Foreign trade zones (or free ports)

Report of the Royal Commission on National Health Insurance

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Monograph

Identifikator:: 1801857903

URN:: urn:nbn:de:zbw-retromon-199077

Document type:: Monograph

Title:: Foreign trade zones (or free ports)

Place of publication:: Washington

Publisher:: United States Government Printing Off.

Year of publication:: 1929

Scope:: IX, 322 S; Ill., graph. Darst

Digitisation:: 2022

Collection:: Economics Books

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Document type:: Monograph

Structure type:: Chapter

Title:: Part 2. The free ports of Europe

Collection:: Economics Books

MAJORITY ‘REP JRT 125 —————— 3S 1 Oo, t only the cost of maintenance but probably also that of medical and surgical services now given gratuitously. The Ministry of Health representative informed us that ‘‘ in the view of the Ministry it would not be desirable to attempt to include institutional treatment in the Acts as a statutory benefit. To provide the whole cost of in-patient treatment of insured persons would be extremely costly, and there is the difficulty that a statutory benefit implies some guarantee that the required accommodation will be available when it is needed. So far as regards voluntary hospitals no such guarantee could possibly be given. . . . Any scheme which resulted in preference being given to a particular class, however large that class might be, must in our view be prejudicial to the voluntary system.’ (Brock, Q. 23,852.) The Scottish Board of Health, who have urged strongly that this element should be included in any immediate extension, estimate that for Scotland alone an expenditure of about £160,000 a year would be required. For the whole of Great Britain the cost would be, on that basis, about £1,500,000, which, added to the cost of the three elements we have suggested above, would far exceed the amount available if, as we propose in Chapter XI, anything is to be done in the way of improving the cash allowances in sickness and disablement. Further, the Scottish estimate is only for part (about one-quarter) of the total cost, the assumption being that private subscriptions and donations would continue to meet the balance. This, we think, is an untenable assumption. Once the insurance funds were committed to meeting part of the cost of in-patient treatment, it would be highly probable that the bart would change gradually into the whole so far as insured Persons were concerned, and that a liability far beyond the Present estimate would ultimately be incurred. In any case We must point out that so long as the hospitals treat the insured and the uninsured on the same basis and retain, as they desire to do, complete independence in the management of their funds, 16 would he very difficult to justify a systematic and substantial Support from the insurance scheme for this purpose. We think that the present arrangements, under which Approved Societies may give financial assistance to the hospitals under their schemes of additional benefits or by way of donations under Section 26 of the Act (with a certain modification in the latter which we recommend in Chapter XIII), may be continued, but that no general provision of hospital treatment can be at present contem- Plated within the Insurance Scheme. We fully appreciate the great work the hospitals are doing alike for the insured and the Uninsured, and we do not underrate their financial difficulties. Bug both on grounds of finance and policy we accept the view of the Ministry of Health (as set out in reply to Q. 23,852) that an a ienaar of this nature must be left over for future considera- on. E

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