MAJORITY REPORT.
25
AR
DEVELOPMENT OF THE HEALTH SERVICES.
(7) That the various Medical Services organised by the State
will continue to expand both in their scope and in the range of
persons to whom they apply. (paras. 55-56, 115.)
(8) That these services should be maintained in close rela-
tionship with each other, both at the centre and in their local
administration. (para. 123.)
(9) That in considering any changes or developments in the
Insurance Medical Service regard should always be had to the
importance of the fullest possible co-ordination with other
health services. (paras. 115, 120.)
MEDICAL AND TREATMENT BENEFITS.
(10) That medical benefit has been a valued and successful
element in the Scheme of National Health Insurance. (para. 74.)
(11) That while it has been inevitable hitherto that medical
benefit should be confined to a general practitioner service, this
limitation has detracted from the value of the benefit and its
removal is urgently desirable. (para. 261.)
(12) That the additional benefits of a treatment character
have been, on the whole, successful and appreciated, though in
varying degrees, but that they suffer from the following defects
inherent in the conditions under which they are provided :—
(a) They are only available for those insured persons who
are members of Societies having surpluses at valuation, and
only for those members who fulfil certain qualifying con-
ditions, and that consequently large classes of insured
persons are debarred from participating in these valuable
services.
(b) Even among the Societies giving a particular type of
treatment benefit there is no uniformity in the content of
the benefit, with the result that there is widespread con-
fusion in the minds of the insured persons as to what
precisely their rights are.
(¢) The arrangements made between Societies and pro-
fessional bodies are wanting in authority and uniformity,
and in some cases are accompanied bv undesirable conditions
(para. 81.)
MATERNITY BENEFIT.
(18) That it is desirable that, as soon as funds are available,
the scope of maternity benefit should be expanded to cove:
medical and midwifery services in addition to a cash payment;
that the service element should then be administered by the local
Health Authorities and be co-ordinated with the other local
medical services: and that a cash element should be retained