Public health and insurance: American addressesNewsholme, Arthur, Sir
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Public health and insurance: American addresses
Newsholme, Arthur, Sir
Health insurance -- Great Britain; Public health; Public health -- Great Britain
Of the other medical benefit, i.e., the Sanatorium benefit and of
the Maternity benefit, I can say only a few words here. The former
gives the insured patient little more than in the more enlightened
sanitary districts is being provided, independently of insurance, by
Public Health Authorities. It would have been practicable to make
it obligatory on all Public Health Authorities to provide adequate
treatment for all consumptive patients. They are already authorized
to do this under Public Health Acts, and the duty could have been,
and can still be made, obligatory by regulation. And in that case
the connection of the Sanatorium Benefit with the National (Health)
Insurance Act would happily cease, and one great obstacle to a really
national organization against tuberculosis would disappear.
The Maternity Benefit provides a money payment for each insured
woman and for the wife of each insured man on the birth of a
child. The money payment is made through the Insurance Societies
unconditionally, instead of being made a means of securing that
the birth takes place under circumstances favourable to mother and
infant. During recent years public health authorities (aided by
grants from the Government of one half of the total approved local
expenditure) have been making medical and nursing provision for the
care of women in pregnancy, in parturition, and during the nursing
period, on a rapidly increasing scale, the grants including not only
skilled assistance but also domestic aid (home helps) in suitable
cases. There can be no question that increased provision in these
directions will have a more generally beneficial influence than money
payments, and should at least supplement the latter.
To sum up, if the national English system of insurance is to
continue, it ought in my view to be shorn of its medical functions
and to be limited to money payments during sickness, in return for
the weekly contribution made by employees and employers. If it be
thought inadvisable to limit the State’s contribution, as in Germany,
to what is spent in administration, then in equity the present system
of insurance cannot continue to be limited to those now participating
in it.
I hold strongly that the State should embark on a much larger scale
than at present on
_The State Treatment of Disease_
Public-domain text, read in full here on John Shaqi.
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