The full text on this page is automatically extracted from the file linked above and may contain errors and inconsistencies.
U. S. DEPARTMENT OF LABOR W . B. WILSON, Secretary BUREAU OF LABOR STATISTICS ETHELBERT STEWART, Commissioner BULLETIN OF THE UNITED STATES) BUREAU OF LABO R S T A T IS T IC S ) W O R K M E N ’ S INSURANCE AND \T 07C ................. I l O . Z l D COMPENSATION SERIES COMPARISON OF WORKMEN’ S COMPEN SATION LAWS OF THE UNITED STATES AND CANADA UP TO JANUARY 1, 1920 By CARL HOOKSTADT SEPTEMBER, 1920 WASHINGTON GOVERNMENT PRINTING OFFICE 1920 CONTENTS. PAET I.— UNITED STATES. Page. I ntroduct ion ................................... *................................................................................... 5-12 History of compensation legislation. ...................................................... ........ 5-S Tendencies in legislation......................................................................................... 8-12 Compensation and insurance systems........ .................................................................. 12-18 Scope of the laws......... ................................................................................................... 18-38 Hazardous employments.......................................................................................... 21, 22 Numerical exemptions............................................................................................. 22. 23 Agriculture.................................................................................................................. 23 Domestic service..................................... ..................... ............................................ 24 Public em ployees...................................................................................................... 24 Casual la b or.............. ................................................................................................ 24, 25 Employments not for gain....................................................................................... 2bT26 26 Extraterritoriality..................................................................................................... Miscellaneous exemptions.................................................... ........................... . 2$ Interstate and foreign com m erce............................ .................................... ..... ... 26-29 Number of persons subject to compensation acts............................................... 29-38 How election is made....................................................................................................... 38, 39 Abrogation of defenses............................. ........................................................................ 39 Suits for damages............................................................................................................... 39-41 Special contracts................................................................................................................ 42 Burden of cost.................................................................................................................... 42, 43 Security of payments........................................................................................................ 44, 45 Insurance ratesjand reserves........................................................................................... 45-48 Merit rating.................... ........................................................................................... 47, 48 Injuries covered.......................................................................... .................................... 48-57 Accidents versus injuries......................................................................................... 50, 51 Occupational diseases............................................................................................... 51-55 Arising out of and in the course of employm ent................................................ 55, 56 Exemptions due to employee’s fault.....................................................................v 56 Penalty for negligence.............................................................................................. 56, 57 Waiting period..................................... ............................................................................. 57-59 Compensation benefits...................................................................................................... 59-90 Scale.............................................................................................................................. 60-63 Per cent of wages...................................................................................................... 64 Weekly maximum and minim um................................................ ........................ 64 Death............................................................................................................................ 65-68 Remarriage of w i d o w s ................................................................................... 66,67 Additional payments in case of death.......................................................... 68 Permanent total disability....................................................................................... 68, 69 Partial disability........................................................................................................ 69-74 Disfigurement..................................................................................................... 70 Second injuries....................................................................................... ........... 71-74 Rehabilitation............................................................... .................................... 74 3 4 CONTENTS. Compensation benefits— Concluded, Page. Comparison of partial disability schedules.......................................................... 74-90 Adequacy of partial disability schedules..................................................... 77-79 Relative severity of upper and lower limb injuries................................... 79-81 Foreign schedules............................................................................................... 81-85 Eye injury schedules........................................................................................ 85-88 Present schedules largely theoretical.......................................................... 88-90 Medical and surgical service......................................................................................... 90-112 Kind of service................. '........................................................................................ 94-95 Adequacy of medical service................................................................................. 95-98 Selection of physicians.......................................................................................... 98-104 Reasons why employer should select physician..................................... 101-103 Reasons why employee should select physician.................................... 103,104 Contract doctors and establishment hospitals................................................. 104-106 Medical and hospital fees.................................................................................... 106-110 Effect of compensation laws upon income of physicians.............................. 110, 111 Administration—Medical advisers......................................................................... I ll Administration by local boards in Washington..............................................I ll, 112 Time for notice and claim............................................................................................... 113 Administrative systems................................................................................................ 114-116 Settlement of compensation cases............................................................................ 116-118 Revision of benefits.......... ............................................................................................... 118 Nonresident alien dependents.................................................................................... 118-120 Lump-sum settlements................................................................................................. 120-122 Accident reporting and accident prevention........................... ............................... 122-125 Accident reporting................................................................................................ 123,124 Accident prevention................................................................................................. 125 Summary comparison................................................................................................... 125-130 Chart................................................................................................................. Facing page 130 PART H.— CANADA. 131 Introduction........... .................... ...................................................................................... Canadian and American laws compared........................... ....................................... 131-133 Compensation and insurance systems....................................................................... 133,134 Scope or coverage.......................................................................................................... 134,135 Accidents and occupational diseases......................................................................... 135,136 Waiting period.................................................................................................................... 136 Compensation benefits.................................................................................................. 137,138 Weekly or monthly maximum............................................................................... 137 Death............................................................................................................................ 138 Total disability........................................................................................................... 138 Partial disability......................................... ...................................... , ..................... 138 Medical service-..................................................... ........................................................... 139 Nonresident alien dependents.................................................................................... 139,140 Administration................................................................................................................... 