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 I. Introduction

Collection:: Economics Books

MAJORITY REPORT. Committees engaged in the administration of the Scheme of National Health Insurance. =~ We also heard evidence from representatives of the medical profession, from chemists, dentists, nurses, ophthalmologists, opticians, hospital authorities, Medical Officers of Health, Poor Liaw Guardians, and others, including several persons who did not speak in a representative capacity but as individual observers and critics of the Scheme. The greater part of the evidence, perhaps inevitably, came from persons or bodies taking some part in the operation of the Scheme of National Health Insurance, or desiring to be associated in that work in the event of its extension. We could have wished that more evidence had been forthcoming from the insured persons themselves or from their employers but, while we took such steps as we thought practicable to obtain evidence from these sources, we recognised the difficulty in securing evidence which could be considered to be truly representative of the general body of insured workers and the employers of labour. We received, however, the considered views of the National Confederation of Employers’ Organisations (Appendix CVII) which were directed mainly to the burden imposed on industry in a time of great financial and economic difficulty by the contributions levied for the various schemes of Social Insurance. The point of view of the average insured person, who is in such matters elusive and inarti- culate (if indeed he can be said to exist at all), was to some extent indicated by the evidence submitted from the Inquiry Room of the Ministry of Health (Appendix XLI) and by the evidence of certain witnesses, as for example Dr. Harry Roberts, who are intimately in contact with insured persons and who speak from a wide experience. SOHEMES OF SICKNESS AND INVALIDITY INSURANCE IN OTHER COUNTRIES. 5. The Ministry of Health have submitted to us a full and interesting account of the State schemes for insurance against sickness and invalidity in 14 European countries (App. CVIII). This illustrates the remarkable extent to which such schemes have been adopted and developed in countries of widely varying economic position and social habits, and undoubtedly provides much matter of interest to the student of these social problems. It may be remarked that any scheme of the kind under discussion must necessarily have regard to the peculiar social and industrial conditions of the country in which it operates, and that therefore in its machinery, if not in its principles, it must be developed on its own lines. TaE ACTUARIAL COMMITTER 6. At the outset of our investigation it became evident to us that for the proper consideration of the financial side of the

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