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
The preceding considerations bear on the perennial problem of
efficient government, local and central. There are three functions
to be performed in government, legislation, determination of
administrative policy and extent of work, and the actual executive
work. In England, legislation is in the hands of Parliament and is
usually national in scope. Large cities, however, not infrequently
obtain special legislative power to meet local needs; and by this
means have succeeded in advancing local efficiency above the average
standard. Local authorities, furthermore, have the power to make
regulations and by-laws for special purposes, subject to the approval
of the Central Authority.
In settling the details of local administration, the elected
representatives of the public are supreme. They meet in Council, and
action is taken on a majority vote. The councils of counties and
cities, and even of smaller municipal boroughs divide themselves into
committees, each consisting of about a dozen members, elected by vote
of the whole Council. The chairman or mayor of the Council has no
special power, except that he may give a casting vote.
The chief defect in local sanitary administration in England is
the continued existence of a large number of small and relatively
inefficient local authorities. The larger authorities, as a rule,
do their work well, and politics enter but little into elections.
Official posts are not vacated with changing councils. These councils
are approximating to the ideal of a complete local Parliament dealing
with all governmental concerns, and to the further ideal that each
unit of government should be large enough to minimize the influence
of local interested motives, and to undertake each department of
municipal work on a considerable scale. The local Parliament has
committees concerned with police, finance, public health, education;
and when the urgently needed poor-law reforms are made, and when the
Education Committee hands over its medical work to the Public Health
Committee, the ideal will become a fact.
Power is already given to coopt on to some of these committees a few
persons who are not members of the Council, from among men or women
having special knowledge of the Committee’s work; and the exercise of
this power has been found to be useful.
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