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Die obligatorische Krankenversicherung

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fullscreen: Die obligatorische Krankenversicherung

Monograph

Identifikator:
176840707X
URN:
urn:nbn:de:zbw-retromon-149526
Document type:
Monograph
Title:
Die obligatorische Krankenversicherung
Place of publication:
Genf
Publisher:
Internationales Arbeitsamt
Year of publication:
1927
Scope:
892 Seiten
Digitisation:
2021
Collection:
Economics Books
Usage license:
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Chapter

Document type:
Monograph
Structure type:
Chapter
Title:
Zweiter Teil. Leistungen
Collection:
Economics Books

Contents

Table of contents

  • Report of the Royal Commission on National Health Insurance
  • Title page
  • Contents
  • Chapter I. Introduction
  • Chapter II. The scheme of national health insurance
  • Chapter III. The general attitude to the health insurance scheme
  • Chapter IV. The related schemes of social welfare
  • Chapter V. The development of the health services
  • Chapter VI. The financial burden of the existing social services
  • Chapter VII. The financial resources of health insurance scheme
  • Chapter VIII. The approved society system
  • Chapter IX. Inequalities of benefit in different approved societies
  • Chapter X. Proposals for extending medical benefit
  • Chapter XI. Proposal for dependants' allowances
  • Chapter XII. Consideration of certain major problems
  • Chapter XIII. Miscellaneous questions
  • Chapter XIV. Summary of conclusions and recommendations
  • Reservation by Sir Andrew Duncan and Professor Alexander Gray
  • Minority report

Full text

APPENDIX A. 
34.3 
values and about £7,000,000 by cash.* The application of these sums 
in the manner required by the regulations will reduce the reserve values 
from £52,000,000, as above stated, to about £35,000,000, and this is the 
sum for the service of which (interest and redemption) the new Sinking 
Fund ”’ contribution must provide. As we have already indicated, we 
see no reason to increase the rate of interest credited on Reserve Values 
or to arrange for a shortening of the redemption period, which is 
estimated to extend to about 30 years (apart from any shortening 
attributable to the transfer of future balances from the Reserve Suspense 
Fund), and we find, therefore, that the part of the weekly contribution 
retained for the service of reserve values may be reduced from 1d. to 
"65d. in the case of men and from ‘9d. to ‘58d. in the case of women. 
These reduced amounts are related to the reserves required for the present 
benefits. As we shall show later, certain additions will have to be made 
to them should any charges be introduced of a kind which requires. the 
creation of further reserve values. 
27. We referred in para. 3 to the possibility of revising the contribu- 
tions payable to the Contingencies Funds of the Approved Societies. 
These contributions are at the rate of five-ninths of a penny per week 
in the case of men and two-fifths of a penny in the case of women, 
and their annual produce is about £1,400,000. The Contingencies Funds 
were established in 1918, with retrospective effect, under a recommenda- 
tion of the Departmental Committee on Approved Society Finance and 
Administration, and their primary purpose was to provide the societies 
with the means. whence valuation deficiencies of moderate amount might 
be met from their own resources, thus obviating the necessity for appeal 
to the Central Fund save in cases of serious insolvency. This purpose 
has not only been fully served ; the cases of deficiency have been relatively 
few and the bulk of the sums becoming available through the Contin- 
gencies Funds has been applied to augment the surpluses distributable 
under schemes for additional benefits. We regard a marginal provision 
of the kind made by the Contingencies Funds as of great value, 
especially in the case of small societies and branches, but its extent 
must be a matter of judgment and the experience gained by the opera- 
tion of the system since 1918 leads us to think that the present contribu- 
tion to these funds may safely be reduced without imposing a serious 
strain—from either the financial or the administrative point of view— 
upon the Central Fund. In advancing this view we are influenced to a 
considerable extent by the fact that as regards the small societies and 
the branch type of organisations the Act provides for pooling the 
Contingencies Funds either partly or wholly, thus providing these 
units with a measure of protection against financial strain far 
exceeding that afforded by their own individual resources. On the 
other hand we are compelled to recognise that the imposition of the 
contemplated new charges on existing resources will, unless other provision 
15 made, entail a considerably greater charge on Contingencies Funds 
to meet deficiencies in the future than that experienced in the past, but 
we propose to deal with this important point as a separate question. 
Assuming that the recommendation which we shall make under this head 
is accepted, we consider that the weekly contribution to the Convingencies 
Funds may properly be reduced to one farthing, both for men and for 
Women. Incidentally, we thus advise the abrogation of the present 
difference between the contributions of men and of women to the Con- 
tingencies Funds. In a large number of cages men and women are insured 
* "hese figures must not be taken as an index of the amounts of surplus likely to accrue 
to the Reserve Suspense Fund in future. The income of this Fund is derived chiefly from 
transfer values and as the result of (i) the limitation of sickness and disablement benefits 
to the age of 65 instead of 70 and (ii) the substitution of 4 per cent. for 3 per cent. as the 
basic rate of interest, transfer values will be materially reduced. Further, a considerable 
part of the present balance of the Fund is due to the abnormal industrial conditions set 
up by the War which brought a large number of perso. s temporarily into employment. 
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Employment Psychology. MacMillan, 1924.
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