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. —— Section is likely to be on valuation, but it is possible that by reason of these exceptional revenues a surplus might be shown. In that event we consider that in so far as such surplus is attributable to the additional sources of revenue to which we have just referred, it should be paid into the Central Fund. 415. So far as the members of the Individual Account Section are concerned, it would be desirable that the Department should continue the efforts to induce these members to transfer to Societies. 416. It may be suggested that some Societies would object to this system as instituting competition by a State Society. We do not, however, think that such objections could be seriously sustained if the arrangements took the restricted form we have outlined. Further, we may recall that the witnesses representing the Prudential Approved Societies which contain about 3,200,000 members stated in evidence that they had no objection to a State Society. In any case the reply to Societies is clear. If they are willing to admit any particular deposit contributor the problem is solved. The member would be so admitted or would be transferred from the Insurance Section to the Individual Account Section of the Fund. 417. We understand that there is interest accumulated by the Fund since 1912 amounting to about £400,000 and that there 18 no statutory authority for the disposal of this sum. We think that in any amendment of the Act authority should be given for Passing the accumulation up to the date of the institution of the New system which we propose, to the Reserve Suspense Fund, Where it would be available for the redemption of reserve values. SECTION F.—THE INSURANCE PRACTITIONERS’ CONTRACT. . 418. Among the important problems of the Insurance Scheme 18 the administrative relationship of the medical profession to the Central Department and to the Insurance Committees. Two Important elements in this appear to call for discussion here— the method and scale of remuneration of the insurance Practitioners and the procedure under which complaints against them are determined. As to the first, there has not been Much evidence in criticism of the present rate of remunera- tion though alternatives to the capitation method of payment have been suggested. As to the second, we have received 'epresentations from the medical bodies to the effect that the Regulations press rather harshly on the defendants in such cases. 419. No one is likely to under-estimate the importance of these two questions when it is remembered that 15,000 doctors and 15 million insured persons are involved. The success or failure er 4709

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