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
(2) The sanatorium benefit was intended to secure for the insured
person special treatment for tuberculosis, while capital sums were
provided for the erection of sanatoria and hospitals for consumptives
for insured and non-insured alike. Fortunately during the passage of
the bill, the provision of these institutions for insured persons was
delegated to public health authorities; and as it was already within
the power of these authorities to provide such institutions and
tuberculosis clinics for the entire population, and as the infection
of tuberculosis is no respecter of parliamentary distinctions
between insured and non-insured, there was little difficulty in
persuading the government to promise half the total approved local
expenditure on the treatment of tuberculosis in institutions,
whether this was given to insured or non-insured persons. Indeed
when local authorities were willing to undertake their share in
a complete scheme for the treatment of tuberculosis an insured
consumptive person might be regarded even as paying fractionally for
his treatment while a non-insured person received such treatment
gratuitously.
(3) The maternity benefit, conferring thirty shillings on the wife
of an insured person, and an additional thirty shillings if she also
is an employed person within the meaning of the act, on the birth of
her infant, was perhaps the most popular benefit under the act. The
money was given unconditionally, and thus an opportunity was lost
of insuring that the benefit should improve maternal and infantile
prospects.
Collaterally public health authorities, central and local, were
beginning to organize medical and nursing assistance during
pregnancy, in confinement and afterwards for the mother, and similar
assistance on a large scale for infants and children under five
years of age. And there will, I think, be no hesitation in agreeing
that the _supply of service_ at this critical period of the mother’s
and infant’s life, so as to insure the most satisfactory recovery
of parent and the best start in infantile life, is infinitely more
important than a money grant.
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