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MAJORITY REPORT.
that every Society would have complete control over its own
funds, and that any advantage arising out of a favourable valua-
tion of those funds would be confined to the members of the
Society. - (See National Conference of Friendly Societies,
Q. 5358; Joint Committee of Approved Societies, Q. 8298;
Prudential Approved Societies, Q. 9684; National Council of
Agriculture, Q. 21,075.) In opposition to this view the extremists
of the other school of thought maintain that in a national system
of insurance, which derives its funds from contributions compul-
sorily payable by the insured and their employers, there should
be uniform benefits for all. We propose to deal at some length
with each of these contentions.
249. In the pursuit of our task of reviewing the whole Scheme
of National Health Insurance and considering what changes are
desirable with a view to making the Scheme of the greatest
possible benefit to the insured community, we cannot take the
view that we abe limited by the necessity of adhering to any
particular principles on which the Scheme was originally set
up, or by any statements which were made at the time of the
inception of the Scheme in explanation or in defence of the
provisions contained in the original Bill. On the contrary, we
hold that the National Health Insurance Scheme was in the
nature of a great and novel experiment in the field of social
welfare, and that it must now be open to Parliament, untram-
melled and unfettered, to review the whole Scheme in the light
of 13 years’ experience of its working and to make such changes,
however drastic, as that experience may have shown to be
desirable.
250. As regards the other school of thought, that, namely,
which holds that in a national scheme of compulsory insurance,
with uniform contributions, benefits should be payable to all on
a uniform basis, we think, in the first place, that this would
be incompatible with administration through Approved Societies,
whether such Societies were organised as at present or on some
other basis, e.g., territorial or occupational. In any sound
system of insurance finance it is obvious that the power to admit
claims on the fund cannot be bestowed where there is no respon-
sibility for the solvency of that fund. A uniform rate of benefit
to all insured persons implies a single fund, and it would be
administratively and financially indefensible to contemplate such
a fund being operated upon by independent bodies freed from
the responsibility for the consequences of their actions. Several
witnesses who advocated the equalisation of benefits put forward
as an argument that without it the Scheme could not properly be
described as ‘* national.”” The word ‘‘ national ’ is, perhaps, one
to be avoided where precision of thought is desired, as the mean-
ing attached to it is not itself precise. The mere fact that the Act
of 1911 was entitled the ‘° National Insurance Act ’’ does not,