140 Accident prevention........................................................ ................................................. 140 Chart.................................................. .............................................................. Facing page 140 BULLETIN OF THE U. S. BUREAU OF LABOR STATISTICS. WASHINGTON. n o . 275. S e p t e m b e r , 1920. COMPARISON OF WORKMEN’S COMPENSATION LAWS OF THE UNITED STATES AND CANADA. P A R T I —U N IT E D STATES. INTRODUCTION. This bulletin, summarizing and comparing the principal features of the workmen's compensation laws of the United States and Canada, is a revision of a similar study made in 1917 and published as Bulletin No. 240. It covers all laws enacted up to January 1, 1920, and includes for the first time a comparison of the compensation laws of Canada (see pp. 131 to 140). A digest of the Canadian laws may be found in the chart following page 140. A brief comparison and con trast of the principal features of American and Canadian laws is found on pages 131 to 133. Since the publication of Bulletin No. 240, 34 States have amended or supplemented their compensation laws, while 5 States1 have been added to the list of those having such laws. At present 42 States, the 2 Territories of Alaska and Hawaii, the insular possession of Porto Rico, and the Federal Government have workmen's compensation law^s upon their statute books.2 Several new features have been added in the present volume. The more important of these are on the following subjects: Occupa tional diseases; remarriage of widows; second injuries; rehabilitation; adequacy of partial disability schedules; relative severity of upper and lower limb injuries; contract doctors and hospitals; and hospital and medical fees. HISTORY OF COMPENSATION LEGISLATION.3 Compensation legislation in the United States is of recent origin. The first permanent State laws were enacted by Washington and Kansas on March 14, 1911. The first law to become effective, how 1 Alabama, Missouri, North Dakota, Tennessee, and Virginia. 2 For the sake of simplicity all jurisdictions except the United States Government will hereafter be referred to as States. s For a more complete history of compensation legislation, see Bulletin No. 203 of U. S. Bureau of Labor •Statistics, pp. 45-50. 6 COMPARISON OF COMPENSATION LAW S OF UNITED STATES. ever, was the one enacted by Wisconsin May 3, 1911, winch took effect immediately upon ifcs passage. Since then compensation legis lation has progressed rapidly* 42 States and 3 Territories having placed such law's upon their statute books/ while the Federal act has been amended to include all civil employees. Prior to 1911, however, several States had enacted workmen's compensation laws which were later declared unconstitutional by the courts; and in addition voluntary insurance or benefit schemes had been provided for in a number of States, but these could hardly be designated compensation laws as now understood. The following is a brief summary of these early acts: The first legislation in the United States providing for stated bene fits payable without suit or proof of negligence was the cooperative insurance law of Maryland enacted in 1902. This act was of re stricted application, included only mining, quarrying, railways, and municipal construction work, and was to be administered by the State insurance commission. The law was declared unconstitutional, however, as depriving parties of the right of trial by jury and conferring on an executive judicial or at least quasi-judicial functions. The next law within the territorial jurisdiction of the United States was an enactment by the United States Philippine Commission in 1905, authorizing the continuance ’of wages for a period during disability, but not exceeding 90 days, in case of injury received by the employees of the Insular Government in the line of duty. The Federal Government enacted a limited conpensation law in 1908, but applicable only to certain hazardous employments. In 1909 Montana enacted a law (effective Oct. 1, 1910) providing for the maintenance of a State cooperative fund for miners and 4 The following S-tates, etc., have enacted compensation laws: State. Approved. Washington............ Kansas.................... Nevada................. .. New Jersey.............. California................. New Hampshire___ Wisconsin..... ......... Illinois..................... Ohio......................... Massachusetts......... Michigan................. Rhode Island.......... Arizona.................... West Virginia......... Oregon............ ......... Texas...................... Iowa........................ Nebraska................. Minnesota............... Connecticut............. New York................ Maryland................. Louisiana................ Wyoming................ Mar. 14,19-11 ....... do............. Mar. 24.1911 Apr. 4,1911 Apr. 8,1911 Apr. 15,1911 May 3, 1911 June 10,1911 June 15,1911 July 28,1911 Mar. 20,1912 Apr. 29,1912 June 8,1912 Feb. 22,1913 Feb. 25,1913 Apr. 16,1913 Apr. 18,1913 Apr. 21,1913 Apr. 24,1913 May 29,1913 Dec. 16,1913 Apr. 16,1914 June 18,1914 Feb. 27,1915 Effective. Oct. Jan. July July Sept. Jan. May May Jan. July Sept. Oct. Sept. Oct. July Sept. July July Oct. Jan. July Nov. Jan. Apr. 1.1911 1.1912 1.1911 4.1911 1.1911 1.1912 3*1911 1.1912 1.1912 1.1912 1.1912 1.1912 1 .1912 1.1913 1, im 1.1913 1.1914 17,1913 1.1913 1.1914 1.1914 1 .1914 1.1915 1.1915 State. Approved. Missouri. Alabama. Mar. 8,1915 ....... do............. Mar. 22,1915 Apr. 1,1915 ....... do............. Apr. 10,1915 Apr. 28,1915 Apr. 29,1915 June 2,1915 Mar. 23,1916 Apr. 13,19*S Mar, 10,1917 Mar. 13,1917 Mar. 15,1917 Mar. 16,1917 Apr. 2,1917 Mar. 21,1918 Mar. 5,1919 Apr. 15,1919 Apr. 28,1919 Aug. 23,1919 Sept. 1.1915 July 1.1915 Sept. 1.1915 July 1.1915 Jan. 1.1916 Aug. 1.1915 July 1.1915 July 28,1915 Jan. 1.1916 Aug. 1.1916 July 1.1916 June 1.1917 8.1917 June July 1.1917 Jan. 1.1918 Do. Jan. 1.1919 Mar. 5.1919 1*1919 July No-v. 1.1919 1*1920 Jan. United States. New act........ Mav 30,1908Sept. 7,1916 Aag. Sept. Indiana............ Montana. t....... Oklahoma........ V ermont.......... Maine............... Colorado........... Hawaii............. Alaska.............. Pennsylvania.. Kentucky........ Porto Rieo___ South Dakota. New Mexico... Utah........... Idaho-............... D elaw are....— Virginia........... North Dakota. 1,1908 7,1916 IN T R O D U C T IO N . 1 laborers in and about the coal mines of the State. Contribution to the fund was compulsory, employers to pay on the basis of the ton nage of coal mined, and employees on the basis of their monthly gross earnings. State officials were to administer the fund, and pay ments for death and disability were provided for. While compulscry, the act was not exclusive as against injured, workmen, who were permitted to sue under the employers’ liability law, though bringing suit forfeited the benefits under this act. This double obligation imposed upon the employer by the act was held by the supreme court of the State to invalidate it, though in its essential features it was held to be a valid exercise of the law-making power. The next law of this class was enacted by Maryland in 1910 es tablishing cooperative insurance funds for coal and clay miners of Allegheny and Garrett counties. This act was repealed by the com pensation act of 1914. It will be observed that the foregoing legislation, antedating what may be called the commission period, was of limited application, either as to the locality or as to the classes of employees affected, and also that there appears to have been but little regard as to whether the benefits provided were at all adequate to the needs of the workmen. The laws subsequently enacted may be said to be of general application and have generally been based on the investiga tions of commissions. The first of the laws of this class was the elective compensation law of New York, 1910, followed in the same session by a compulsory law for hazardous employments. The latter law was declared uncon stitutional after a very brief term of existence, but after an amend ment to the constitution a new compulsory law was enacted in 1913. The real compensation period began in 1911, when 10 States enacted such laws. Each year since then additional States have fallen in line until at present^ as already noted, 45 States and Territories have enacted compensation legislation. This rapid growth of compensation legislation, involving, as it has, the almost simultaneous enactment of laws in a number of States, has operated to prevent the adoption of any one form of law as a type, so that although a single fundamental principle underlies the entire group of laws of this class, its expression and.application pre sent great diversity of details in the different States. This is true not only of the primary factors of the laws, such as the scope and the compensation benefits, but also of the system of compensation insurance, administration, methods of election or rejection, etc. A comparison of these and other features which may be classed as of principal rank is essential to any fair understanding of the relative effectiveness of the laws—a fact which is recognized by insurance companies in fixing the rates of premium to be charged in 8 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S , writing policies to cover the liabilities prescribed by the laws, and is of no less interest to the employer who is primarily charged with these liabilities, and to the workman for whose benefit the laws were enacted. The compensation States contain approximately 87 per cent of the persons gainfully employed in the United States and include practically all of the industrial States. There seems to have been no causal connection between the need for compensation laws and the sequence of their enactment. Of the 10 States enacting such laws in 1911, 3 were manufacturing States on the Atlantic coast, 4 were agricultural or semi-industrial States in the Mississippi Valley, and 3 were primarily agricultural or mining States west of the Rocky Mountains. The 7 noncompensation States 5 are primarily agricul tural, though in most of them manufacturing is x>f considerable and increasing importance. TENDENCIES IN LEGISLATION. Certain provisions of workmen’s compensation lawrs are more sus ceptible of change and revision than others. The scope of the acts and the partial disability schedules, for example, have undergone relatively very little change since their initial enactment, while the waiting period and particularly the requirements as to medical service are in a constant state of flux. Compensation commissioners are not always familiar with the experience and results of compen sation laws in other States. This unfamiliarity, together with the human proneness to overvalue those things to which one has been accustomed, has led many of the commissions not only to prefer their own type of law but also to consider it superior to all others. These facts are of especial importance, therefore, to States having under consideration the adoption of a compensation law. The fol lowing summary shows some of the more important statutory changes which have occurred in the 40 States and Territories having had workmen’s compensation experience.6 A large majority of these changes are of recent enactment. Compensation and insurance systems.