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

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MAJORITY REPORT. 
the ages of 16 and 70 who are employed under a contract of 
service or apprenticeship. Part IT of the same Schedule sets out 
the classes of employment which are excepted from insurance, 
of which the chief are :— 
(1) Employment under the Crown or any Local Authority, 
or as a salaried official of a railway or otner statutory com- 
pany, provided in each case that the terms of service make 
provision during sickness at least as favourable as that made 
under the Act; and 
(2) Employment of a non-manual character at a rate of 
remuneration exceeding £250 a vear. 
453. We were informed in evidence given on behalf of the 
Ministry of Health that there has been no serious demand for 
any extension of the classes who are required to be insured 
(Kinnear, Q. 28). "We received, however, from other witnesses 
suggestions for the inclusion of boys and girls in em- 
ployment below the present age limit of 16, and of those 
persons remaining in employment beyond the present higher 
age limit for insurance; and further, for the extension 
of the income limit for the insurance of non-manual 
workers from the present figure of £250 to £350 a year. The 
British Medical Association, on the other hand, put before us 
suggestions for a lower income limit, e.g., £150 a year, to be 
applicable to manual as well as non-manual workers as part of 
a larger proposal for the exclusion from medical benefit of persons 
who (in the view of the Association) might reasonably be expected 
to make provision for themselves, and the inclusion of persons 
(particularly the dependants of insured persons) for whom medical 
treatment might properly be provided through a State scheme 
of insurance. On the general aspects of this proposal we have 
already commented in previous Chapters. 
454. From the inception of the Scheme of National Health 
Insurance the age limits for the payment of contributions and 
title to sickness and disablement benefits have been 16 and 70. 
We have had little evidence in support of any change of 
these limits. The Scottish Miners’ Federation suggested that 
logically boys and girls ought to come under the Health Insur- 
ance Scheme as soon as they begin to be employed, which is in 
many cases before they attain the age of 16 (Q. 6948-6949). 
The Tancashire and Cheshire Miners’ Permanent Approved 
Society also were of opinion that it was desirable that insurance 
should begin with the commencement of employment, and gave 
as their chief argument in support of this view the undesirability 
of there being any gap in the provision for medical supervision 
of the health of boys and girls between the cessation of the pro- 
vision made under the School Medical Service and the beginning 
of that under the National Health Insurance Scheme when they 
reach the age of 16. (App. XI, 4; Q. 7060-7064, 7093-7096, 7116-
	        
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