the national insurance bill

1
1397 THE NATIONAL INSURANCE BILL. MR. LLOYD GEORGE’S INTENTIONS. As we are going to press we have received personal assurances from the Chancellor of the Exchequer as to his intention with regard to the capitation payment to medical men under the insurance scheme. Mr. Lloyd George has provided a sum of £4,200,000 for the provision of medical attendance including drugs, dressings, and appliances used in domiciliary treatment. The calcula- tion is that this will permit the average payment of a capitation fee estimated at 6s. per head for each person insured for medical attendance and the drugs, dressings, and appliances used in domiciliary treatment. The amount will be increased on the advice of the Central Insurance Office in districts where the Insurance Com- missioners are advised that sickness is excessive. In addi- tion he has made arrangements to provide a sum of f.l,OOO,OpO annually for the maintenance of sanatoriums, and in that way removes from the scope of domiciliary treatment a considerable proportion of phthisical patients who would otherwise make serious calls upon the sum available for domiciliary medical attendance and provision of drugs. He has also provided an annual sum of £1,500,000 for maternity benefit, and out of this it is roughly estimated that one- third will be paid to members of the medical profession. The Chancellor of the Exchequer recognises the desira- bility of allowing some system of choice of medical men in the case of new participants in the scheme, and looks favourably upon the institution of a wide panel of local medical men willing to serve. The Central Insurance Office, in giving its approval to arrangements proposed to be made by any approved society or health committee with medical men, and in other matters, will act on the advice of the Advisory Committee to be set up under the Bill; and the Chancellor of the Exchequer recognises that on the Advisory Committee the representation of the medical profession must be adequate ; or, as an alternative, that a special Medical Advisory Committee should be constituted. BOOKS, ETC., RECEIVED. ComnsH, J. E., LIMITED, 16, St. Ann’s-square, Manchester. Talks with Sanatorium Patients. By Gilbert Heatheote, Medical Officer, Crossley Sanatorium. Price ls. 6d. net. FISOHER, GUSTAV, Jena. Lehrbuch der Kinderheilkunde. Herausgegeben von Professor Dr. E. Feer, Direktor der Univ. Kinderklinik in Heidelberg. Price, paper, M.11.50 ; bound, M.12.50. Die Hodgkinsche Krankheit. Von Dr. Kurt Ziegler, Privatdozent in Breslau. Price M.9. Vergiftungen durch Tiere und animalische Stoffe. Ein Grundriss der zoologischen Toxikologie fiir praktische Aerzte un Natur- wissenschaftler. Von Friedrich Kanngiesser, Dr. med. et phil., Docent an der Universitat Neuchatel. Price M.l. HIRSCHWALD, AUGUST, Berlin. Veroffentlichungen aus dem Gebiete des Militar-Sanitatswesens. Herausgegeben von der Medizinal-Abteilung des Königlich Preussischen Kriegsministeriums. Heft 48. Beiträge zur Lehre von der sog. " Weilschen Krankheit." Klinische und atiologische Studien an der Hand einer Epidemie in dem Standorte Hildesheim wahrend des Sommers, 1910. Von Generalarzt Dr. Hecker und Stabsarzt Professor Dr. Otto. Price M.8. Heft 47. Das Königliche Hauptsanitätsdepot in Berlin. Price M.2. Heft 48. Ueber ein Eiweisareagena zur Harnprufuug fiir das Untersuchungsbesteck der Sanitiitsoffiziere. Vortrage und Berichte aus der Sitzung des Wissenschaftlichen Senats beidei Kaiser Wilhe lms-Akademie fiir das militärärztliche Bildungswesen am 6 Mai. 1909. Zusammengestellt in der Medizinal-Abteilung des Königlich Preussischen Kriegsministeriums. Price M1.60. LOMMANS, GREEN, AND Co. London, New York, Bombay, and Calcutta. Treatment of Neurasthenia by Teaching of Brain Control. By Dr. Roger Vittoz. Translated by H. B. Brooke. Price 3s. 6d. net. Appointments. Successjul applicants for Vacancies, Secretaries of Public Institutions, and others possessing information suitable for this column, are i,n.