—There has been considerable dissatisfaction with the elective feature of compensation laws. A large proportion of employers in some of the States having such elective laws have refused to accept the compensation provisions, thus depriving their employees of the benefits of this legislation. Notwithstanding this fact, and also the fact that several compensation commissions have recommended a change from the elective to the compulsory system, only one of the elective compensation States 5 Arkansas, District of Columbia, Florida, Georgia, Mississippi, North Carolina, and South Carolina. « The five States (Alabama, Missouri, North Dakota, Tennessee, and Virginia) which enacted com pensation laws in 1918 and 1919 have not been taken into account in the following analysis. IN T R O D U C T IO N . 9 (Illinois) substituted the compulsory for the elective system. On the other hand, of the States in which employers were not required to insure, four7 changed to a compulsory insurance system. No State has established a State insurance fund which was not provided for in the original compensation act, nor has any State abolished such a State fund after its establishment. Scope.—The scope of the various acts, i. e., the employments cov ered, has on the whole remained quite stationary. None of the States which originally excluded agriculture and domestic service has later included such employments. New York is the only one of the original “ hazardous” States which later included nonhazardous employments, although several States in whose laws only enumerated hazardous employments were covered have added a few minor employ ments to enumerated statutory lists. The more important additions during the past two years were cotton ginning in Texas and retail stores in Oklahoma by the repeal of the provisions exempting them. Four States 8 subsequently included public employees after having made no provision therefor in the original acts. In one particular, however, the scope of the compensation acts has been considerably increased. Twenty States originally exempted employers having less than a stipulated number of employees. Of these, 5 States 9 have reduced the number of employees and 3 States 10 have abolished the numerical exemption provision altogether. Many of the States originally exempted casual employments but there is a tendency to abolish this exemption. Waiting period.—The waiting period has been changed in 22 States, 3 11 of which have made two or more successive changes. Of these, 20 States12 reduced the waiting period; 1 State13first increased its waiting period from 1 week to 2 weeks and then reduced it again to 1 week; and 1 State 14 increased the period from 1^ days to 7 days. In addition a number of States have abolished the waiting period en tirely in certain cases. Of these, 10 States 15 abolished the waiting period if the disability exceeds stated periods, while 1 State 16 abol ished the waiting time in partial disability injuries. 7 California, Illinois, Nebraska, and New Jersey. 8 Oregon, Porto Rico, Rhode Island, and West Virginia. 9 Kentucky, Porto Rico, Texas, Utah, and Wisconsin. 10 Nebraska, Nevada, and Wyoming. 11 California, Colorado, and Connecticut. 12 From 2 weeks to 1 week: Connecticut, Hawaii, Indiana, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Nebraska, Nevada, Oklahoma, and Vermont; from 2 weeks to 10 days: Maine, Massachusetts, New Jersey, Pennsylvania, and South Dakota; from 3 weeks to 10 days: Colorado; from 10 days to 3 days: Utah; from 3 weeks to 2 weeks: New Mexico. 13 California. 14 Washington. 15 Connecticut, Delaware, Illinois, Louisiana, Nebraska, Nevada, New York, Rhode Island, Washing ton, and Wyoming. 16 Hawaii. 10 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O P U N IT E D S T A T E S . Compensation scale* —Some of the factors entering into the com pensation scale have remained quite rigid, while others have bee© relatively more susceptible of change. la practically all of the States the compensation payments are based upon the wages of the injured employee, ranging generally from 50 to 66§ per cent, Four teen States17 have materially increased their original percentages. Twenty-four States18 increased their weekly or monthly maximum eompensation limits. Twelve States also increased the period dur ing which eompensation shall be paid. Of these, *5 19 increased the period in case of death; 8 20 in case of total disability, and 5 21 in case of partial disability. However, probably the most inelastic factor of the compensation scale is the schedule for permanent partial disability. Of the States having such schedules only 6 23 have materially increased the compensation periods or amounts; while 3 23 have slightly increased the amounts in individual cases. Two States24 have materially enlarged the list of injuries in the schedule without increasing the compensation periods, while I 25 has provided for a new schedule. In addition* Texas increased its schedule substantially both as to list of injuries and as to compen sation periods, but it also amended its law by making such eom pensation in lieu of all other payments, whereas formerly such pay ments were in addition to all other compensation. Mediad service.—The provisions as to medical service have under gone greater change than any other feature of the workmen’s com pensation laws. Thirty-two States26 have increased the medical service originally provided, either as to maximum amounts or length of time during which such medical seriee is to be furnished. In three of these States 27 the maximum limit has been abolished entirely and employers must provide medical attendance as long as reasonably necessary. Most of these increases were provided in recent years. State legislatures and compensation commissions seem at last to realize the fact that adequate medical and hospital 17 From 50 to G6§ per cent: Massachusetts, Minnesota, Nebraska, and New Jersey; from 50 to 60 per cent: Iowa, Kansas, Maine, Michigan, Nevada, aaad Pennsylvania; from 50 to -55 pea* cent: Domsiana and South Dakota; from 55 to-60 peroent: Utah; from 50 to 65 in certain cases: Illinois. 18 Colorado, Connecticut, Delaware, Illinois, Iowa, Lomsi&na, Maine, Massachusetts., Michigan, Mumesota, Montana, Nebraska, Nevada, New Jersey, New Mexico,, Ohio, Oklahoma,, Pennsylvania, Rhode Island, Utah, Washington, West Virginia, Wisconsin, aaad Wyoming. 19 Delaware, Massachusetts, Nebraska, Nevada, and Ohio. 20 Delaware, Maryland, Minnesota, Nebraska, Nevada, Texas, West Virginia., and Wisconsin. & Connecticut, Delaware, MassacbwaesttB, Michigan, and Nevada. 32 Jjndiima, NeSsaasfca* Waahingtan, West Virginia., Wi&ccmsLn, Wyoming. 23 Iowa, Nevada, said Soutk Dakota. 24 Hawaii and Nebraska. 25 Kansas. 23 California, Colorado, Connecticut, Delaware, Hawaii, Illinois, Indiana, Iowa, Kansas, Louisiana» Mmoae, Massachusetts, Michigan, Minnesota, Nelrcaska, Nevada, New Jersey, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Porto Rico, Rhode Island, South Dakota, Texas, Utah, Vermont, Washington West Virginia, Wisconsin, and Wyoming. 27 California, Connecticut, and Porlo Rico. IN T R O D U C T IO N . 11 service is absolutely essential for the complete economic rehabilitation of injured workmen. There is also a tendency toward closer State supervision over the quality of the medical service furnished by employers. A number of States recently authorized compensation commissions to approve or supervise hospitals and benefit funds maintained either by employers themselves or under contract, and to order change of physicians if necessary. There is also a trend toward allowing the injured employee to select his own physician. In 1917, for the first time in the history of the com pensation legislation in this country, employees were specifically given the right by law to choose the physician when the cost of the medical service is paid by the employer. Administrative system.—Nebraska and New Jersey are the only States which have materially changed their system of administration since 1913, a compensation commission replacing the former method of administration by the courts. The original compensation laws of Illinois and Nevada, enacted in 1911, also, did not provide for administrative systems, but both States created administrative com missions in 1913. In addition Massachusetts and New York have abolished the arbitration committee system. Sectional variations.—A review of the workmen’s compensation laws of the several States brings out three significant facts. One is the absence of these laws in most of the Southern States; 28 another is the refusal of most States to be guided by the experience of other States; and the third is the inclination of the far Western States to strike out along new lines, as shown by the following facts: The only States 29which have established exclusive State insurance systems are in the far West. Also, the only States 30which have established pen sion systems, the amounts presumably based upon the need of the workman or his dependents rather than upon loss of earning power, are in the far West. Washington is the only State providing for the administration of medical service through local medical aid boards patterned after the German system. The only laws which provide for the maintenance of contract hospitals to which the employee is required to contribute his proportionate share have been enacted by far Western States.31 And of the four States 32 in which the ad ministrative commissions are authorized to formulate and have formu lated elaborate schedules for permanent partial disabilities based as far as possible upon the actual loss of earning power, three fire in the far West. 23 North Carolina, South Carolina, Georgia, Florida, Mississippi, Arkansas, aind the District of GsliamMa have not yet enacted workmen’s compensation laws. 23 Nevada, Oregon, Washington, and Wyoming. (Port® Rico also has anexek®ive Stateinsanmcfcluftd.) Oregon, Washington, and Wyoming. 31 Colorado, Idaho, Montana, Nevada, New Mexico, Utah, and Washington. 32 California, North Dakota, Washington, and West Virginia. 