Report of the Royal Commission on National Health Insurance

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Monograph

Identifikator:: 869930397

URN:: urn:nbn:de:zbw-retromon-49420

Document type:: Monograph

Author:: Kemmerer, Edwin Walter http://d-nb.info/gnd/101827717

Title:: Postal savings

Place of publication:: London

Publisher:: Humphrey Milford

Year of publication:: 1917

Scope:: 1 Online-Ressource (VIII, 176 Seiten)

Collection:: Economics Books

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Document type:: Monograph

Structure type:: Chapter

Title:: Chapter VI - Conclusion

Collection:: Economics Books

MAJORITY REPORT. 7 of central control which took place when the Ministry of Health was established was unaccompanied by any corresponding unification or co-ordination of existing medical services locally . . . At every stage medical benefit overlaps with one or other of the large number of existing forms of medical service .. . and this duplication of effort between the Insurance Act and existing medical services is a grave source of weakness and expense.” The National Conference of Friendly Societies, representing four million State insured members and a total voluntary membership of 7,400,000, has submitted to us the interesting and important conclusions contained in paragraphs 34 to 41 of Appendix XXVI from which we quote the following :— * Few will deny that it is highly wasteful and inefficient to allow six or more separate organisations for medical services (all paid for wholly or mainly out of public funds) to exist side by side, as they do to-day, with consequent overlapping, friction and duplication of expense. “This becomes all the more marked when it is remembered that for one-third of the entire population there is, in addition, a general practitioner service provided in the form of medical benefit under the Insurance Act. ** Notwithstanding all these various medical services, there exists little or no provision for specialists’ and consultants’ services for the fifteen million insured persons, whilst for the twenty millions or so dependants of insured persons there is no general medical service except that of the Poor Law. * Owing to lack of means, it is impossible for the poorer classes to obtain the services of doctors on fee-paying terms, and for this reason it was deemed necessany to introduce a system of compulsory insurance to include free doctoring. It is submitted that the need is equally great to-day for similar provision for the remainder of the population below an income limit of, say, £250 a year, including the dependants of such persons, as well as those of insured persons. “If this were done by merely extending medical benefit on its present basis to dependants of insured persons, it would : (a) Greatly intensify the overlapping of services already referred to ; “* (b) Be extremely costly, because a large number of panel practitioners would be, in effect, working full- time on payment basis devised for part-time work ; ‘“ (¢) Leave out of the scheme at least one and a half millions of persons including not only the destitute, but a number of non-insured persons, such as hawkers, small shop-keepers, &e. » 170¢ 0 2

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