Report of the Royal Commission on National Health Insurance

Bibliographic data

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. Ds ) themselves and we are told that there is already a movement in this direction so far as the two largest Societies for seamen are concerned. 550. While we regard it as unfortunate that insured persons of this class are scattered among so many Societies we do not recommend that definite provision should be made for their segregation in one Society. We consider, however, that the Department should keep this in view as an ideal desirable of attainment, and that they should wherever practicable, exercise their powers of persuasion in order to approach that end. 551. A further matter relating to seamen of the Mercantile Marine to which our attention was directed, was the special arrangements for the provision of medical benefit to members of the Seamen’s National Insurance Society. It is provided by Section 63(5) of the Act that the medical benefit of members of this Society shall be administered by the Society itself instead of by Insurance Committees, and in accordance with this pro- vision the Society makes arrangements with doctors in the leading ports for attending any members of the Society who may require medical attendance. The Society accordingly are not debited, like all other societies, with payments to Insurance Committees in respect of medical benefit, but themselves pay out of their own funds the doctors Who attend any members of the Society. For this purpose 4 scale of fees on an attendance basis has been agreed between the Society and representatives of the medical profession and is revised from time to time. Full particulars of the arrange- ents are set out in Appendix XXXI, 32. The Society desire that these special arrangements should be continued, but on the other hand, we have received evidence from a number of sources that there was no necessity for the continuance of the arrange- ments and that members would be at no disadvantage by being Placed in the same position as all other insured persons as regards arrangements for medical benefit. For example, the National Sailors’ and Firemen’s Union, the membership of which is also almost exclusively composed of seamen of the Mercantile Marine, Say —. “As far as we know, the ordinary medical benefit arrangements Work as well for seamen as for any other section of insured Persons. T do not remember receiving any complaint that any of our members could not get medical attention whenever it was tequired through any fault in the medical benefit arrangements. As far as our experience gees there would appear to be no reason for any special arrangement regarding the medical benefit of men employed in the Mercantile Marine.”” (App. XILIII, 21.) Again, the Federation Committee of the Associations of Insurance Committees speaking on behalf of all the Insurance Committees of the country make the following statement :—

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