1 2 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . One regrettable fact in connection with the enactment of work men’s compensation legislation, as already noted, is the disinclina tion of most States to be guided by the experience developed under the laws of other States. The type of law, including scope, compen sation scale, administrative system, etc., usually adopted by a State is determined generally by two factors— contiguity and the economic and political progressiveness of the State. An examination of the laws of the 10 States enacting compensation laws since 1916 shows that these two factors were most influential in determining the type of law enacted. The far Western States especially have been inclined to pattern their laws after those adopted by contiguous States, due in part to the fact that, owing to the great distances, investigating commissions and others responsible for the enactment of the laws have found*it inexpedient to acquaint themselves with the experience of the Eastern States by personal investigations. Even tually, no doubt, all of the States will adopt those compensation laws which shall have been empirically proved to be the best, but appar ently it is necessary for each State to attain this through experience alone. COMPENSATION AND INSURANCE SYSTEMS. Compensation laws may be classified as compulsory, elective (op tional), or voluntary, depending upon the degree of constraint to which employers are subjected to accept the compensation provisions. Since these terms will be used repeatedly it may be advisable to define them. A compulsory law is one which requires every em ployer within the scope of the compensation law to accept the act and pay the compensations specified. There is no choice. Usually, but not always, the employee also must accept the provisions of the act. In Arizona, for example, the law is compulsory as applied to the employer, but the employee, after an injury, has the option of accepting compensation or suing for damages. An elective act is one in which the employer has the option of either accepting or rejecting the act, but, in case he rejects, the cus tomary common-law defenses are usually abrogated. other words, the employer is penalized if he does not elect. The employee also has the right to accept or reject the act. None of the compensation laws covers all employments. Usually agriculture, domestic service, employments casual in nature or not conducted for the purpose of the employer’s business, and in some laws nonhazardous employments, are exempted from the provisions of the act. In some States such employments, however, may come under the provisions of the law through the voluntary acceptance of the employer or the joint election of employer and employee in these exempted classes, but the employer loses no rights or defenses C O M P E N S A T IO N A N D IN S U R A N C E S Y S T E M S . 13 if he does not accept. Such action on the part of the employer is called voluntary and to this extent the compensation law is a volun tary one. Thus a law may be either compulsory or elective as to the employments covered, and voluntary as to employments exempted. Furthermore, the employments referred to above are private em ployments. An act may be elective as to private but compulsory as to public employments. In fact, one-half of the elective compensa tion laws are compulsory as to public employees. Classification, however, is based exclusively upon private employments. Distinction must also be made between the effective and theoretical scope of an act. A compulsory compensation law may be limited in its scope, but at least all employees within this scope are covered, while an elective act may include all employments and yet fail to cover a large proportion of employees because of the employers’ refusal to accept the provisions of the law. Hereafter, unless otherwise specified, the theoretical scope of an act is meant, and when such expressions as 50 per cent of employees are “ covered” by the act, or “ affected” by the act, or “ come under” the act, or are “ subject to” the act, it is presumed that all employers in the State referred to have accepted the compensation provisions of the law. It is hoped that by thus defining the terms, ambiguity and confusion will be avoided, or at least minimized. The extent to which employers in elective States have actually accepted the law will be discussed in another connection. Compensation laws may be classified upon different bases. As already noted, one method of classification is the division into com pulsory and elective compensation laws, depending upon whether the compensation provisions are obligatory or optional. The require ments as to insurance constitute another basis for classification. On this basis the laws may be classified as compulsory, including all laws in which some form of insurance is required, or optional, in cluding laws in which no insurance is required. Table 1 shows the compensation States grouped according to these two classifications. 14 T a b le C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . 1 .—COMPENSATION STATES CLASSIFIED ACCORDING TO W H E T H E R L A W IS COM PULSORY OR ELECTIVE. Compensation compulsory. (14) Insurance reauired. (13) * California. Hawaii. Idaho. Illinois. Maryland. New York. North Dakota. Ohio. Oklahoma, Porto Rico.1 Utah. Washington. Wyoming. Insurance not required. (1) Arizona. Compensation elective. (31) Insurance required. (» ) Colorado. Connecticut. Delaware. Indiana. Iowa. Kentucky. Maine. Massachusetts. Michigan. Missouri. Montana. Nebraska. Nevada. New Hampshire. New Jersey. New Mexico. Oregon. Pennsylvania. Rhode Island. South Dakota. Tennessee. Texas. Vermont. Virginia. West Virginia. Wisconsin. Insurance not required. (5) ; Alabama. Alaska. Kansas. Louisiana. Minnesota. i In a decision rendered Jane 3, 1919, the United States Circuit Court of appeals held that the Porto Rican compensation law is compulsory (Camunas v. N. Y . & P. R. S. S. Co., 260 Fed., 40). It will be noted that of the 45 compensation States 14 are com pulsory and 31 are elective as to compensation provisions, while 39 are compulsory and 6 elective as to insurance requirements. Very considerable differences appear in the methods provided by the laws of the 39 States in which insurance is obligatory. Thus the State may make provision for the carrying of such insurance, and require all employers coming under the act to avail themselves of such provision; or the State fund may simply offer one of alternative methods. Again, the State may refrain entirely from such action, but require insurance in private companies, stock or mutual; and lastly, self-insurance may be permitted, i. e., the carrying of the risk by the individual, subject to such safeguards as the law may prescribe. COMPENSATION AND INSURANCE SYSTj NO COMPENSATION LAW COMPENSATION INSURANCE ELECTIVE: f REQUIRED \ NOT REQUIRED COMPENSATION COMPULSORY: . f REQUIRED INSURANCE ( NOT REQUIRED 16 COMPARISON OF COMPENSATION LAWS OF UNITED STATES. Table 2 shows the groupings on the bases indicated: T a b l e 2 — COMPULSORY INSURANCE STATES, CLASSIFIED AS TO D IF F E R E N T OF INSURANCE A L L O W E D . KINDS State fund. (17) Exclusive. ( 8) California. Colorado. . Idaho i.. Maryland. Michigan.. Montana. Self-insurance. Private insurance. (31) Competitive. (9) (31) California........ Colorado.......... Connecticut___ Delaware......... Hawaii............. Idahoi............. Illinois............. Indiana............ Iowa................. Kentucky____ Maine............... Maryland......... Massachusetts.. Michigan......... . Missouri........... Montana........... Nebraska........ . California. Colorado. Connecticut. Delaware. Hawaii. Idaho. Illinois. Indiana. Iowa. Kentucky. Maine. Maryland. New New New New New New New New Michigan. Missouri: Montana. Nebraska. Nevada.. New York. Hampshire2 Jersey.......... Mexico........ York............ North Dakota. Ohio3............... Oklahoma....... Hampshire.2 Jersey. Mexico. York. Ohio.3 Oklahoma. Oregon........ Pennsylvania. Pennsylvania. Pennsylvania. Rhode Island.. South Dakota. Tennessee........ Texas............... Utah................. Vermont.......... Virginia4........ Rhode Island. South Dakota. Tennessee. Utah. Vermont. Virginia.4 Wisconsin.. West Virginia.6 Wisconsin. Porto Rico. Utah.. Washington___ West Virginia 5. Wyoming. 'I' 1 Idaho permits self-insurance. However, employers who carry their own risk may insure in authorized guaranty companies. 2 The New Hampshire law requires employers accepting the act to furnish proof of solvency or give bond, but makes no other provision for insurance. 3 Ohio permits self-insurance, but all employers are required to contribute their proportionate share to the State insurance fund surplus. 4 Self-insurers required to contribute 4 per cent of their premium to commission's maintenance fund. 6 West Virginia has practically an exclusive State insurance system. Self-insurance is allowed, but employers desiring to carry their own risk must contribute their proportionate share to the administrative expenses of the law. Broadly speaking, the laws may be divided into four main groups or combination of groups, namely: (1) Exclusive State fund, (2) competitive State fund, (3) private insurance, either stock or mu tual, and (4) self-insurance or where employers are permitted to carry their own risk. In most cases the employers have the option of several kinds of insurance. This does, not hold true, however, of the States having strictly exclusive systems. In these cases no other form of insurance is permitted. It will be noted that six States have such exclusive systems. In two of these, Nevada and Oregon, compensation is elective and C O M P E N S A T IO N A N D IN S U R A N C E S Y S T E M S . 