-vited to forward to THE LANCET Office, directed to the Sub- Editor, not later than 9 o’clock on the Thursday morning of each week, such information for gratuitous publication. COUTTS, D. K., F.R.C.S. Eng., M.B., B.S. Lond., has been appointed Honorary Assistant Surgeon to the Norfolk and Norwich Hospital. CURRIE, J. R., M.D. Glasg., D.P.H., has been appointed Medical Officer of Health of Fife. GIBSON, ALEXANDER G., M.D. Oxon., M.R.C.P. Lond., has been appointed Honorary Assistant Pathologist to the Radcliffe In- firmary, Oxford. HALLAM, PHILIP, M.B., Ch.B. Edin., has been appointed District Medical Officer by the Williton (Somerset) Board of Guardians. MALLESON, H. C., L.R.C.P. Lond., M.R.C.S., L.D.S.Eng., has been appointed Dental Surgeon to Christ’s Hospital (Bluecoat School), Horsham. MITCHELL. ALEXANDER JOHN, M.D., Ch.B. Glasg., has been appointed District Medical Officer by the Gloucester Board of Guardians. MOULD. G. T., M.R.C.S. Eng., L.R.C.P. Lond., has been appointed Assistant in the Refraction Department for School Children, Royal London Ophthalmic Hospital. PONTON. JOHN ALFRED WILLIAM, M.B., B.Ch., B.A.O. Dub., has been appointed Medical Officer of Health for the Ottery St. Mary (Devon) Urban District Council. SHEPHERD, THOMAS WILLIAM, L.R.C.S. Edin., L.S.A. Lond., has been appointed District Medical Officer by the Launceston (Cornwall) Board of Guardians. Vacancies. For further informalion regarding each vacancy reference should be made to the advertisement (see Index). BANBURY, HORTON INFIRMARY.-HouseSurgeon. Salary P,80 per annum, with board and residence. BARNSLEY, BECKETT HOSPITAL.-Second House Surgeon, unmarried. Salary £100 per annum and all found. BENENDEN, KENT, NATIONAL SANATORIUM.-Assistant Medical Officer.. unmarried. Salary £100 per annum, with board, lodging, and washing. BIRKENHEAD BOROUGH HOSPITAL.-Junior Resident House Surgeon. Salary B80 per annum, with board and washing. BooTLE BOROUGH HOSPITAL.-Honorary Physician. BRIGHTON, ROYAL SUSSEX COUNTY HOSPITAL.-Assistant Pathologist. Salary JB100 per annum, with board, residence, and laundry. BURY INFIRMARY.-Senior House Surgeon and Junior House Surgeon. Salary .B110 and E80 per annum respectively, with board, residence, and washing. CANTERBURY, KENT AND CANTERBURY HOSPITAL.-House Physician, unmarried. Salary ;E70 per annum, with board, lodging, and washing. CAPE TowN, SOUTH AFRICAN COLLEGE.-Professor of Physiology. Salary oE500 per annum. CHELTENHAM GENERAL HOSPITAL.-House Physician, unmarried. Salary jB80 per annum, with board, lodging, and washing. CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, Victoria Park, E.—Laryngologist. COVENTRY AND WARWICKSHIRE HOSPITAL.-Junior House Surgeon. Salary £80 per annum, with rooms, board, washing, and attendance. DEVONPORT, ROYAL ALBERT HOSPITAL.-Assistant House Surgeon for six months, unmarried. Salary at rate of £50 per annum, with board, apartments, and laundry. EALING, KING EDWARD MEMORIAL HOSPITAL.-Physician, Surgeon, Gynoecologist, and Laryngologiat. FINCHLEY, URBAN DISTRICT OF.-Medical Officer of Health and School Medical Officer. Salary B3SO per annum. HACKNEY UNION INFIRMARY, Homerton.-Second Assistant Medical Officer, unmarried. Salary R120 per annum, with rations, apart- ments, washing, and attendance. HAMPSHIRE COUNTY COUNCIL.-Assistant County Medical Officer of Health. Salary JB250 pet annum. HASTINGS, EAST SUSSEX HOSPITAL.-Assistant House Surgeon. Salary at rate of £50 per annum, with rooms, board, and washing. HELLINGLY, EAST SUSSEX COUNTY ASYLUM.-Locum Tenens Assistant Medical Officer for about four and a half months. Salary 4 guineas , a week, with board, lodging, washing. &c. INDIAN MEDICAL SERVICE, India Office, London.-Twelve Commissions in His Majesty’s Indian Medical Service. LANCASHIRE EDUCATION COMMITTEE.-School Medical Inspector. Salary .E250 per annum. t LEEDS HOSPITAL FOR WOMEN AND CHILDREN.-House Surgeon for six months. Salary at rate of .E50 per annum, with board. LEICESTER INFIRMARY.-Assistant House Physician for six months. i Salary at rate of JE60 per annum, with board, apartments, and . washing. . LIVERPOOL INFIRMARY FOR CHILDREN CLINICAL SCHOOL.-Resident House Physician. Salary at rate of C60 per annum, with board and lodging. i LONDON HOSPITAL, Whitechapel, E.-Medical Registiarship. Salary £100 t per annum. Also Surgical Registrarship. Salary oElOO per annum. r LONDON MISSIONARY SOCIETY.-Three Medical Men for Missionary t Service. ; MACCLESFIELD GENERAL INFIRMARY.-Senior House Surgeon. Salary ,E1OO per annum, with board and residence. 1 MANCHESTER, ST. MARY’S HOSPITALS FOR WOMEN AND CHILDREN.- Two House Surgeons. Salary at rate of £50 per annum, with board and residence. . MANCHESTER, HULME DISPENSARY. Dale-street, Stretford-road.-House Surgeon, unmarried. Saiary £150 per annum, with rooms.

