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

230 MAJORITY REPORT. “ Tn the early days of the insurance medical service there may have been some reason for separate arrangements, but in view of the modifications since made to meet the needs of temporary residents and travellers, and the development of the collective responsibility of insurance practitioners to provide treatment (including emergency treatment), the initial reasons no longer exist for the exceptional arrangements for members of this Society which do not extend to persons in the mercantile marine who join other Approved Societies.’ (App. XXXVI, 168.) We also questioned the representatives of the Ministry of Health on the subject, and the following reply indicates the views of the Ministry :—** Since medical benefit was first instituted, the arrangements for the treatment of temporary residents and the recognition of the right of any insured person to treatment whether on the list of a doctor or not, make it, in our view, unnecessary to continue the exceptional treatment of the Sea- men’s National Tnsurance Society. A large number of foreign- going seamen are members of other Societies, and, as far as I know, there is no evidence that these persons experience any difficulty in obtaining whatever treatment they need under the ordinary provisions of the Act.” (Brock, Q. 23,995.) 559. We are satisfied that whatever may have been the position at the inception of the Scheme there is no longer any necessity for special arrangements for the medical benefit of members of the Seamen’s National Insurance Society and we, therefore, recommend that these arrangements be discontinued and that members of the Society should in future receive their medical benefit under the normal arrangements. 553. Tt was urged upon us by the Seamen's National Insurance Society (App. XXXI, 43) and the National Sailors’ and Firemen’s Union (App. XLITI, 96) that an increased rate of administration allowance should be made to Approved Societies in respect of members serving as foreign-going seamen. We do not consider that any such claim should be allowed, as it would open the door to similar claims in respect of other classes of insured persons. Tn any case the position would probably be met by the adoption of the revised svstem of collecting contributions which we have suggested. Tar T.AscAR FUND. 554. Tt may be convenient to deal here with certain suggestions which were made to us by Sir Norman Hill when giving evidence on behalf of the Special Fund for Seamen, commonly called the T.ascar Fund (App. XXXII; Q. 12,178-216). This is a Fund derived from the contributions payable by shipowners in respect oflseamen having no domicile in the United Kingdom, and the fund is used for providing pensions to men between 65 and 70 years of age who have had long sea service. These pen- sions are at present restricted to members of Approved Societies,

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