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 V. The development of the health services

Collection:: Economics Books

MAJORITY REPORT. ment and attendance before, during and after confinement (App. XCIT, 101), that ¢“ benefit sufficient for the full and healthy maintenance of an insured woman and her child should take the place of maternity benefit,” ‘‘ that these provisions should be administered through Tocal Health Committees > (App. XOIT, 130-133) They also draw attention to the fact that although the general death rate has been reduced by one-third, no corresponding reduction has occurred in the rate of maternal mortality, despite the expenditure of £1,500,000 a year on maternity benefit, and they suggest that in the prevention of this evil a solution may be found to the problem of excessive expenditure on disablement benefit in respect of women (Q. 22,057). The Standing Joint Committee of Industrial Women’s Organisations make recommendations on the lines of the Washington Convention and urge the expansion of the work of the maternity and child welfare centres (App. C, 17-27). The Sons of Temperance Friendly Society say :—- ““ Opinion has been obtained from the Grand Divisions (N.H.I. units) of this Society on the question of this benefit, and it is found that there is general dissatisfaction with the present method, which, instead of providing definitely, in money or in kind, for the direct and special benefit of the mother—and, incidentally, the child—as was intended by the original Act, there is in many cases a demand made upon the financial resources (often slender enough) of the home, beyond the cash value of the benefit. Instances of medical fees up to five guineas, and midwifery fees up to two guineas, have been cited. ““ This Sociely suggests that maternity benefit should be made completely statutory, and should consist of (a) a definite cash payment to the woman confined; (b) a fee for all needful medical or midwifery services, chargeable to the funds of the Approved Society ’ (App. LXXXIX, 69-70). 111. The National Federation of Insurance Committees, recommending a complete medical service for insured persons and their dependants, say that this should include maternity services which would be additional to any cash payment that might be available (App. XXXVI, 223, 234). The National Association for the Prevention of Infant Mortality make the following recommendations :— ““ The Maternity Service as a part of maternity benefit should provide, in addition to a cash benefit :— (1) Ante-natal examination during pregnancy, by a registered medical practitioner, with any necessary report. (2) Adequate professional attendance during preg- nancy, normal labour and the puerperium. Br. .s2 47 {

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