Actuarial Committee the question of the cost which would be involved in replacing the present Maternity benefit by a provision on the lines indicated above and the matter is dealt with in the Third Report of the Com- Mittee which is printed in Appendix A to our Report. It will be seen that on the assumptions set out in the Report, the additional cost would be such as to impose a charge of 44d. Per week on the contribution payable in respect of men, while reducing the charge on women’s contributions by ‘11d. per week. If, therefore, the provision were limited in accordance with the Proposals outlined above and further explained in the Report of the Actuarial Committee, and if this provision were made, the next charge on the margin in the present weekly contribu- tion after meeting the balance of the cost of the present medical benefit, it would be possible to defray it out of the present Yesources of National Health Instrance. Ad TOD ©

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