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1924
Bulgaria
all
for its adoption. Organized Medicine in Great Britain long supported
1924
Chile
all
the principles underlying the plan. Almost all British doctors serve
1946
Colombia *
all
1941
Costa Rica *
in it. Even its most outspoken critics-a small group of doctors led
all
1888
Czechoslovakia
by Lord Horder-endorse it, limit criticism to specific details.
all
1892
Denmark
all
The present act started July 5, 1948. But it is essentially an
1947
Dominican Republic
all
extension of a tested National Health Insurance program begun in
1935
Ecuador *
all
1912 for medium and low income groups. It covered about 40% of
1928
France
all
1883
Germany
the population and for family physician's services only ; did not pro-
all
1912
Great Britain
vide specialists and other needed health services.
all
1934
Greece *
all
Its success, however, in lessening the financial barrier between
1891
Hungary
all
patients and doctors led to the desire to extend it to cover the entire
1936
Iceland
all
population and to include all services.
1911
Ireland
2, 3, 4
1928
Italy
British Doctors Support
all
1922
Japan
all
The British Medical Association first opposed the 1912 Act, but
1901
Luxembourg
all
after years of practical experience with it, reversed its stand. In
1942
Mexico *
all
1928, the B.M.A urged its further expansion. The Association's views
1929
Netherlands
all
were stated in 1936 by its Secretary :
1938
New Zealand
1, 3, 4
1909
"The medical profession regards national health insurance as
a
Norway
all
1941
social development which has improved immeasurably the health of the
Panama *
all
1943
people covered by it, at the same time raising the standard of the
Paraguay *
all
1936
medical practice
Peru
all
1920
Poland
In 1942, organized British medicine drew up a comprehensive
all
1933
Portugal *
all
health insurance plan. That same year, the Health Act was again
1912
Rumania
all
expanded. In 1944, Prime Minister Churchill blue-printed a universal
1942
Spain
all
"national health service" backed by "the loyal and active aid of the
1947
Sweden
all
1911
whole medical profession." When the Labour Government succeeded
Switzerland
all
1940
Venezuela *
Winston Churchill's Coalition government a year later, Minister of
all
1922
Yugoslavia *
all
Health Aneurin Bevan translated the blueprint into the National
BRITAIN'S HEALTH ACT
Health Service Act. It was passed in 1946 to take effect July 5, 1948.
The B.M.A. supported the Act after negotiations about several
Competent observers here and abroad have reported favorably
points, saying:
about Great Britain's program of complete medical, hospital and dental
"The Doctors Want a Comprehensive Service. Doctors are not
care for everyone, launched July 5, 1948. Unfortunately, sweeping
against a National Health Service. They approve the bulk of the
criticisms-however unsupported or even nonsensical-attract more
present Act. Doctors have been fighting for years to get their patients
attention than careful, scholarly reports.
better medical service." (Official statement, April, 1948.)
Because it is adapted for specific British needs, the program is
Chairman of the B.M.A. Council, Dr. H. Guy Dain, praised the
not presented as a formula for us. The similarities and differences
National Health Service for its benefit to doctor and patient alike:
between Britain's plan and the President's National Health Insurance
"The public were now free to choose their doctor; the doctor was
are presented at the end of this section.
free to go into the service or stay out; he was free to say what he liked
about medicine or the Service without supervision; he was free to
Here are the facts about such important questions as: How do
practice under the conditions which hold today with very little limitation,
the British people and their doctors feel about it ? What does
it
cost
?
and his success in life would depend on the grood will of the patient."
How is President Truman's program different?
British People Support It
The General Picture, first:
Every British opinion poll shows overwhelming public support
The Health Service is so popular that it is not a political issue.
for the plan. Since it is so popular, Conservative and Labour Parties
All parties-Conservative, Liberal, Labor-support it and claim credit
alike claim credit for the Act. It was not even an issue in Britain's
1950 election, since its operations were so widely endorsed by the
* Coverage limited to specific groups in the population.
doctors, both parties and the public.
