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 XIV. Summary of conclusions and recommendations

Collection:: Economics Books

276 MAJORITY REPORT, and be administered in connexion with the other cash benefits. (paras. 114 and 343.) THE FINANCIAL BURDEN OF THE EXISTING SOCIAL SERVICES. (14) That the financial burden of the various social services is at the present time so great in proportion to the productive capacity of the country, and so much in advance of what is provided in countries which are our trade competitors, that no extensions of benefit involving substantial additional expenditure should be contemplated now or in the immediate future, but that any immediate changes in the Scheme of National Health Insur- ance should be limited to such as are possible within its present financial resources. (paras. 151-153.) (15) That accordingly there should be no increase at the present time in the rates of contribution or in the scale of the Exchequer Grants. (para. 153.) THE FINANCIAL RESOURCES OF THE NATIONAL, HEALTH INSURANCE SCHEME. (16) That the financial arrangements of the Scheme are well devised, and that the machinery works smoothly and effectively. (para. 155.) (17) That an analysis of the expenditure of Approved Societies on sickness and disablement benefits reveals the need for more effective supervision of claims for those benefits, and that the attention of the Central Departments should be directed to the matter so that they may consider in co-operation with the Approved Societies more effective methods of supervision. (paras. 176-1717.) (18) That by a modification of the actuarial basis of the Scheme, particularly with regard to expectation of sickness and assumed rate of interest as set out in the First Report of the Actuarial Committee, and by certain financial readjustments described below, a margin can be made available out of the present weekly contribution which, with the related State grant, will provide a sum of about 7s. a year in the case of men and 3s. 9d. a year in the case of women. (para. 179.) (19) That the first charge on this margin should be the pro- vision of the balance (estimated at 3s. per insured person per annum, both for men and women) of the cost of the present medical benefit for which no statutory provision has been made beyond the end of 1926 ; further that any deficiency in respect of the cost of medical benefit for the three years 1924-1926 should be met by an increase of the charges imposed by the National Health Insurance (Cost of Medical Benefit) Act, 1924 upon the moneys to which recourse is authorised by that Act. (para. 182.) (20) That the balance of the margin should not be devoted to decreasing the present weekly contribution, but should be

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