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

269 Sf MAJORITY REPORT. that the absence of a contribution for a particular week was, in fact, due to inability to obtain employment. 655. We feel, however, that these difficulties to which Mr. Price, a Principal Assistant Secretary of the Ministry of Labour, alluded in his evidence should not prove insuperable and we, therefore, recommend that for the purposes of the Health Insur- ance Scheme, any week in respect of which an employed contri- butor can produce satisfactory evidence of genuine inability to obtain work should be counted as a week for which a contribution was paid. We are not in a position to make detailed recommen- dations as to the machinery by which evidence of genuine un- employment should be obtained. We understand, however, that the Ministry of Labour is sympathetically considering the question and that a satisfactory solution of the problems to which it gives rise may be expected to result from consultation between the two Departments, so far as concerns the large majority of persons who are insured under both the Health and Unemploy- ment Schemes. 656. If arrears due to genuine unemployment were excused in accordance with our recommendation, it should result in great simplification in the administration of National Health Insur- ance and a great saving of work to Approved Societies. If the arrears involving penalties could then be limited to those due to voluntary abstention from work or engagement in some non- insurable occupation, the system of penalties for arrears might be simplified by the adoption of one scale for emploved and voluntary contributors PAYMENTS TO CHARITABLE INSTITUTIONS 657. The original intention of Section 21 of the 1911 Act (now Section 26 of the Act of 1924) was to enable Approved Societies and Insurance Committees without any question of receiving an equivalent return to make subscriptions or donations to hospitals or charitable institutions which serve the interests of the public health. 658. We have had evidence (Kinnear, Q. 853; Ministry of Health, App. I, B, 247; Middleton, App. CI. 34) that the Section is now used by some Societies for the purpose of pro- viding benefits in the nature of additional benefits to all members, whether qualified to receive additional benefits or not, by paying fairly large sums in anticipation of surpluses to institutions specially set up to receive such payments. 659. These institutions are in some cases little more than the Societies themselves under other names, and in other cases bodies set up by enterprising officials of Societies, and with very little, if any, income from any source other than payments out of the Health Insurance funds of contributing Societies. These pay- ments are made in bulk to the Institutions. and no details are

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