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

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Chapter

Document type:: Monograph

Structure type:: Chapter

Title:: Chapter V. The development of the health services

Collection:: Economics Books

r v) (0 } MAJORITY REPORT. the Public Health Authorities, by whom it has been greatly developed and made available for the whole community. Domiciliary treatment, however, remained as part of the service which the insurance practitioner contracted with the Insurance Committee to give to his insured patients. In this Chapter we need do no more than point out that the removal of the institutional treatment of tuberculosis marked a distinct change in the conception of the responsibility of the State in this matter as in place of provision for a restricted class, who in part paid by insurance contributions for the service provided, there was substituted a provision available for the whole population and supported entirely by rates and taxes. We may quote the following reply to a question we put to the Ministry of Health representative on this question. ‘‘ An effective scheme for the treatment of tuberculosis cannot be confined to one section of the community, and the placing of the responsibility for the treatment of all sections upon one local authority has had the substantial advantages of (1) preventing local administrative overlapping, (2) simplifying supervision by the Central Depart- ment, and (3) enabling due attention to be given in the further development of local tuberculosis schemes, to the needs of other sections of the community, besides the insured, and especially children. Even from the point of view of insured persons this is an advantage as their dependants constitute the larger part of the non-insured section of the community.” (Maclachlan, Q. 24,092.) SECTION C.—THE MEDICAL SIDE OF MATERNITY BENEFIT, 104. No survey of the health services under the Insurance Act would be complete if it omitted to take account of maternity benefit. It is true that this is a cash benefit administered directly by the Approved Societies, and that it differs from the additional treatment benefits in that there is no control of the application of the money given. Yet the money does in large part go to pay for the services of doctor and midwife and the underlying purpose of the benefit is to promote the health of mother and child at the critical period of pregnancy and childbirth. Having regard to the great importance of skilled advice and treatment at that time, we feel confident that any development of this benefit will be in the direction of an increase of the service element provided under appropriate conditions of control. Accordingly we proceed to a consideration of the maternity provision and the evidence that we have received in this connexion. EVIDENCE AS To MATERNITY BENEFIT. 105. Taking the professional evidence first, we find that the British Medical Association in this as in the general problems

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