17 insurance is therefore not absolutely compulsory, since employers need not accept the act, but should they accept, insurance in the State fund is compulsory. In North Dakota, Washington, and Wyoming both compensation and insurance are compulsory. In these six States the State becomes the sole insurance carrier. It classifies the industries into groups according to hazard, fixes and collects premiums, adjudicates claims, and pays compensation. Two other States (Ohio and West Virginia) are nearly exclusive in char acter. They allow no private casualty company to operate, but permit self-insurance. Ohio permits employers to carry their own risk, though all such employers are required to contribute their pro portionate share to the State insurance fund surplus. Self-insurers, however, are not permitted to insure their risk in private companies. West Virginia has practically an exclusive State insurance system. It permits no private insurance, but does allow self-insurance. The employers, however, who desire to carry their own risk must con tribute their proportionate share to the administrative expenses of the law. In the other 31 States having compulsory insurance laws some form of competition exists, or at least the employer is given an option as to the method of insuring his risk. In nine of these States 33 the laws provide for a State fund through which the State conducts a work men’s compensation insurance business in competition with private liability companies. Private casualty companies, however, are per mitted to write compensation insurance in all of these States. Idaho differs somewhat from the other States having competitive State funds. It allows employers to carry their own risk and also permits substitute insurance schemes if the benefits provided equal those of the act. Self-insurers, however, as evidence of satisfactory security, may furnish a surety bond or guaranty contract with any authorized surety or guaranty company. Moreover, the attorney general has held that the words uguaranty contract” includes insurance con tracts and consequently self-insured employers may transfer their compensation liability to authorized private casualty companies. Three States34 have so-called State mutual insurance companies. Massachusetts was the first State to provide for this type of insur ance. The original purpose was to create an insurance monopoly conducted by an employers7 mutual company and supervised by the State. Before the law was finally enacted, however, private com panies were given practically the same privileges as the so-called State company, which at present is a regular competing private mutual company. The other two States merely copied the provi 63 California, Colorado, Idaho, Maryland, Michigan, Montana, New York, Pennsylvania, and Utah. Kentucky, Massachusetts, and Texas. 18 C O M P A R IS O N O E C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . sions of the Massachusetts law. Massachusetts and Texas do not permit self-insurance, while Kentucky does. Of the 39 compulsory insurance States, 31 permit private com panies to operate, the only exceptions being the 8 exclusive State fund States. Thirty-one States allow employers to self-insure or carry their own risk, the exceptions being the exclusive States of Nevada, North Dakota, Oregon, Porto Rico, Washington, and Wyoming, and the States of Massachusetts and Texas. Employers who avail them selves of this privilege are required either to give proof of their financial solvency and ability to pay compensation or to furnish bonds or other security, or to do both. In several. States such em ployers are also permitted to secure their compensation payments by guaranty insurance. New Hampshire's compensation law is exceptional in that em ployers who accept the act must furnish proof of financial solvency or deposit adequate security, but the law makes no other provision as to insurance. SCOPE OF THE LAWS. No two compensation laws are alike. A number of provisions have been adopted quite uniformly by nearly all the States, and those of certain States have been taken as models by others. For example: Michigan and Texas have followed Massachusetts in im portant particulars; Oregon and Nevada have copied after Washing ton, and Maryland adopted New York's law quite generally. But taken as a whole the laws are distinguished more for their dissimi larities than for their likenesses. In attempting to compare and weigh the various acts it is neces sary to concentrate upon the more important features. The scope of an act is perhaps of foremost importance. In other words, what industries are covered, what persons are compensated, and what ex emptions are made? These are vital questions. It is of no particu lar importance to an injured workman to know that his State has an efficient administrative system, or that the compensation scale is high, or that payments are well secured by adequate supervision over insurance carriers, if Ms occupation is excluded from the bene fits of the act. The amount of compensation received is probably the next most important feature of a compensation law. This includes the com pensation scale, the length of time for which compensation is paid, the maximum and minimum limits, the amount of medical service provided, and the length of the waiting period. S C O P E O F T H E . L A W S . A third important feature is the provision for an administrative system. It is essential that the rights of injured workmen be looked after by some responsible agency in order that employees may re ceive prompt and just settlements and to prevent intimidation on the part of employers. It is desirable that injured employees should re ceive the full amount of compensation due them and receive it im mediately and regularly. Other important provisions are those relating to security of compensation payments and injuries covered. No State compensation: act, even, when full use of the elective pro visions is taken into account, covers all employees. The nearest ap proach to universal coverage is the New Jersey act, which exempts only casual laborers, public officials,- and, public employees receiving salaries in excess of $1,200. The principal exemptions, in the order of their importance) perhaps are: (1) Nunhazardous employments; (2.) agriculture; (3) domestic service; (4) numerical exceptions, i. e., employers having less than a specified number of employees; (5) public employees; (6) casual5laborers or those not employed for the purpose of the employer’s business; and (7) employments not conducted for gain. In addition, there are a number of minor ex emptions affecting individual States. As already noted, most of the States which exempt certain em ployments provide that the parties exempted may accept the pro visions of the compensation system through voluntary agreements or joint election, but the ordinary defenses of the employer are not abrogated if they do not elect. As a matter of fact, in most States this privilege has not been taken advantage* of to any great extent35 and its effect in increasing the scope of an act is negligible. 35 For example: In California, in 1918,15,182 out af a total ofnot less than 77,000 employing farmers, not under the act by compulsion, had come under it voluntarily; in Connecticut, in 1916,1,500 out of 70,000 em ployees had elected to come under the act; in Maryland, in 1915, only 42 ofall the employers in nonhazardous industries, and tjma not compelled to accept the act, had voluntarily done so; and in Nebraska, in 1915, only 87'employeraof those exempt from all compulsionhadt voluntarily accepted the act. 20 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . Table 3 shows the inclusions and exclusions of the various States arranged according to the foregoing classifications: T able 3 .—SCOPE OF COM PENSATION L A W S. Inclusions. Both Haz hazard ardous ous and em nonhazploy ardous ments employ only. ments. Exclusions. Nu mer ical ex emp tions. Agri cul ture. Casual labor and Employ Public ments Do employ em mestic ment not not con ploy service. for employ ducted ments. er’s busi for gain. ness. Ala.i... A l a ... A l a ... Alaska. Alaska6 Ariz__ Calif*.. Calif... Calif........ Colo......... Colo.A Colo... Colo... Conn....... Del.......... Del.6.. D e l... D e l... Hawaii... Ala.......... Idaho. Idaho. Idaho___ 111 Ill In d .... In d .... Kans.. Kans.u K y .13. La. .. Me.15. . Md Kans K y .... Ind__ Iowa.. Iowa.. Iowa........ K y ... M e *!!’ " * Mass . . . . Mich Minn___ Mo Mo.6. . Mont Nebr N e v ... Mass.. Mich.. Minn.. M o.. . . Ala.2......... ................. Ala.3. . Alaska. Ariz... Calif.2........ Colo.2 Colo....... (*) Conn. (outworkers). Conn.7___ Del.*......... D e l... Del. (outworkers). Hawaii8. . Hawaii Hawaii (private employees receiving over $36 a week; public employees over $1,800 a year). Idaho7 ___ Idaho Idaho (outworkers; chari table institutions; employ ees receiving over $2,400 a year). \ 111.®............ Ind.2.......... Ind. (railroad employees in train service). Iowa8........ Iowa i° Iowa (clerks not subject to hazard of industry). Kans.9___ Kans___ Kans.12 Ky M.. La.9........... Me. (logging). Me.s........... Md.7.......... Md......... Md.16.. Md. (country blacksmiths; employees receiving over $2,000 a year). Mass.9 ... Mass.*7 Mass.. Mich Minn.. Minn.2 „. Mo___ Mo.2........... Mont.. Mont.. Mont.9 Nebr.. Nebr.. Nebr .8___ N e v ... N ev... Nev.2 N .H .. N. H 6 Minn.18 Minn, (steam railroads). Mo. (outworkers; employees receiving over $3,000 a year). Nebr. (outworkers). Nebr___ N .H .. N. J.7........ N. J N. Y N. Dak Ohio . . . Ky M e .... M e .... M d ..., M d .... Other employments. N. H . (only workmen en gaged in manual or me chanical labor included). N. J. (public employees re ceiving over $1,200 a year). N.Mex.s... N.M ex... N.Mex. N Mex. NMex.19 N. Y.20 N. Y .. N. Y . . N. Y N. Dak. (steam railroads). N.Dak. N.Dak. N.Dak.2" Ohio 6.. 1 Less than 16 excluded. 2 Casual and not for purpose of employer’s business. * Except State employees. * Less than 4 excluded. 6 Members of National Guard excluded. 8 Less than 5 excluded. * Casual only. 8 Casual or not for purpose of employer’s business. 9 Not for purpose of employer’s business. w City teachers excluded by ruling of commissioner. 11 Less than 5 excluded. Mines excepted from this provision. 12 Except municipal and county workmen. 13 Less than 3 excluded. n State and municipalities having less than 3 employees. l*>Less than 6 excluded. Except workmen. 17 Except State workmen, is State. 19 Less than 4 excluded*. Structural operations, 10 feet above ground, excepted from this provision. 20 Less than 4 workmen or operatives excluded; numerical exemption applies only to nonhazardous em ployments. S C O P E T able O F Exclusions. Casual labor and Employ Public ments employ Do em mestic ment not not con ploy service. for employ ducted ments. er’s busi for gain. ness. Haz ardous em ploy ments only. Nu mer ical ex emp tions. Okla.. Okla.13 Okla.. Oreg Pa............ P. R ........ ............. Oreg P a___ P.R.13. P .R . . .Pa.2........... Pa P. R . . R. I R.I.w. R . I . . . R .I ... S. Dak Tenn....... Tex......... S.Dak. S.Dak. S. Dak.2 Tenn.22 Tenn.. Tenn.. Tenn.9___ Tex.*3. T e x ... T e x ... Tex.9......... Utah Utah13. Utah.. Utah.. Utah2 V t............ Vt.23 V t ___ V t .8........... V a ........... Va.23.. V a . ... V a . ... Va.8........... W .V a. W .Va. Agri cul ture. O k la .... R .I .2......... W ash. W .Va ...... W is.13. Wis "Wis 21 L A W S . 3 .-S C 0 P E OF COMPENSATION L A W S —Concluded. Inclusions. Both hazard ous and nonhazardous employ ments. T H E W yo Wis.®......... W yo.2 Other employments. Okla.16 Okla. (persons not engaged in manual or mechanical work). Pa. (outworkers). P. R .21 P. R . (clerical occupations; employees receiving over $1,500 a year). R . I. (employees receiving over $1,800 a year). Tenn.. Tenn. (coal mines). T e x ... Tex. (railways used as com mon carriers). Utah (public employees re ceiving over $2,400 a year). V t .......... Vt.18.. Vt. (employees receiving over $2,000 a year). Va. (steam railroads). * Wash.16 W . Va. (traveling salesmen; corporation officers; em ployees not “ regularly’ ! employed). W y o .... W y o .16 W yo. (officials; clerks not subject to hazard of indus try). 