MAJORITY REPORT. 
CHAPTER IV. 
THE RELATED SCHEMES OF SOCIAL WELFARE. 
GENERAL NATURE OF THE HVIDENCE. 
29. In the very brief summary contained in Chapter IT we 
have described the Health Insurance Scheme viewed as a seif- 
contained system, and have intentionally refrained from looking 
beyond its borders. Our reference, however, permits and, indeed, 
requires us to examine the relationship in which the Scheme 
stands to those other activities of the State which are concerned 
with the promotion of the health of the nation. We take the 
view that any element of those other schemes which reacts in 
a substantial way upon the working of the system of Health 
Insurance appropriately comes within our purview. 
30. Accordingly we have received and considered evidence 
relating to the various Public Health services as exemplified 
in the schemes of Maternity and Child Welfare, the arrange- 
ments for dealing with infectious diseases, tuberculosis, and 
venereal diseases, and the work of the Port Sanitary Authorities. 
All these services have a very direct bearing on National Health 
Insurance inasmuch as, by removing conditions prejudicial to 
the health of the community, or by the provision of remedial 
measures, they tend to diminish the volume of sickness and so 
to reduce expenditure on sickness and disablement benefits. 
We have also taken notice of the problems of the Poor Law 
medical service in its relation to medical benefit, and have con- 
sidered the extent to which the cash payments provided as 
sickness and disablement benefit require to be supplemented by 
the grant of relief under the Poor Liaw. We have, further, heard 
evidence as to the system of medical inspection in factories, which 
is administered by the Home Office ; and of medical inspection 
and treatment in schools, which is supervised by the Board of 
Fducation. To a less extent we have considered the Unemploy- 
ment Insurance Scheme. The main features of that scheme 
are, of course, outside our reference. But the problems created 
by the inequality in the rates of cash benefits under the Health 
and Unemployment Insurance Schemes and the possibility of 
devising measures to secure from the Employment Exchanges 
certification of genuine unemployment as evidence for the excusal 
of arrears under the Health Insurance Scheme, have to a limited 
extent brought the Unemployment Insurance system under our 
review. 
31. The Ministry of Health have submitted to us (in App. 
CIV) a statement as to the services concerned with the public 
health, maternity and child welfare, infectious diseases, tuber- 
culosis. venereal diseases, port sanitation and medical relief and