MAJORITY REPORT.
Ad
by. time at so much per session. The latter method 1s difficult
of application, except where a clinic is established. The former
is difficult to administer economically unless estimates are sub-
mitted in advance and some system of inspection and supervision
is provided.
GENERAL (CONCLUSIONS.
361. Reviewing all these considerations, we come to the con-
clusion that no change should be recommended at present in the
main provisions for dental treatment. A complete dental service
would be eminently desirable. But it would cost about £4%
millions a year, or 13d. on the contribution. A partial service
has, as we have indicated, many defects and difficulties, medical
as well as administrative. Any reasonable partial service would
cost about £21 millions a year. Kven this smaller sum is not
available within the present financial limits after provision has been
made for those two extensions of benefit already described, which
we think should rank higher in order of priority. Quite apart
from financial considerations, there are indeed grounds on which it
might be suggested that delay in this matter may not be wholly
disadvantageous. ~~ The benefit, administered as an additional
benefit, is still in an experimental stage, and much may yet be
learned from further experience of its operation in its present
form. On such questions as those of the cost involved, the
reaction of dental treatment on health, possible methods of
organisation and control, there is room for greater and more
accurate knowledge than we possess at present; and it might
reasonably be held that, in a matter of such great moment, we
shall have a better prospect of building securely in the future, if
meanwhile we are content to wait until a somewhat fuller experi-
ence has been gained. In the varied system of provision of
dental services as an additional benefit by numerous Approved
Societies a useful arena for such experiment is given. Under
these schemes 3,485 Societies and Branches in England, with a
membership of about 10,700,000 insured persons, provide some
form of dental treatment, and this number will certainly be
increased when all the schemes under the second valuation be-
come operative. In refraining from recommending dental treat-
ment as a normal benefit, we are by no means leaving the insured
persons without any provision at the cost of the insurance funds
for the care of their teeth. Moreover, we consider that it is not
irrelevant to the question before us to observe that the Dental
Profession, consequent on the passing of the Dentists Act, 1821,
is at present in a state of transition, and it might accordingly
be suggested on various grounds that the present is an inoppor-
tune moment to inaugurate a comprehensive scheme of dental
benefit administered universally as a normal benefit under
arrangements made by the Central Department on lines similar
to those which govern medical benefit.