Public health and insurance: American addressesNewsholme, Arthur, Sir
History
Public health and insurance: American addresses
Newsholme, Arthur, Sir
Health insurance -- Great Britain; Public health; Public health -- Great Britain
A compromise between these two schemes has recently been arranged,
and when the new Ministry of Health, which will combine public
health, poor-law, insurance, and educational medical work in one
department, has found time to do urgently needed work, the above
indicated reform may be hoped for, along with the even more
urgently needed reform of local public health administration, and
the abolition of a large number of the smaller and less efficient
sanitary authorities. With these reforms will come much needed
de-centralization of poor-law work. Good work in all respects cannot
be secured if the Central Authority concerns itself, as at present,
in minutiae of local administration, and has no time to devote itself
to the larger problems, and to the task of bringing indifferent,
chiefly smaller authorities, up to the standard of efficient local
authorities. A large portion of the expense of local poor-law
administration is borne by the central exchequer, and this money if
properly applied will give the necessary leverage for reform, while
leaving progressive Authorities, and especially the Authorities of
large towns, free to experiment and advance.
_Reform in Industry_
The industrial revolution meant the subjection of large masses of
working class families to evil conditions of housing and work in
crowded and insanitary dwellings and factories. The public conscience
first rebelled in regard to boarded out and apprentised pauper
children; and the first Factory Act in 1802 concerned itself with
them; and with this Act emerged the germ of machinery for securing
compliance with the law, magistrates and clergymen being appointed as
inspectors under the Act.
The Act was largely futile; but it meant the beginning of the gradual
breaking down of _laissez faire_ doctrines; and there followed a
more widely operative Factory Act in 1833, restricting hours of
labor of children, and initiating professional inspectors controlled
and paid by the Government. In 1842 the underground employment of
women in mines was forbidden; and at intervals since then numerous
factory and allied acts have been passed, restricting the duration
and conditions of work of women and children, improving rules as to
sanitation, insuring systematic inspection by government inspectors,
and constituting a far reaching system of supervision and control.
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