Full text: Report of the Royal Commission on National Health Insurance

MAJORITY REPORT. 
—— 
Section is likely to be on valuation, but it is possible that by 
reason of these exceptional revenues a surplus might be shown. 
In that event we consider that in so far as such surplus is 
attributable to the additional sources of revenue to which we 
have just referred, it should be paid into the Central Fund. 
415. So far as the members of the Individual Account Section 
are concerned, it would be desirable that the Department should 
continue the efforts to induce these members to transfer to 
Societies. 
416. It may be suggested that some Societies would object to 
this system as instituting competition by a State Society. We 
do not, however, think that such objections could be seriously 
sustained if the arrangements took the restricted form we have 
outlined. Further, we may recall that the witnesses representing 
the Prudential Approved Societies which contain about 3,200,000 
members stated in evidence that they had no objection 
to a State Society. In any case the reply to Societies 
is clear. If they are willing to admit any particular deposit 
contributor the problem is solved. The member would be so 
admitted or would be transferred from the Insurance Section to 
the Individual Account Section of the Fund. 
417. We understand that there is interest accumulated by the 
Fund since 1912 amounting to about £400,000 and that there 
18 no statutory authority for the disposal of this sum. We think 
that in any amendment of the Act authority should be given for 
Passing the accumulation up to the date of the institution of the 
New system which we propose, to the Reserve Suspense Fund, 
Where it would be available for the redemption of reserve values. 
SECTION F.—THE INSURANCE PRACTITIONERS’ 
CONTRACT. 
. 418. Among the important problems of the Insurance Scheme 
18 the administrative relationship of the medical profession to the 
Central Department and to the Insurance Committees. Two 
Important elements in this appear to call for discussion here— 
the method and scale of remuneration of the insurance 
Practitioners and the procedure under which complaints against 
them are determined. As to the first, there has not been 
Much evidence in criticism of the present rate of remunera- 
tion though alternatives to the capitation method of payment 
have been suggested. As to the second, we have received 
'epresentations from the medical bodies to the effect that the 
Regulations press rather harshly on the defendants in such cases. 
419. No one is likely to under-estimate the importance of these 
two questions when it is remembered that 15,000 doctors and 
15 million insured persons are involved. The success or failure 
er 
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