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Page 1: THE NATIONAL INSURANCE BILL

1397

THE NATIONAL INSURANCE BILL.

MR. LLOYD GEORGE’S INTENTIONS.As we are going to press we have received personal

assurances from the Chancellor of the Exchequer as tohis intention with regard to the capitation payment to

medical men under the insurance scheme. Mr. LloydGeorge has provided a sum of £4,200,000 for the provisionof medical attendance including drugs, dressings, and

appliances used in domiciliary treatment. The calcula-tion is that this will permit the average payment of

a capitation fee estimated at 6s. per head for each

person insured for medical attendance and the drugs,dressings, and appliances used in domiciliary treatment.

The amount will be increased on the advice of the CentralInsurance Office in districts where the Insurance Com-

missioners are advised that sickness is excessive. In addi-

tion he has made arrangements to provide a sum of f.l,OOO,OpOannually for the maintenance of sanatoriums, and in thatway removes from the scope of domiciliary treatment aconsiderable proportion of phthisical patients who wouldotherwise make serious calls upon the sum available for

domiciliary medical attendance and provision of drugs. He

has also provided an annual sum of £1,500,000 for maternitybenefit, and out of this it is roughly estimated that one-third will be paid to members of the medical profession.The Chancellor of the Exchequer recognises the desira-

bility of allowing some system of choice of medical men inthe case of new participants in the scheme, and looks

favourably upon the institution of a wide panel of local

medical men willing to serve.The Central Insurance Office, in giving its approval to

arrangements proposed to be made by any approved society orhealth committee with medical men, and in other matters, willact on the advice of the Advisory Committee to be set up underthe Bill; and the Chancellor of the Exchequer recognisesthat on the Advisory Committee the representation of themedical profession must be adequate ; or, as an alternative,that a special Medical Advisory Committee should be

constituted.

BOOKS, ETC., RECEIVED.

ComnsH, J. E., LIMITED, 16, St. Ann’s-square, Manchester.Talks with Sanatorium Patients. By Gilbert Heatheote, Medical

Officer, Crossley Sanatorium. Price ls. 6d. net.