1 Casual and not for purpose of employer’s business. 2 Casual or not for purpose of employer’s business. 8 Not for purpose of employer’s business. * Less than 3 excluded. 6 Less than 6 excluded. • Except workmen. 7 State. 8 Except employees engaged on public works performed by the administration. 9 Less than 10 excluded. 10 Less than 11 excluded. HAZARDOUS EMPLOYMENTS. It will be noted that 13 of the 45 States include only hazardous employments. In these States the industries covered are enumerated and classified in varying degrees of detail, ranging from 5 classifica tions in New Hampshire to 43 in Maryland. These lists may, in some cases, be further extended at the discretion of the administrative commissions, or through decisions of the courts. There is also con siderable diversity in the scope and number of hazardous employ ments included. It is impossible within the bounds of a chart or summary to present all the details of inclusion. In Alaska, only mining operations are included, but in the other States the prin cipal hazardous employments are covered, including manufacturing, mining, transportation, and construction work. In enumerating the industries covered various phrases are used to denote the unusual 2 2 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . degree of risk to which the employees are exposed. In three States36 the term “ hazardous” employment is used, in five37 “ extrahazardous,” and in one 38 “ inherently hazardous” ; one State39 employs the word “ dangerous,” while tw o40 use “ especially dangerous.” Such phrases, however, have on the whole only a euphonious utility. Not only are the enumerated employments not always based on the actual hazard of the industry, but generally recognized hazardous employments are specifically excluded. In Maine, for example, logging operations, conceded to be one of the most hazardous employ ments, are exempted from the compensation act, while coal mines are exempted in Tennessee. In no State is agriculture, generally admitted to be a hazardous employment, included in terms, while in six States 41 it is specifically excluded. Five States42 also provide for numerical exclusions, i. e., exempting the small employer from the operation of the act. Obviously the scope of the law in the foregoing groups of States is much more limited than in all other States, since it would exclude the trades, professions, clerical occupations, and domestic service. It may be noted, however, that compensation is compulsory in six of these “ hazardous” States. The exclusion of employments or employers on the ground of hav ing a low hazard is indefensible from every point of view and especially from that of the injured workman whose misfortune is not at all alleviated by the suggestion that the injxtry was quite unusual or unexpected. An injury received in a mercantile establishment may be just as severe and entail just as much economic distress as one received in a mine. And, furthermore, if an occupation is in fact only slightly hazardous, the additional burden to the industry and society will be slight because of the very fact that accidents are infrequent in these exempted employments. NUMERICAL EXEMPTIONS. A second exclusion is the exemption of small employers from the operation of the law. Twenty-two States exempt employers having less than a stipulated number of employees,, as shown in Table 4* a* Louisiana, Oklahoma, and Oregon. w Illinois, Maryland-, New Mexico, Washington* and Wyoming^ 38 Montana. »*New Hampshire. Arizona and Kaasas> & Illinois, Kansas, Maryland, Montana, Oklahoma, and Oregon. & Alaska, Kansas, New Hampshire, New Mexico, and Oklahoma;. S C O P E T a b le 4 , — NUM ERICAL OS5 T H E 2a L 'A W B . EXEMPTION. STATES CLASSIFIED OF EM PLOYEES E X E M P T E D . ACCORDING TO NUM BER Employers having less thaaa?— 3 em ployees. (6) 4remployees*. (3) Kentucky. Colorado. Oklahoma. New Mexico. Porto Rico. New York. Texas. Utah. Wisconsin.1 5 employees. (7) 6 employees. (2) Alaska. Maine. Connecticut. Rhode Island. Delaware. Kansas. Missouri, j New Hampshire. Ohio. 10 employees. 11 employees. (2) Tennessee'. Vermont. Virginia. 16 em ployees. (1) Alabama. rLi Wiscsxasm. the numerical exemption, provision does not apply if the employer has at any time since September 1, 1917, had three or more employees. Several reasons have been advanced for the exclusion of the small employer, one being based upon the theory that the hazard of fellow service is low in employments where only a few workmen are em ployed. Another reason given is that the cost of insurance for such employees would be proportionately high. A third reason is that such exemption automatically excludes two important classes of employments, namely, agriculture and domestic service. A large proportion of casual labor and employments not in the usual course of the employer’s business are also excluded through the numericalexemption provision. ACrKICHD I/if U Every State except tw o43 exempts agriculture. The exclusion is either direct ory what amounts to the same thing? the employer's defenses are not abrogated in case he does not elect. In 33 States agriculture is excluded specifically in the law, while in three States 44 its exclusion is accomplished through the exemption of the small employer. In the other seven States 45 only hazardous employments are covered and agriculture is not included in the enumerated lists. The reason for the almost universal exclusion of agriculture in the United States can hardly lie in the fact of its nonhazardous character. European experience, combined with available accident statistics in this country, proven quite conclusively that agriculture is a highly hazardous employment. The opposition of the farming element no doubt explains the exclusion, in 43 States, of agricultural laborers from the benefits of compensation acts. 13 Hawaii and’ New Jersey. 41 Connecticut, Ohio, and' Vermont. « Alaska, Arizona, Louisiana, New Hampshire, New Mexico, Washington, and Wyoming. 24 C O M P A R IS O N O P C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . DOMESTIC SERVICE. Domestic service is exempted in all but one State.46 In 29 States the exclusion is direct, while in three47 it is brought about byexempting the small employers; in one State48 the exclusion is accomplished by limiting the field of compensation to "industrial employments77 and exempting those not conducted for gain; in the other 11 States only hazardous employments are covered. PUBLIC EMPLOYEES. The provisions in regard to public employees also lack uniformity. Some States differentiate between the employees STThe Btate and of municipalities. Others include only those engaged in manual labor. In some States, again, the inclusion is compulsory, in others it is optional, while in still others no provision at all is made. Twenty-six States 49 include both State and municipal employees, while seven States 50 include neither. In the other 12 States 51 the inclusion of public employees is only partial. The status of each State is shown in Table 3.52 Of the 38 States which include public employees, either in whole or in part, in all but 8 53 such inclusions are compulsory. In these eight elective States compensation is also elective as to private employers. CASUAL LABOR. Two other exceptions are found in most of the compensation laws. These are casual laborers and persons not employed for the purpose of the employer’s trade, business, profession, or occupation. The term “ casual labor” is not readily defined nor is its meaning clear. The various courts and commissions differ in their construction of the term. The Nevada law defines casual labor as employment where the work contemplated is to be completed in not exceeding 10 work ing days, without regard to the number of men employed, and where the total labor cost of such work is less than $100. The New Jersey act defines casual employments, “ if in connection with the employer’s business, as employment the occasion for which arises by chance or is purely accidental; or if not in connection with any business of the employer as employment not regular, periodic, or recurring.” Cali46 New Jersey. 47 Connecticut, Ohio, and Wisconsin. 48 Hawaii. 49 California, Colorado, Connecticut, Hawaii, Idaho, Illinois, Indiana, Louisiana, Maine, Michigan, Mis souri, Montana, Nebraska, Nevada, New Jersey, New York, North Dakota, Ohio, Oregon, Pennsylvania, Rhode Island, South Dakota, Utah, Virginia, West Virginia, and Wisconsin. Alaska, Arizona, Delaware, New Hampshire, New Mexico, Tennessee, and Texas. « Alabama, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Minnesota, Oklahoma, Porto Kico, Ver mont, Washington, and Wyoming. m See pp. 20, 21. m Alabama, Connecticut, Kansas, Kentucky, Minnesota, Oregon, Vermont, and West Virginia. S C O P E O F T H E L A W S . 25 forma has interpreted the phrase as meaning employment for less than one week. Six States 54 have recently eliminated the “ casual labor” provision from the act entirely. Distinction must also be made between persons not employed in the usual course of the employer’s business, on the one hand, and em ployments not conducted for gain, on the other. The former refers primarily to employees as such and would include personal and household servants; employments not conducted for gain refer pri marily to employers and would include religious and charitable institutions. Casual employment may or may not be for gain, reg ularity being the principal criterion; employments not in the usual course of the employer’s business may or may not be casual and may or may not be for the employer’s pecuniary gain; but persons em ployed in employments not conducted for gain by the employer may be, and usually are, employed in the usual course of the employer’s business. The Wisconsin Industrial Commission has interpreted the word “ usual,” as used in the phrase “ usual course of employer’s trade, etc./7 as modifying “ course” and not “ trade.” Any person, therefore, in the service of another performing work for his em ployer is covered by the law, provided such work is in the usual course of the trade, business, profession, or occupation. South Dakota, however, has construed the phrase differently. The attorney general of the State has held that laborers employed in constructing a church were not covered by the act because it is not the usual business of the church to build buildings. Thirty-four States make exceptions of this kind, while 1155 do not. Six States56exempt both casual laborers and those not employed in the usual course of the employer’s business; while in 16 States57 the em ployment must be both casual and not in the usual course of the em ployer’s business, thus limiting the exclusions considerably. Four States58 exempt only casual labor, while eight States59 exempt only persons not in the usual course of the employer’s business. EMPLOYMENTS NOT FOR GAIN. As already noted, employments not conducted for gain or profit refer primarily to businesses or institutions and not to employees as such. Eleven States exempt such employments. Charitable, educa tional, and religious institutions are included within this group. In New York the court held that even public employments, irrespective 54 Illinois, Massachusetts, Michigan, Texas, West Virgiaia, and Wisconsin. « Alaska, Arizona, Kentucky, Michigan, New Hampshire, New York, Oklahoma, Oregoa, Porto Rico, Washington, and West Virginia. 