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 XIII. Miscellaneous questions

Collection:: Economics Books

MAJORITY REPORT. 211 501. We think that this problem is undoubtedly one of diffi- culty from the point of view of the administration of Societies, and we are convinced that there is a very good case for giving Societies a legal remedy which will, at the same time, protect an insured person from the hardship which would be involved in a complete stoppage of benefit. A time limit should, however, In our view, be imposed. 502. We therefore recommend that provision should be made whereby Societies will be empowered (in cases not falling within the three classes above mentioned) to recover, without prejudice to any existing right of recovery, overpayments of benefit by withholding weekly from sickness or disablement benefit due in respect of subsequent periods. of incapacity occurring within 12 months of the date on which the overpayment was brought to the notice of the member, an amount not exceeding one-third of any sum payable in respect of sickness or disablement benefit. BENEFIT FOR TUBERCULOUS INSURED PERSONS IN PART-TIME EMPLOYMENT, 503. To one special point brought forward in the evidence telating to the question of tuberculosis we would refer in connexion with the administration of sickness benefit. It has been urged Upon us by the Cambridgeshire Tuberculosis After-Care Associa- tion (App. LXXXIII, 2-14), the London County Council (App. LXXXTV, 84-35), and the Joint Tuberculosis Council (App. XCIII, 12), that a reduced sickness benefit should be allowed during Such part-time employment of tuberculous persons as they take Up under medical advice. It appears that such part-time employ- Ment is often a very beneficial element in the measures for curing or alleviating this disease, provided that, the work is carried on under proper conditions and subject to medical supervision. We are not unsympathetic to this proposal on general grounds, and We are glad to know that in fact the Ministry of Health approves Some such relaxation of the necessarily strict rules governing the Payment of sickness benefit in the case of persons in Tuberculosis Colonies such as Papworth, But we see considerable difficulties I any attempt to extend the arrangement to persons in ordinary employment. It would be difficult to secure the proper medical Supervision and the appropriate conditions of work in business Concerns which necessarily must organise their arrangements on 4 commercial basis. Employers could not be expected to conform to a number of restrictions directed primarily towards the care of a small and specially affected proportion of their workers. We May add that, though provision for the payment of a disablement allowance to members not totally incapable of work is included among the additional benefits of the Act, this benefit has been found administratively impracticable and has never been adopted

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