FISOHER, GUSTAV, Jena.Lehrbuch der Kinderheilkunde. Herausgegeben von Professor Dr.E. Feer, Direktor der Univ. Kinderklinik in Heidelberg. Price,paper, M.11.50 ; bound, M.12.50.

Die Hodgkinsche Krankheit. Von Dr. Kurt Ziegler, Privatdozentin Breslau. Price M.9.

Vergiftungen durch Tiere und animalische Stoffe. Ein Grundrissder zoologischen Toxikologie fiir praktische Aerzte un Natur-wissenschaftler. Von Friedrich Kanngiesser, Dr. med. et phil.,Docent an der Universitat Neuchatel. Price M.l.

HIRSCHWALD, AUGUST, Berlin.Veroffentlichungen aus dem Gebiete des Militar-Sanitatswesens.Herausgegeben von der Medizinal-Abteilung des KöniglichPreussischen Kriegsministeriums.

Heft 48. Beiträge zur Lehre von der sog. " Weilschen Krankheit."Klinische und atiologische Studien an der Hand einer Epidemiein dem Standorte Hildesheim wahrend des Sommers, 1910.Von Generalarzt Dr. Hecker und Stabsarzt Professor Dr. Otto.Price M.8.

Heft 47. Das Königliche Hauptsanitätsdepot in Berlin. Price M.2.Heft 48. Ueber ein Eiweisareagena zur Harnprufuug fiir dasUntersuchungsbesteck der Sanitiitsoffiziere. Vortrage undBerichte aus der Sitzung des Wissenschaftlichen Senats beideiKaiser Wilhe lms-Akademie fiir das militärärztliche Bildungswesenam 6 Mai. 1909. Zusammengestellt in der Medizinal-Abteilungdes Königlich Preussischen Kriegsministeriums. Price M1.60.

LOMMANS, GREEN, AND Co. London, New York, Bombay, andCalcutta.Treatment of Neurasthenia by Teaching of Brain Control. By Dr.Roger Vittoz. Translated by H. B. Brooke. Price 3s. 6d. net.

Appointments.Successjul applicants for Vacancies, Secretaries of Public Institutions,

and others possessing information suitable for this column, arei,n.-vited to forward to THE LANCET Office, directed to the Sub-Editor, not later than 9 o’clock on the Thursday morning of eachweek, such information for gratuitous publication.

COUTTS, D. K., F.R.C.S. Eng., M.B., B.S. Lond., has been appointedHonorary Assistant Surgeon to the Norfolk and Norwich Hospital.

CURRIE, J. R., M.D. Glasg., D.P.H., has been appointed Medical Officerof Health of Fife.

GIBSON, ALEXANDER G., M.D. Oxon., M.R.C.P. Lond., has beenappointed Honorary Assistant Pathologist to the Radcliffe In-firmary, Oxford.

HALLAM, PHILIP, M.B., Ch.B. Edin., has been appointed DistrictMedical Officer by the Williton (Somerset) Board of Guardians.

MALLESON, H. C., L.R.C.P. Lond., M.R.C.S., L.D.S.Eng., has beenappointed Dental Surgeon to Christ’s Hospital (Bluecoat School),Horsham.

MITCHELL. ALEXANDER JOHN, M.D., Ch.B. Glasg., has been appointedDistrict Medical Officer by the Gloucester Board of Guardians.

MOULD. G. T., M.R.C.S. Eng., L.R.C.P. Lond., has been appointedAssistant in the Refraction Department for School Children, RoyalLondon Ophthalmic Hospital.

PONTON. JOHN ALFRED WILLIAM, M.B., B.Ch., B.A.O. Dub., hasbeen appointed Medical Officer of Health for the Ottery St. Mary(Devon) Urban District Council.

SHEPHERD, THOMAS WILLIAM, L.R.C.S. Edin., L.S.A. Lond., hasbeen appointed District Medical Officer by the Launceston(Cornwall) Board of Guardians.

Vacancies.For further informalion regarding each vacancy reference should be

made to the advertisement (see Index).

BANBURY, HORTON INFIRMARY.-HouseSurgeon. Salary P,80 per annum,with board and residence.

