Beschreibung:
"Mutualism and health care" presents the first comprehensive account of a major innovation in hospital funding before the NHS. The voluntary hospitals, which provided the bulk of Britain's acute hospital services, diversified their financial base by establishing hospital contributory schemes. Through these, working people subscribed small, regular amounts to their local hospitals, in return for which they were eligible for free hospital care. This book evaluates the extent to which the schemes were successful in achieving comprehensive coverage of the population, funding hospital services, and broadening opportunities for participation in the governance of health care and for the expression of consumer views.
1. Introduction 2. The emergence of hospital contributory schemes 3. Mass contribution and hospital finance in inter-war Britain 4. The geography of hospital contributory schemes: membership, reciprocity and integration 5. Hospital contribution and civil society: humanity not democracy? 6. Contributory schemes, workmen governors and local control of hospital policy 7. The 'impending cataclysm': the state and hospital contribution, 1941-1946 8. The contributory schemes and the coming of the NHS 9. 'Where the shoe pinches': reorientation under the NHS 10. The health cash plans and the new mutualism in health care 11. Concluding comments