38
39
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"ocrText": "1924\nBulgaria\nall\nfor its adoption. Organized Medicine in Great Britain long supported\n1924\nChile\nall\nthe principles underlying the plan. Almost all British doctors serve\n1946\nColombia *\nall\n1941\nCosta Rica *\nin it. Even its most outspoken critics-a small group of doctors led\nall\n1888\nCzechoslovakia\nby Lord Horder-endorse it, limit criticism to specific details.\nall\n1892\nDenmark\nall\nThe present act started July 5, 1948. But it is essentially an\n1947\nDominican Republic\nall\nextension of a tested National Health Insurance program begun in\n1935\nEcuador *\nall\n1912 for medium and low income groups. It covered about 40% of\n1928\nFrance\nall\n1883\nGermany\nthe population and for family physician's services only ; did not pro-\nall\n1912\nGreat Britain\nvide specialists and other needed health services.\nall\n1934\nGreece *\nall\nIts success, however, in lessening the financial barrier between\n1891\nHungary\nall\npatients and doctors led to the desire to extend it to cover the entire\n1936\nIceland\nall\npopulation and to include all services.\n1911\nIreland\n2, 3, 4\n1928\nItaly\nBritish Doctors Support\nall\n1922\nJapan\nall\nThe British Medical Association first opposed the 1912 Act, but\n1901\nLuxembourg\nall\nafter years of practical experience with it, reversed its stand. In\n1942\nMexico *\nall\n1928, the B.M.A urged its further expansion. The Association's views\n1929\nNetherlands\nall\nwere stated in 1936 by its Secretary :\n1938\nNew Zealand\n1, 3, 4\n1909\n\"The medical profession regards national health insurance as\na\nNorway\nall\n1941\nsocial development which has improved immeasurably the health of the\nPanama *\nall\n1943\npeople covered by it, at the same time raising the standard of the\nParaguay *\nall\n1936\nmedical practice\nPeru\nall\n1920\nPoland\nIn 1942, organized British medicine drew up a comprehensive\nall\n1933\nPortugal *\nall\nhealth insurance plan. That same year, the Health Act was again\n1912\nRumania\nall\nexpanded. In 1944, Prime Minister Churchill blue-printed a universal\n1942\nSpain\nall\n\"national health service\" backed by \"the loyal and active aid of the\n1947\nSweden\nall\n1911\nwhole medical profession.\" When the Labour Government succeeded\nSwitzerland\nall\n1940\nVenezuela *\nWinston Churchill's Coalition government a year later, Minister of\nall\n1922\nYugoslavia *\nall\nHealth Aneurin Bevan translated the blueprint into the National\nBRITAIN'S HEALTH ACT\nHealth Service Act. It was passed in 1946 to take effect July 5, 1948.\nThe B.M.A. supported the Act after negotiations about several\nCompetent observers here and abroad have reported favorably\npoints, saying:\nabout Great Britain's program of complete medical, hospital and dental\n\"The Doctors Want a Comprehensive Service. Doctors are not\ncare for everyone, launched July 5, 1948. Unfortunately, sweeping\nagainst a National Health Service. They approve the bulk of the\ncriticisms-however unsupported or even nonsensical-attract more\npresent Act. Doctors have been fighting for years to get their patients\nattention than careful, scholarly reports.\nbetter medical service.\" (Official statement, April, 1948.)\nBecause it is adapted for specific British needs, the program is\nChairman of the B.M.A. Council, Dr. H. Guy Dain, praised the\nnot presented as a formula for us. The similarities and differences\nNational Health Service for its benefit to doctor and patient alike:\nbetween Britain's plan and the President's National Health Insurance\n\"The public were now free to choose their doctor; the doctor was\nare presented at the end of this section.\nfree to go into the service or stay out; he was free to say what he liked\nabout medicine or the Service without supervision; he was free to\nHere are the facts about such important questions as: How do\npractice under the conditions which hold today with very little limitation,\nthe British people and their doctors feel about it ? What does\nit\ncost\n?\nand his success in life would depend on the grood will of the patient.\"\nHow is President Truman's program different?\nBritish People Support It\nThe General Picture, first:\nEvery British opinion poll shows overwhelming public support\nThe Health Service is so popular that it is not a political issue.\nfor the plan. Since it is so popular, Conservative and Labour Parties\nAll parties-Conservative, Liberal, Labor-support it and claim credit\nalike claim credit for the Act. It was not even an issue in Britain's\n1950 election, since its operations were so widely endorsed by the\n* Coverage limited to specific groups in the population.\ndoctors, both parties and the public.\n38\n39"
}