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. [73 BE —. to be maintained, but the accounts are all kept by the Con Department and the calculations of the benefit due are made there. 393. Similarly, in connexion with the administration of the benefits of the members of the Navy, Army and Air Force Insur- ance Fund, there is nothing that in fact calls for control by a large body of the type of an Insurance Committee. Points FROM THE HVIDENCE. 394. With this review of the work of Insurance Com- Mittees before us we may now turn to what witnesses have t say on the matter. 395. Taking first the evidence which we received from certain of the Insurance Committees themselves, we were informed by the Coveniry Insurance Committee App. XXXII, 30; Q. 12,240, 12,226-12,273, 12,305-12,316) that they had no wish to Derpetuate these bodies as they are at present constituted and With their present limited functions, but suggest that ** the Insurance Committees’ current organisation is such that it can mediately and with considerable economy be utilised for extended administrative work, or brought into organic relation- ship with the local authority.” The Cheshire Insurance Com- Wittee (App. XXXIV B, 40-50 ; Q. 12,454, 12, 457-12,458, 12,513) State that the Insurance Committee is truly representative of local interests, and feel that ‘* to scrap the machinery of Insur- dhce Committees or to make it a subsidiary part of a greater Machine would be disastrous to insured persons,” and they call for the continuance and enlargement of their duties. The Leicestershire Insurance Committee (Q. 12,663-12,665) main- tain that the Committees are in close touch with insured Persons and are familiar with local conditions, and they ®Xpress the opinion that the District Councils and County Councils would not be prepared to take over the work a5 they are already overburdened. The view expressed by the British Medical Association (App... XLVII, 46-47) 15 that ‘the local administration of all health services should be in the hands of a local authority established ad hoc,” and the Association suggest that a unification of medical services Such as they contemplate would involve the disappearance, as Such, of Insurance Committees. The Retail Pharmacists’ Union (App. LXV, 82; Q. 18,091) recommend the retention of the Present method of administering medical benefit through Insur- ance Committees. Mr. Alban Gordon, who speaks from some Practical experience, as he was Clerk to the Coventry Insurance Committee in 1912, a member of the London Insurance Com- Mittee from 1913 to 1921, and a member of the Brighton In- Surance Committee during 1924 and 1925, states: ‘° The Continued existence of Insurance Committees with their present

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