Wohlfahrtzentrale der Stadt Barmen

Report of the Royal Commission on National Health Insurance

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Monograph

Identifikator:: 893655864

URN:: urn:nbn:de:zbw-retromon-16023

Document type:: Monograph

Author:: Heumann, Paul

Title:: Wohlfahrtzentrale der Stadt Barmen

Place of publication:: Barmen

Publisher:: Kunstanstalt F. Josephson

Year of publication:: 1917

Scope:: 1 Online-Ressource (179 Seiten)

Digitisation:: 2017

Collection:: Economics Books

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3) TE MINORITY REPORT. We are convinced that the whole of this ‘work, so far as it is a matter of local administration, could be far better done by the Local Authorities already responsible for other health services. 8. Secondly, we do not think that the administration of benefits paid in cash, being a health service, is a health service which it is desirable to administer through agencies specially constituted for the purposes of this service alone. 9. In support of this view we would submit four arguments, one based upon considerations of general policy, and three upon: the practical consequences of these considerations. 10. The first is that the citizenship of insured persons is more important than their insurability. Just as Your Majesty's Government refuse to accept the argument of Boards of Guardians that separate authorities ought to deal with citizens who happen to be destitute, so we hold that any attachment which insured persons may have to their Approved Societies can and should be transferred, with the work of the Societies, to the Local Authorities of the areas in which they live. 11. The second argument is that the result of this transfer would be to remove the scandal, admitted by our colleagues, that Approved Societies comprising a very large part of the total insured population are administered with complete disregard of the direction of Parliament contained in Section 23 of the Act of 1911 that their affairs should be subject to the absolute control of their members. 12. The Majority Report seems to us to evade that issue in the statement that most people do not ‘‘ maintain that degree of interest in public affairs which good citizenship postulates.” 13. The fact is that the constitution of the Approved Societies to which we have referred, makes it impossible for the members to take any substantial part in the management. 14. The local government franchise at least makes it possible for all electors to develop and manifest a proper concern in local administration. 15. The lesson of events, as Your Majesty's Government recognise in relation to Boards of Guardians, is that the way to encourage citizens, including insured persons, to face their responsibilities and protect their pockets, is to reduce the number of bodies on whose proceedings they are called upon to pass judg- ment, and to concentrate in the hands of the Local Authorities already charged with most of the business which affects insured persons’ lives, the residue of the powers which can and should be locally exercised.

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