230
MAJORITY REPORT.
“ Tn the early days of the insurance medical service there may
have been some reason for separate arrangements, but in view
of the modifications since made to meet the needs of temporary
residents and travellers, and the development of the collective
responsibility of insurance practitioners to provide treatment
(including emergency treatment), the initial reasons no longer
exist for the exceptional arrangements for members of this
Society which do not extend to persons in the mercantile marine
who join other Approved Societies.’ (App. XXXVI, 168.) We
also questioned the representatives of the Ministry of Health on
the subject, and the following reply indicates the views of the
Ministry :—** Since medical benefit was first instituted, the
arrangements for the treatment of temporary residents and the
recognition of the right of any insured person to treatment
whether on the list of a doctor or not, make it, in our view,
unnecessary to continue the exceptional treatment of the Sea-
men’s National Tnsurance Society. A large number of foreign-
going seamen are members of other Societies, and, as far as I
know, there is no evidence that these persons experience any
difficulty in obtaining whatever treatment they need under the
ordinary provisions of the Act.” (Brock, Q. 23,995.)
559. We are satisfied that whatever may have been the position
at the inception of the Scheme there is no longer any necessity
for special arrangements for the medical benefit of members of
the Seamen’s National Insurance Society and we, therefore,
recommend that these arrangements be discontinued and that
members of the Society should in future receive their medical
benefit under the normal arrangements.
553. Tt was urged upon us by the Seamen's National Insurance
Society (App. XXXI, 43) and the National Sailors’ and Firemen’s
Union (App. XLITI, 96) that an increased rate of administration
allowance should be made to Approved Societies in respect of
members serving as foreign-going seamen. We do not consider
that any such claim should be allowed, as it would open the door
to similar claims in respect of other classes of insured persons.
Tn any case the position would probably be met by the adoption
of the revised svstem of collecting contributions which we have
suggested.
Tar T.AscAR FUND.
554. Tt may be convenient to deal here with certain suggestions
which were made to us by Sir Norman Hill when giving evidence
on behalf of the Special Fund for Seamen, commonly called the
T.ascar Fund (App. XXXII; Q. 12,178-216). This is a Fund
derived from the contributions payable by shipowners in
respect oflseamen having no domicile in the United Kingdom,
and the fund is used for providing pensions to men between 65
and 70 years of age who have had long sea service. These pen-
sions are at present restricted to members of Approved Societies,