fullscreen: Report of the Royal Commission on National Health Insurance

1. 
“2Q 
MAJORITY REPORT. 
CHAPTER XI. 
PROPOSAL: FOR DEPENDANTS’ ALLOWANCES. 
300. We now have to consider certain other proposals of a 
major nature which have been placed before us. We find two 
which in our opinion are close rivals for the second place in the 
order of priority in which such funds as may be available should 
be applied. These are an increase in the scales of sickness and 
disablement benefits, and a maternity benefit enlarged to include 
all necessary medical services. We have examined closely 
the evidence relating to these questions and have received esti- 
mates of cost from the Ministry of Health and the Actuarial 
Committee. The maternity question is dealt with in the next 
chapter. For reasons which will appear later we have decided 
to give priority in our recommendations to an extension of the 
cash benefits available in sickness and disablement. It is 
appropriate to remark here that the estimated cost of the pro- 
posal we make in this regard is practically the total sum which 
the margin in the present contribution makes available. Thus, 
if this proposal is adopted and the cost of extended medical benefit 
is met by the scheme of pooling of surpluses described in Chapter 
TX, no further extensions or modifications involving substantial 
expenditure can be proposed as immediately practicable within the 
financial limits we have set. 
FVIDENCE AS TO THE RATES OF CASH BENEFIT 
301. The evidence as to the sufficiency of the rates of sickness 
and disablement benefits has been of a varied character. This 
was almost inevitable in a system where sickness benefit means 
15s. in some Societies, 20s. in others, and various intermediate 
figures elsewhere; where, too, some Approved Societies provide 
substantial benefits on the basis of voluntary insurance and lay 
great stress on the maintenance of this side of their work, while 
others confine themselves to the State scheme and look to its ex- 
pansion for greater support of their members in time of sickness. 
Thus, on the one hand, the Manchester Unity of Oddfellows, 
though they do not suggest that the existing rates of benefit 
are adequate for the maintenance of a married man and his 
family, contend (App. VII, 67) that * the statutory rates of sick- 
ness and disablement benefit laid down in the Act should not be 
increased,” and in reply to questions which we put to them 
admitted quite frankly that their recommendation was based on 
the apprehension that any increase in the normal rates of benefit 
under the Act would be likely *“ to have a very detrimental effect 
upon the voluntary thrift movement. ” (Q. 5921-5938). Similarly, 
the Independent Order of Rechabites state that they ‘‘ are not
	        
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