MAJORITY REPORT.
Jor
Section A of Appendix I, to our Minutes of Evidence and it is
not, therefore, necessary to enter into any detail here on the
subject. The absence of a contribution in respect of any par-
ticular week in the case of an employed contributor may be due
to any of the following causes :—
(1) absence from work owing to sickness;
(2) absence from work owing to genuine inability to.
obtain employment ;
(3) voluntary abstention from work ;
© the taking up of some non-insurable occupation.
Arrears due to the first of these causes do not involve any penalty
but in each of the other three cases, unless the arrears are
redeemed by payment of the appropriate sum within the time
allowed for the purpose, an insured person with arrears
exceeding four during the year 1s subject to a penalty
in the form of a reduction or suspension of the cash benefits.
The title to medical benefit is not now affected by arrears so long
as the insured person remains in insurance. Special temporary
arrangements have been made under the Prolongation of Insur-
ance Act and by related provision in the Arrears Regulations to
mitigate the consequences of arrears in the case of insured persons
who have had prolonged periods of unemployment during the
present trade depression.
654. It has been represented to us in evidence that it is illogical
that penalties in the form of a reduction or suspension of health
insurance benefits should be imposed on insured persons who have
been so unfortunate as to suffer from genuine unemployment,
particularly having regard to the fact that under the Unemploy-
ment Insurance Scheme contributions are compulsorily payable
against the contingency of unemployment and benefit is paid
when that contingency arises. These schemes are alike
authorised and enforced by the State; yet the circumstance which
establishes the insured person’s title to benefit under one scheme
involves a penalty under the other. We are impressed by the
force of these arguments, and we think that a fundamental dis-
tinction should be recognised between arrears arising from genuine
inability to obtain work and those arising from voluntary absten-
tion from work, or from employment in some non-insurable
occupation. ~~ While arrears due to the last two causes must
necessarily and properly involve the imposition of penalties, we
do not consider that any penalty should be imposed in respect of
the non-payment of a Health Insurance contribution for a week
during which an insured person was genuinely seeking for work
but unable to obtain it. We have received evidence from the
Ministry of Labour on the subject (App. CII; Q. 25 290-
23,395), and we anderstand that the Ministry are pre-
pared to accept the general principle which we have set out
above, but at the same time think it necessary to point out
the difficulties of devising any satisfactory machinery for proving