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 II. The scheme of national health insurance

Collection:: Economics Books

MAJORITY REPORT. in the National Health Insurance Act, 1924, which came into operation on the 1st January, 1925. PrEvVIoUs INQUIRIES INTO THE SCHEME. 11. We have spoken of the present inquiry as being the first general and comprehensive investigation into the working of the Scheme. There have, inevitably in a scheme of this magnitude, been several inquiries into certain aspects of its operation. Of these, two call for mention by reason of their wider scope and their more general interest. The first was the Committee which sat under the Chairmanship of Sir Claud Schuster in 1913-14 to inquire into allegations that excessive sickness claims were being made on the funds of Approved Societies. The report of this Committee presents an interesting account of the working of Societies at the outset of the Scheme and of the difficulties of administration which confronted them. Issued at the beginning of the War, and in consequence over- shadowed by greater events, the report had less practical effect than might have ensued had it appeared in happier circum- stances. The other inquiry of considerable importance was that which in 1916 reported on questions of Approved Society finance and administration. This Committee, of which Sir Gerald Ryan was Chairman, devoted a large measure of its attention to questions of simplification, an end desirable in itself yet appearing particularly desirable under the stress of war. The labours of this Committee were reflected, as has been noted, in the very considerable amending Act of 1918. OUTLINE OF THE SCHEME, 12. A full description of the present legislative provisions governing National Health Insurance, as contained in the Acts and the Statutory Regulations and Orders made thereunder, together with an account of the method of administration of the Scheme in England, was supplied to us by the Ministry of Health and is contained in Part I of the Appendix to our Minutes of Fvidence. The same volume also contains state- ments supplied by the Scottish Board of Health and the Welsh Board of Health respectively, showing the variations in those countries from the position as set out in the Fnglish statement. As these complete statements with regard to the law and the method of administration of the Scheme are included in the official record of our proceedings, we do not think it necessary here to give more than the broadest descriptive outline of the system. 13. The Scheme of National Health Insurance in this country is on a compulsory and contributory basis. The persons who are required to be insured are, subject to certain exceptions, all those between the ages of 16 and 70 who are employed under

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