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

MAJORITY REPORT. 
(1) Fee to midwife ... 
(2) Fees to doctor for ante-natal and post- 
natal examinations (5s. each) ... bo, 
(3) Fee to the doctor to cover risk of personal 
attendance at confinement  ... 
(4) Cash benefit 
130 
5. 0 
1.0 40 
LBD 
And in the case of uninsured women only : 
(5) Payment to doctor to cover other medical 
attendance during the ante-natal 
period, already provided for insured 
women as part of medical benefit ... 
The total charge on this basis would be £3 15s. 6d. in the most 
common case in which the husband was working but the wife 
was not. Where, however, the mother was herself an insured 
Person a portion of the liability would be covered by the existing 
medical benefit and the corresponding charge would be £3 5s. 
If both husband and wife were insured persons one set only of 
medical charges would arise, but a further 20s. would 
be appropriate as a cash payment in respect of the 
wife’s own insurance and the total charge would thus 
be £4 5s. In this case also questions arise as to the appor- 
tionment of the charge between the husband’s Society and the 
wife's Society. The adoption of this scheme would involve the 
abolition of the present incongruous arrangement under which 
In the case where the husband of an insured married woman is 
Not himself an insured person her Society is required to pay to 
her a double maternity benefit. 
342. We referred to the Actuarial Committee the question 
of the cost which would be involved in replacing the present 
Maternity benefit by a provision on the lines indicated above 
and the matter is dealt with in the Third Report of the Com- 
Mittee which is printed in Appendix A to our Report. 
It will be seen that on the assumptions set out in the Report, 
the additional cost would be such as to impose a charge of 44d. 
Per week on the contribution payable in respect of men, while 
reducing the charge on women’s contributions by ‘11d. per week. 
If, therefore, the provision were limited in accordance with the 
Proposals outlined above and further explained in the Report 
of the Actuarial Committee, and if this provision were made, 
the next charge on the margin in the present weekly contribu- 
tion after meeting the balance of the cost of the present medical 
benefit, it would be possible to defray it out of the present 
Yesources of National Health Instrance. 
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