Report of the Royal Commission on National Health Insurance

Bibliographic data

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

Usage license:: Get license information via the feedback formular.

APPENDIX ‘A. 367 TEC 17. It is thus evident that in respect of both men and women the cases of frequent claims (which include many prolonged claims) must account for an appreciable amount of the total expenditure on sickness and dis- ablement benefits. From the point of view of public health as well as from that of administration there is undoubtedly much that deserves attention in this feature of the working of the Health Insurance system. 18. Another matter calling for attention, and in this case calling urgently, is the excess of the claims of married women over those of the unmarried. From Tables IT and IIT (Col. 12) it will be seen that the relative proportions of the total membership claiming benefit in a year are as follows: — Ages. 20-25 25-30 30-35 40-45 50-55 60-65 as ho sha Percentage of Insured Women Claiming Sickness Benefit. Married. Unmarried. 32 16 24 14 21 13 21 14 23 Lt IR At the younger ages there may be reason to explain some part of this difference, and in addition, possibly, the greater average length of the claim. But what reason which does not evoke serious reflections can explain the great excess at the higher ages. The figures given, moreover, are an average of the three years. The disproportion, either in the number of claims or in the duration of claim, is rapidly growing, for the main investigation shows that the relation of the average amount of the sickness claims of married women to that of the unmarried is becoming more un- favourable with each succeeding year. For example, at the important groups of ages 20-25, 25-30 and 30-35, the married women’s rates of sickness are found to represent the following percentages of those of the unmarried class. Ages, 20-25 ... Yor Bh Sod vie 25-30 ... oe son en 7 30-35 =... a he x sae 1 99 242 174 158 . fi Ev 4 ¢ )9¢ J 284 198 171 199% a a 299 942 198 On these figures it is impossible to resist the belief that the. sickness claims of married women require more effective supervision than they are at present receiving. The disablement benefit experience is singularly different from that of sickness benefit. Although the proportion of married women who draw disablement benefit is greater than the like proportion among, unmarried women, the average duration of the disablement benefit claims among the unmarried is the greater at all ages, and it is much the greater at ages under 45. The figures suggest that the societies tend to concentrate atten- tion on the claims of married women when these have reached the disable- ment stage. It would seem that a much more comprehensive policy of supervision is called for. Government Actuary’s Department, Treasury Chambers, Whitehall, S.W.1. September. 1925. Vi

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