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:: Minority report

Collection:: Economics Books

MINORITY REPORT. and the productive capacity of the country should from time to time be struck, even though this can probably be done only in a very general way and without reduction to any precise formula.”* But since everything which impairs efficiency reduces that productive capacity, the final balance will not be realised till we have carried all our social services to perfection. Our recommendations at this moment are, however, confined to those which appear to us urgently necessary, and immediately practic- able. 63. Social services, as has been well shown in the Mgjority Report, are financed from various sources. The State, the Local Authority, and various systems of insurance supply the funds, and it is impossible to draw a hard-and-fast line between the services to which we should contribute as taxpayers or rate- payers, or as employers and employed persons. We do not subscribe to the distinction drawn between social services con- ducted in the interest of the individual, and similar services conducted for the general well-being of the community, since the ‘“ well-being of the community >’ is involved in all. In this connexion we feel that there is cogency in the representations made to us, that the contributions of employer and employed to National Health Insurance should alike be reduced and the State’s contribution proportionately increased (National -Con- federation of Employers’ Organisations, App. CVIL, 28). The salient fact is that for every deficiency in our social services, someone pays. We can alter the incidence of payment, and treat our obligations as matters to be supplemented by the Poor Law, or by voluntary aid, but the only case in which we pay without return is in support of the disabled, who could by larger preventive outlay have given us the return of efficient healthy labour. While we feel that our present methods of conducting our social services are expensive and over-lapping, and that real economies are to be effected from their unification, we also feel that any further moneys needed for the services indicated below will go far to relieve us of the ** burdens ”’ (properly so-called) described by Sir George Newman and the accredited officers of the Ministry of Health. MEDICAL BENEFIT. 64. We support the recommendations of the Majority Report to extend the scope of medical benefit, but it should be noted that Parliamentary grants were voted in 1914 for services, the develop- ment of some of which has not been undertaken owing to War conditions. Such services included :— (1) Medical referees. (2) Medical experts be obtained bv medical

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