299
MAJORITY REPORT.
to Questions 23,648-23,650 and 23,666-23,681, from which we
quote the following :—
““ Although exempt persons are a small class and require
special administrative arrangements, I think the abolition
of the class would hardly be justifiable. Exemption is
useful for many persons who, although employed within the
meaning of the Act, are not regularly employed, or are
already provided for in case of sickness, and it thus provides
a certain elasticity in a compulsory scheme. The obligation
of employers to contribute for such persons should also be
maintained. Although in practice there might not be much
risk of discrimination in favour of employing exempt
persons if no contributions were payable, there might be a
tendency in some cases in this direction, and it is a sound
principle that the employer should have to pay his quota
to the funds according to the labour which he employs,
without regard to the individual circumstances of the
employees. . . . I am inclined to think that as these
persons have been entitled to medical benefit for some years,
and the statistics go to show that the great majority of them
do take advantage of the medical benefit which is provided
for them, to deprive these persons of the benefit which they
have enjoyed for so many years would be rather a retrogade
step, and, on the whole, I think employers would agree that,
as they are required to pay contributions, it is only right
that those contributions should be applied in the interests
of the health of their employees. o
531. The Federation Committee of the English, Scottish and
Welsh Associations of Insurance Committees (App. XXXVI,
170-173) and the British Medical Association (App. XIL/VIIL, 15
(b); Q. 14,891-14,893 and 14,923) think that the right to medical
benefit should be withdrawn ; while the Scottish Association of
Insurance Committees (App. XXXVII, 76 and 93) suggest that
the contributions paid in respect of exempt persons should be paid
to the General Purposes Funds of Insurance Committees. The
Standing Committee of Scottish Insured Women urge the
abolition of the class, and suggest that if it is retained the title
to medical benefit should be withdrawn and the contributions
paid into the Central Fund for the benefit of the members of all
Societies (App. XLVI, 12; Q. 14.,530-14,531).
539. After full consideration of the subject we are of opinion
that the class should be retained with the present arrangements.
Tt provides in many cases a useful niche for that class of persons
who will probably be subject to compulsory insurance only for
a short period and who do not in that period desire to become
members of Approved Societies. These persons are not in need
of the cash benefits; but the medical benefit gives them some-
thing which is valuable and which they appear to appreciate.