66 Hawaii, Iowa, Maine, Nebraska, Vermont, and Virginia. 57 Alabama, California, Colorado, Delaware, Indiana, Minnesota, Missouri, Nevada, New Mexico, North Dakota, Ohio, Pennsylvania, Rhode Island, South Dakota, Utah, and Wyoming. 68 Connecticut, Idaho, Maryland, and New Jersey. 69 Illinois, Kansas, Louisiana, Massachusetts, Montana, Tennessee, Texas, and Wisconsin. 2 ;# C O M P A R IS O N O F C O M P E N S A T IO N L A W & O F U N IT E D S T A T E S . of the fact that they were specifically included in another1provision of the act,. were excluded from the operation of the law, because snch employments w~ere not conducted for gain. The law was later amended60 so as definitely to include public employments*,: regardless of the question of gain. EXTRATERRITORIALITY. Another feature pertaining to the scope of compensation laws is the question of extraterritoriality, i. e„, whether employees injured outside of the State are entitled to compensation. Soma States include such injuries, either specifically by law or through the deci sions of the commissions and court; some exclude them, while others make no provision.. In 19 States61 the laws have extraterritorial effect; in 14 States 62 injuries occurring without the State are not compensable;, while in 12 States 63 the law is not explicit. MISCELLANEOUS EXEMPTIONS. In addition to the foregoing exclusions, many States have special exemptions of more or less importance* the most frequent being the exclusion of highly paid employees. Nine States 34 have exemptions of this character. Because of the recent rise in the wage level the exclusion of such workmen has become a serious defect in the com pensation laws having this provision.. Other exemptions are: Out workers in Connecticut* Delaware, Idaho, Missouri, Nebraska, and Pennsylvania; coal mines in Tennessee; logging in Maine; all railways used as common carriers in Texas; country blacksmiths in Maryland; charitable institutions in Idaho; traveling salesmen in West Virginia; clerical occupations in Iowar Porto Rico, and Wyoming; steam rail roads in Minnesota, North Dakota, and Virginia; and railroad em ployees engaged in train service in Indiana. INTERSTATE AND FOREIGN COMMERCE.65 The employments and employees heretofore enumerated are all subject to State legislation and State jurisdiction. Another em ployment which must necessarily be excluded is interstate rail roads, The power to legislate for them is vested in the Federal Congress, and since it has acted the State laws can not enter tie field. eo Ch. 622, Laws'of 1916. ® Alabama, Colorado, Conaeetfeut, Hawaii,. Idaho, Indiana?, M aias, Missouri* Nevada, New Jersey, New York, Ohio, South Dakota, Tennessee, Texas, Utah* Verm ont, Virginity and Wiaeeasia* (eoartruling). ea Alaska, California, Delaware,, Miaofe (fce&rfc decision),- Kansas, Kentucky (court decision;),. Maryland (exception as to. miners-)* Massachusetts,- Michigan, Minnesota, Pemisylvania,. Bfeedso Island. (court deci sion), Washington, and West Virginia (commissioner’s ruling). 63 Arizona, Iowa, Louisiana, Montana, Nebraska,. New Hampshire, New Mexico,. North? Dakota* Oklahssia, Oregon, Porto Rieo, an<f. Wyoming; 64 Hawaii, Idaho, M arylsisi, Missouri,- ££ew Jersey, Porto R ico, Rhode Island^. Utah,. and Vermont. 65 Tor a thorough discussion of this subject see articley. MEmployees, engaged in aiteratat^ anti for eign commerce).” fey L. B»* Clark, in* November,, 191^, issue; ot the Monthly Labor Review,, pp. 294. to &I0. S C O P E O F T H E L A W S . 27 This exclusion is automatic by force of the facts, but several of the laws state that they do not apply to such employment or that they apply only so far as the operation of such roads is not regulated by Federal statute. A peculiar exclusion is that of the law of Texas, affecting all steam and street railways, while Minnesota, North Dakota, and Virginia exclude all steam railroads, and Indiana excludes employees engaged in train service. In Texas and Minnesota, however, the legislature has provided for this class of employees by enacting a liability law patterned after the Federal statute. The difficulties in interpreting and determining the jurisdiction of State and Federal liability laws, when both were based on the ques tion of negligence, were sufficiently great, but the entrance of State compensation laws, involving new and different ideas of responsibility, introduced questions of even greater complexity. The judicial answers for the solution of these problems, moreover, were at first irreconcilably conflicting. The New York and New Jersey courts adopted the view that though Congress had spoken in cases of the interstate employer’s negligence, it had said nothing which applied to cases of injury due to other causes, and therefore the State might enter the field without conflict with the Federal prerogative. The Illinois courts took the opposite view. The decisions of the United States Supreme Court in the two Winfield cases,66 however, declared that when an employee engaged in interstate commerce was injured, his only right to recover arose under the provision of the Federal Employers7 Liability Act, regardless of the question of negligence. The power of the States to supplement such legislation was denied. Theoretically, therefore, all conflict of legal jurisdiction has been cleared up by these decisions and a clear line of demarcation has been established; but in practice it is frequently, if not usually, nec essary to try each case in order to ascertain whether or not the tri bunal undertaking to hear and determine the controversy has juris diction over the parties to the proceeding. Various methods of solution have been proposed, most of them having in view the establishment of a single jurisdiction over rail road employees, intrastate as well as interstate. One solution pro poses the abrogation by Congress of the liability law in those States in which an adequate compensation law has been enacted, a prece dent for such a step being found in the so-called Webb-Kenyon law, which subjects interstate shipments of intoxicants to the operation of State laws on arrival within the jurisdiction of the State affected. A second suggestion proposes a Federal statute providing compensa tion for injuries to employees 'engaged in interstate commerce by railroad, the law to be administered by referees who m&y also be 86 New York Central R. R. Co. v. Winfield (244 U. S. 147), and Erie R. R. Co. v. Winfield (214 U. S. 170). 28 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . referees or administrative officers under the compensation laws of the State in which they act, thus permitting an award under the proper law on the presentation of evidence to a single individual or authority. A third proposition is that because of the progress of compensation legislation making adequate provision, which did not exist at the time of the enactment of the Federal liability law of 1908, no Federal compensation law be enacted, that the act of 1908 be repealed, and the whole subject relegated to State law, as it practically was prior to the enactment of the Federal liability statute. Still another method is that embodied in a proposed amendment to the Federal liability law providing that Congress do not assume to interfere with the power of the various States to provide a method of compensation for death and injury in cases not based upon negligence. This would enact into law the doctrine laid down by the courts of last resort of New Jersey and New York. A special committee 67 recently appointed by the International Association of Industrial Accident Boards and Commissions has been at work attempting to formulate an adequate compensation plan for railroad employees acceptable to the brother hoods, railroads, and the State compensation commissions. The foregoing proposals and discussions have to do solely with railroad employees. State jurisdiction over employees engaged in interstate commerce by water has been generally assumed since no statute has been enacted by Congress governing water transporta tion. But the recent far-reaching decision of the United States Supreme Court in the Jensen case f*8 proved this assumption to be incorrect. The case involved the death of a stevedore on shipboard while engaged in unloading a steamship in New York Harbor. The New York courts had held that the case was not covered by the Federal statute governing interstate carriers by railroad, and as no statute has been enacted by Congress governing carriage by water, there was no Federal legislation applicable to the case. The de cision of the Supreme Court was identical so far as the application of the Federal liability law was concerned, but an objection raised by the company to the decision of the court below that the compen sation law w7as “ unconstitutional in that it violates Article III, sec tion 2, of the Constitution, conferring admiralty jurisdiction upon the courts of the United States,” was upheld by the Supreme Court as regards the particular portion applying the law to maritime in juries. The Supreme Court, however, did not decide the question of admiralty jurisdiction over all injuries to sailors and stevedores Composed of Royal Meeker, United States Commissioner of Labor Statistics, chairman; Fred M. W ilcox, Wisconsin Industrial Commission, vice-chairman; T. J. Duffy, Ohio Industrial Commission; W . A. Marshall, Oregon Industrial Accident Commission; A . J. Pillsbury, California Industrial Accident Commission; C . H . Verrill, United States Employees’ Compensation Commission. e8 Southern Pacific Co. v: Jensen (244 U. S. 295), May, 1917. S C O P E O F T H E L A W S . 29 without regard to whether the injury occurred on ship or on the dock. The condition brought about by this decision, however, has since been remedied by the enactment of a Federal law 69 giving States concurrent jurisdiction over maritime cases.