BARNSLEY, BECKETT HOSPITAL.-Second House Surgeon, unmarried.Salary £100 per annum and all found.

BENENDEN, KENT, NATIONAL SANATORIUM.-Assistant Medical Officer..unmarried. Salary £100 per annum, with board, lodging, andwashing.

BIRKENHEAD BOROUGH HOSPITAL.-Junior Resident House Surgeon.Salary B80 per annum, with board and washing.

BooTLE BOROUGH HOSPITAL.-Honorary Physician.BRIGHTON, ROYAL SUSSEX COUNTY HOSPITAL.-Assistant Pathologist.

Salary JB100 per annum, with board, residence, and laundry.BURY INFIRMARY.-Senior House Surgeon and Junior House Surgeon.

Salary .B110 and E80 per annum respectively, with board, residence,and washing.

CANTERBURY, KENT AND CANTERBURY HOSPITAL.-House Physician,unmarried. Salary ;E70 per annum, with board, lodging, andwashing.

CAPE TowN, SOUTH AFRICAN COLLEGE.-Professor of Physiology.Salary oE500 per annum.

CHELTENHAM GENERAL HOSPITAL.-House Physician, unmarried.Salary jB80 per annum, with board, lodging, and washing.

CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, Victoria Park,E.—Laryngologist.

COVENTRY AND WARWICKSHIRE HOSPITAL.-Junior House Surgeon.Salary £80 per annum, with rooms, board, washing, and attendance.

DEVONPORT, ROYAL ALBERT HOSPITAL.-Assistant House Surgeon forsix months, unmarried. Salary at rate of £50 per annum, withboard, apartments, and laundry. ’

EALING, KING EDWARD MEMORIAL HOSPITAL.-Physician, Surgeon,Gynoecologist, and Laryngologiat.

FINCHLEY, URBAN DISTRICT OF.-Medical Officer of Health and SchoolMedical Officer. Salary B3SO per annum.

HACKNEY UNION INFIRMARY, Homerton.-Second Assistant MedicalOfficer, unmarried. Salary R120 per annum, with rations, apart-ments, washing, and attendance.

HAMPSHIRE COUNTY COUNCIL.-Assistant County Medical Officer ofHealth. Salary JB250 pet annum.

’ HASTINGS, EAST SUSSEX HOSPITAL.-Assistant House Surgeon. Salaryat rate of £50 per annum, with rooms, board, and washing.

HELLINGLY, EAST SUSSEX COUNTY ASYLUM.-Locum Tenens AssistantMedical Officer for about four and a half months. Salary 4 guineas

, a week, with board, lodging, washing. &c.INDIAN MEDICAL SERVICE, India Office, London.-Twelve Commissions

in His Majesty’s Indian Medical Service.LANCASHIRE EDUCATION COMMITTEE.-School Medical Inspector.

Salary .E250 per annum.t LEEDS HOSPITAL FOR WOMEN AND CHILDREN.-House Surgeon for

six months. Salary at rate of .E50 per annum, with board.’ LEICESTER INFIRMARY.-Assistant House Physician for six months.i Salary at rate of JE60 per annum, with board, apartments, and. washing.. LIVERPOOL INFIRMARY FOR CHILDREN CLINICAL SCHOOL.-Resident

House Physician. Salary at rate of C60 per annum, with board andlodging.

i LONDON HOSPITAL, Whitechapel, E.-Medical Registiarship. Salary £100t per annum. Also Surgical Registrarship. Salary oElOO per annum.r LONDON MISSIONARY SOCIETY.-Three Medical Men for Missionaryt Service.; MACCLESFIELD GENERAL INFIRMARY.-Senior House Surgeon. Salary

,E1OO per annum, with board and residence.

1 MANCHESTER, ST. MARY’S HOSPITALS FOR WOMEN AND CHILDREN.-

’ Two House Surgeons. Salary at rate of £50 per annum, withboard and residence.

. MANCHESTER, HULME DISPENSARY. Dale-street, Stretford-road.-HouseSurgeon, unmarried. Saiary £150 per annum, with rooms.