Budgets and visible commercial balances of European countries 1922-1925

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Monograph

Identifikator:: 1744852030

URN:: urn:nbn:de:zbw-retromon-117951

Document type:: Monograph

Title:: Budgets and visible commercial balances of European countries 1922-1925

Place of publication:: Paris

Publisher:: Reference Service on International Affairs

Year of publication:: 1925

Scope:: 39 S.

Digitisation:: 2021

Collection:: Economics Books

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261) og a MAJORITY REPORT. that proportion of the excessive sickness which could properly be attributed to any particular cause from among the many which might be operative, and so to enforce the penalty con- templated in the Section. 635. A further difficulty, we are advised, would arise in the ascertainment of the normal sickness experience of any area, and without such data it would not. of course, be possible {io calculate the amount of the excess. 636. A few witnesses have given evidence before us as to the possible utility of the section in the future. Sir Wm. Glyn Jones refers (Q. 24,423) to the high intentions underlying the section, and suggests that work of the nature contemplated could use- fully be undertaken by the local authorities. He also suggests that the cost of the work should be borne by rates and taxes, and that the Insurance medical records should be used for thi purpose. The National Association of Trade Union Approved Societies (App. XCII, 122; Q. 22,056) suggest that the section should be retained as it may prove to be more prac- ticable as the Scheme of National Health Insurance develops. The British Medical Association suggest (App. XLVII, 54; ¢. 15,313, 15,317-15,323) that Approved Societies should be required to keep records on a territorial basis so as to assist in any investigation into prevalent illnesses in any particular area. 637. While we are convinced that the Section as it stands is incapable of effective application, we think that insurance data would undoubtedly prove of great value in connexion with any investigation into local health conditions, provided that any power to make inquiry intc the causes of excessive sickness were exercised by the body responsible for the local administration of medical benefit and other health services. 638. We have accordingly come to the conclusion that the penal provisions directed against the local authority or the em- ployer are useless as a means to further the end which the section has in view and that they should accordingly be eliminated. But we think that the bodies responsible for the local administration of Medical Benefit to insured persons should be given power to institute inquiry into cases of excessive sick- ness brought to their notice, and that for this purpose they should have access to the medical records collected under the Health Insurance Scheme. 639. In our opinion such inquiries need not necessarily be formal in character and indeed they would probably gain in fruitfulness by remaining informal. We consider that the powers suggested should merely be among the normal functions of the authority.

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Full text: Report of the Royal Commission on National Health Insurance

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