Report of the Royal Commission on National Health Insurance

Die Kommunalbesteuerung in Italien

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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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Chapter

Document type:: Monograph

Structure type:: Chapter

Title:: Chapter XIII. Miscellaneous questions

Collection:: Economics Books

MAJORITY REPORT. 267 —— available to the Government Auditor as to the manner in which the sums are used by the Institutions. As an illustration of the former type we may instance the United Women’s Benevolent Association (see Gordon, App. XIII 28, 30; United Women’s Insurance Society, App. XXIV 22-81), and of the latter type the outstanding example is the National Insurance Beneficent Society, a body from whom we received some interesting evidence (App. XVIII; Q. 8814-9208). This body carries on its work not only under Section 26 but also as an agent for Societies in administering treatment benefits under approved schemes of additional benefits, and has adopted a two-sided constitution the full purpose of which we are not altogether able to appreciate. 660. We are informed by the Ministry of Health (App. I, B, 229-252 ; Kinnear, (). 843-857, 23,603-23,615) that in 1922 a sum of £10,000 was paid to charitable institutions by 138 centralised Societies, and that in 1923 the sum so paid was over £30,000 including a payment by one Society of over £11,500. The Ministry also informs us that the section is open to objection on the grounds (1) that it is used by some Societies to provide bene- fits in the nature of additional treatment benefits to members immediately on transfer from other Societies, and so encourages unfair competition ; (2) that inasmuch as the contribution con- tains no margin for payments of this nature, the financial stability of Societies may be endangered; and (3) that it is a violation of the spirit of the provision that additional benefits shall not be distributed among members other than those entitled thereto by statute. It was therefore suggested to us that the section should be repealed and that payments to charitable institutions should not be made except out of surplus funds. The Scottish Board of Health, on the other hand, maintain (Leishman, Q. 24,248-24,293) that so far as Scotland is con- cerned the section has been cautiously and reasonably used, and suggest that it should be retained in its present form. The Ancient Order of Foresters informed us ((). 4267) that the section was useful in the early days of the Act, but that in view of the almost universal provision of additional benefits it has outlived its usefulness. The National Association of Ttade Union Approved Societies (App. XCII, 116; Q. 22,053-22,054) contend that the section permits of abuse and encourages unsound competition between Societies. They suggest that it should be amended so as to make subscriptions or donations over a certain prescribed sum per head of the membership in any year subject to the consent of the Central Departments. Mr. Middleton, giving evidence on behalf of the National Insurance Audit Department, informed us (App. CI. 33-38) that °° the section, in express terms, confers absolute discretion upon the Society in the matter of amount of such subscriptions, and an auditor is therefore pre- cluded from criticising the amount of the payments made under these powers, provided always that the payments appear to be

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