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 Maternity Benefit under the National Insurance Act, though a
valuable evidence of the interest of the State in maternity, has
not provided a sufficient remedy. It was an unconditional benefit
limited to insured women or the wives of insured men, and there
was no guarantee that the money allotted would be utilized in
supplying the medical, midwifery, or nursing assistance needed by
the patient, or in relieving her from domestic duties which she is
unfit to perform. It was furthermore, inadequate for these purposes.
We should not think of handing over to each individual householder
an annual sum of money, advising him to expend it on a supply of
books or in the education of his children. It is more economical
and more effective to provide free libraries and public elementary
schools without payment of fees. Is not similar action important in
connection with child-bearing, on which the continuity of family life
and civilization depends? That this is so is recognized in the steps
towards the desired end taken in recent years by the Local Government
Board jointly with local authorities. Let me enumerate some of these.
The Central Authority have undertaken to pay one-half of approved
expenditure incurred locally on the following agencies:
(_a_) The salaries and expenses of inspectors of midwives;
(_b_) The salaries and expenses of health visitors and nurses engaged
in maternity and child welfare work;
(_c_) The provision of a midwife for necessitous women in confinement
and for areas which are insufficiently supplied with this service;
(_d_) The provision, for necessitous women, of a doctor for illness
connected with pregnancy and for aid during the period of confinement
for mother and child;
(_e_) The expenses of a Centre, i.e., an institution providing any or
all of the following activities: Medical supervision and service for
expectant and nursing mothers, and for children under five years of
age, and medical treatment at the Centre for cases needing it;
(_f_) Arrangements for instruction in the general hygiene of
maternity and childhood;
(_g_) Hospital treatment provided or contracted for by local
authorities for complicated cases of confinement or complications
arising after parturition, or for cases in which a woman to be
confined suffers from illness or deformity, or for cases of women
who, in the opinion of the Medical Officer of Health cannot with
safety be confined in their homes or such other provision for
securing proper conditions for the confinement of necessitous women
as may be approved by the Medical Officer of Health;
(_h_) Hospital treatment provided or contracted for by local
authorities for children under five years of age found to need
in-patient treatment;
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