MAJORITY REPORT.
vd
of Friendly Societies (Q.11,004-11,011), we have found no support
for this allegation. On the contrary, there has been a great body
of evidence not only from the interested parties—the doctors and
chemists—but from Societies and representative bodies showing
that no such distinction is made. There is, we need hardly say,
no justification for such a distinction in the Act or the Regula-
tions, and any practitioner or chemist deliberately differentiating
between insurance and private patients in this way would be sub-
ject to disciplinary action. As this is a matter which from time to
time engages the attention of the public, a few general observa-
tions may, perhaps, be permissible.
73. The assertion that doctors are comparatively inatten-
tive to their insurance patients—a statement more common
in unrestrained conversation and in letters to the Press than
in formal evidence—is peculiarly difficult to test, inasmuch
as, in the nature of things, it almost necessarily rests on
vague Impressions or sporadic and unrepresentative incidents.
Tt is, perhaps, proper to observe that in a service comprising
15,000 doctors it is impossible to postulate that all will, at all
times and in all circumstances, maintain a superlative standard
of efficiency and care. It must needs that offences come. The
medical profession, like every other craft and calling, can claim
no immunity from the intrusion of undesirable and unworthy
elements. Nor does this imply any disrespect towards an
honourable profession ; it is merely an acknowledgment of their
common humanity. Isolated cases of negligence and careless-
ness, therefore, prove nothing; such occur in private practice
also. Tven if it were established statistically that there were
proportionately more causes of complaint in insurance practice
than in private practice, this, again, would in itself prove
nothing. The causes of complaint might be due to the industrial
or social peculiarities of certain areas or to the idiosyncracies of
certain doctors, and these might. manifest themselves irrespective
of the arrangements under which the doctor was giving his
service. As against the rather vague suggestions that have been
made, it is only right to refer to one other consideration put in
evidence before us, namely, that. there is a growing tendency
among practitioners to be more scrupulous to avoid giving offence
in the case of insurance patients than in the case of private
patients, since the former are, in a sense, protected by the
machinery under the Act for the investigation of complaints.
(Brock, Q. 1051.) We suggest, finally, that the only satis-
factory evidence available is that which expresses the views of
those who have seen the operation of medical benefit at close
quarters and who, having seen it in bulk, are unlikely to be
unduly influenced by any random deviation from the general
standard such as is apt to sway the judgment of those less
intimately informed on these matters. Of such a character are
the views we have already quoted.