® There are at present approximately 1,400,000 railroad employees in the United States not covered by workmen’s compensation laws. Of these nearly 400,000 are railroad trainmen, practically all of whom are members of some railroad brotherhood. Some of these brother hoods have been somewhat apathetic toward a Federal compensation law, preferring an employers’ liability act under which the employee could obtain heavy damages for those accidents in which the railroad company was negligible, while other injuries could be taken care of through the brotherhood’s benefit and insurance funds. It should be borne in mind, however, that the trainmen proper constitute but 24 per cent of the total railroad employees, exclusive of shopmen.' The thousands of trackmen, section hands, and other employees have no strong organizations to look after their interests in case of accident. Moreover, of the total number of steam railroad accidents (excluding shop accidents) in the United States in 1916 sustained by railroad employees, trainmen sustained but 50 per cent of the fatal accidents and 42 per cent of the nonfatal accidents. Thus it will be seen that less than one-fourth of the railroad employees and only one-half of the railroad accidents are covered by the four railroad brother hoods.70 NUMBER OF PERSONS SUBJECT TO COMPENSATION ACTS. Thus far only the theoretical or statutory scope of the compensation laws has been discussed, without reference to its application to actual conditions in the several States. But what do the various inclusions and exclusions really meaii when applied in each State? How many employees are actually excluded through the nonhazardous, or numerical, or agricultural, or domestic service exemptions ? Then, again, how does the same statutory exclusion affect different States ? The exemption of agriculture in Rhode Island, for instance, is of little importance as compared to a similar exemption in Texas. An attempt has been made to work Out the number of employees affected by compensation laws in the various States. The computa tions are based upon the Federal occupation census of 1910. The absolute figures of the census of 1910, of course, understate the num bers as they exist at present, but probably the percentages would ea40 Stat. at L. 395. a This law was declared unconstitutional by the United States Supreme Court on May 17, 1920 (Knickerbocker Ice Co. v. Stewart). 70 For a further discussion of this subject see article “ Comparison of experience under workmen’s com pensation and employers’ liability system s/’ in the March, 1919,issue of the Monthly Labor Review, pp. 230-248. 3 # C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . remain practically the same except in the ease of such States as haver witnessed a. marked change iot the character of their industrial de velopment. These computations, although based, upon a detailed study of the census figures, are in some eases merely estimates, ami no* claim is laid to such accuracy as the figures would suggest. The aim has been, however,, to maintain uniformity of treatment as between States, so that while the percentage of error for a given State may be considerable, the percentages given would show the relative status of each. State with, a reasonable degree of accuracy. The method adopted has been as follows: The employers- (includ ing farmers, independent workers, etc.) were first deducted from the mimber gainfully employed as reported, by the census* the remainder being the bona fide employees or wage earners; from the latter group were then, excluded those employees exempted by the provisions of law as interpreted by the court or commission of each State. It has been difficult,, and in some cases impossible, to apply the census classi fications to those of the compensation acts, The classifications as enumerated in. the census and in. the laws do not agree, mA further more the census gives occupations only and does not classify persons employed according to industry or as to whether they are employees. Table 5 shows the number of persons gainfully' employed;71 the number of employers,, and the per cent this group, is of the total gainfully employed; the number of employees covered and not covered and the per cent these groups are of the total gainfully employed; and the per cent the employees covered and not covered are of the toted employee®. The phrase “ gainfully employed77 is used in the same sense as used in. the census, L e.., it includes all persons engaged in any gainful occupation irrespective of whether they are employees, employers, or independent workers, n The figures in the table do not include Federal employee^ and interstate railroad employees, on the ground that such, persons are. not subject to State laws* The number, of: such, employees: in each of the compensation States is given below. The sum of these figures added to the total persons'gainfully em ployed: (column: L of the table) would correspond; to the total persons gainfully? employed- as given imthe census of oecupations> 1910.. Alabama............... ......... Al&ska............................. Arizona............................ California........................ Colorado.......................... Conneetieut.................... Delaware............. .......... Hawaii............................ Idaho*.............................. Illinois,......... .......... Indiana........................... Iowa................................. Kansas................... Kentucky....................... Louisiana........................ Maine.............. ................ ... IS,917 1,225 7,109 4% 882, 20,138 10,864 3,807 3,142 7j 598 105,210 43; 644 40,093 38,601 24,429 19,872 10,909 Maryland................ Massachusetts___ •Michigan................. Minnesota........................ Missouri................. Montana.................. Nebraska............... . Nevada.................. . New Hampshire, New Jersey............. New Mexico......... . New York............... North^Dakota-------____ ,Oklahoma,. —......... Oregon, ................... 17,i&5 33,414 32,186 4^919 46,974 19,40223> 220. 3,761 5; 950 3$, 502 7,625 105,850 9,809 74,952 16^210 Paimsyirama.......... Porto Rico.................... Rhode Island.............. South: Dakota, ............. 'Tennessee...................... Texas............................. U tah............................... Vermont........................ Virginia......................... Washington-............... West Virginia.............. Wisconsin..................... W yoming...................... Total................... 134,3-18 1,567 6,977" 8,090 25,771 52,147 9> 511 5,057 32; 59 3 33,212 22,83G 30,252 12,841 1,282,090 S C O P E T a b l e 5*— ESTIMATES O F T H E - 81 L A W S . OF THE NU M BER AND P E E CENT OF PERSONS AFFEC TED B Y c o m p e n s a t io n a c t s . [The estimates of’ “ employees covered by act” in this table are made on* the assumption'that all elections provided Tor by law have been;mado. Owing to lack of definite information, no estimates have been made of employees unprotected because'of failure of employer to elcct under elective acts.] State* Total persons gainfully em ployed.1 Per cent oftotal Number. gain fully em ployed. 3 2 1Alabama.,.-......... Alaska*.................. Arizona................ California............. Colorado......... . Connecticut......... Delaware...... ....... Hawaii............... . Idaho.-............. Illinois---------- . . . Indiana....... „....... I o w a ....____ . . . Kansas................. Kentucky.-........... Louisiana___. . . . Maine............... Maryland............. Massachusetts. . . Michigan. . ... ... .. Minnesota______ Missouri_____ __ Montana.............. Nebraska------- . . . Nevada................ N ow- Hampshire. New J ersey...... New Mexico........ New York........... North. Dakota__ Ohio..................... Oklahoma........... Oregon............... . Pennsylvania___ Porta Rdco.......... Rhode Island'.:.. South Dakota__ Tennessee........... Tessas________ ... U ta h .................. . Vermont_______ Virginia.............. Washington........ W est Virginia__ Wisconsin........... W yom ing........... Employers (in cludes farmers, independents, etc.). 977,607 38, 84880, 716. 1, 8*56 058) 318,586. 479,598 82,055 98,052 123,430 2,191,568 993,066 786,,220 582, 732 842,551 659,311 294,548 523,219 1,497,654 1,080,812. 783,-533 1,241,362. 159,345 417,884 41,149 185,.753. 1,035,858 113,872 3,897,994 207,60S 1,844,103 582,419 286,334 2,996,363 392,581 602,146 5,300 18,742 254,804' 101,214 85,985 22, 534 11,309 50*587 616,894 360; 244 36:i, 568* 690' 422,.144l 261,019 SS,.535 ' 117,410 235,283 361,579 308,735 489,047 47,883' 210*559 8,668 43)551 171,895 48,510772,297 114^752 522,448 338,365 87,464 577,178 60,536 36,405 210,978 118,097 829,775 438,301 1,504, 864,689 122,029 40,844 40i.SU 139,032: 762.975 , 304r39l 488,289 116,746 425)654* 160^064 862,160 325,263 60,796 17,953 289, 244,924 7-M Total__ ____ . 32, 551,069- 10,537,449 Noncompensa tion States (7)‘. 1 4,710,000 2,901,360 U . S. civilian em ployees ®........... 771,117 Interstate- railread employees *4 1,400,000 61.6 13.6 23.2. 24.1 3L.8: 17.9 27.5' 11.5 41.0 28.1 ! Ernplo:fees. Per 1 Per cent cent em em ployees Per Per ployees not covered cent cent covered are of oftotai oftotai are of total gain Number., : gain total em fully fully em em em ployees. ployees. ployed. ployed. 8 5 9 Govercd:byact. Number: 4 126,125 10,481 32,.455 611,941 137,,.157 322,211 37-, 447 80,319 50,119 871,890 502,729 266,986 108,388253,281 140,239 150,305 188,433 1,109,134 597,585 379,349 497,632, 56,826 146* 034 24,746 79,680 30.3 45.9 49.7 50.1 39.6 30.1 22.4 15.7 33.4 39*2 39.4 30. Cf 50. 4r 21.1 23.4 16.6 42..$ 19.8 55.3 28.3 58.1 30.5 m3 15.4 14.9T 56.0 52.8 57.-5 33.5 33.7 3&.9 23,9 37.6 37.7 29i-5 861,963 20$073 2,503,020 43,480 1,008,813 87,522. 96„910 2,149,887 68,199 172,915 53,997 145,619 306,777 60,396 50>£42 209,058 191,458 212,812 405,009 1#; 857- 32.4 15,450,,139 G 7 13.1 20.2 31.7 19.8 39; 1 18.9 41.6 10.2 11.3 12.7 33.6 31.2 52.4 76; % 63.1 81.9 62,9 92.6 68.7 55.4 79.4 62.7 36.9' 60.2. 35.2 72.9 45.9 87.8 83.1 79.0 20:5 34.3 14..7 18.& 33.7 66.1 50.9 70.4. 76.2 56.0 20.6 37.3 63.1 39.8 64. a 27.1 54.1 12.2 16.9 21.0 33.9 49.1 29.6 23.8 44.0 .2 39.8 15.9 23.8 17.0 26.9 35.6 9.0 32.-7 36.9' 12.4 15.3 37,8 ' 99.8 30.7 80.1 46.8 76.3 35.9 48.7 88.8 20*5 82.9 58..0 37.247.9 74.4 55.2 45.6 51.5 80.1 75.4 46.3 69.3 19.9 53.2 23.7 64.1 51.3 11.2 79.5 17.1 42.0 62.8 52.1 25.6 41.8 54.4 48.5 19.9 24.6 53.7 47.5. 0,564,381 2Q..2. 70.2 29.8 1,808,640' 2 38.4 U,400,000 100.0 12..9 27.040.2 57.8 43.0 249,336 23,007 29,519 192*091 80,215 67.2 71,402 48.-1 075 6,424 82.3 40. .6 22,784 39.8 702,784 50.6 130,093 33.9 158,716 . 18.6 1=84,654 30.1 . 167,126 21.3 ' 258,053 51.0' 55,7.08 36.0 217,376 74.1 153,237 55.3 121,648 48i 1’ 100,449 40.1 ■ 254,688 35.7 54,636 34.9 61,301 60.1 7,735 42.9 62,522. 83.2 2,000J 2 17.6 64.2 . 622,677 20.9 , 49,367 54.7 312,842 15.0 156,532 33,8 101,960 71.7 269,-318 17.4 263,-846. . 35,604 70.6 25.6 38,884 245,855 17.6. 20.4 49.5 20,789 36.6 41,279 27.4 249.526 180,085 3D. 2 50; 0. 52,778 47.0 131,888 32; 7 ' 22,985. 22; 45, m 338,248 2 61.6 771,117 Not covered by act. 25.5 59.4 36,6 18.1 25.2 14.9 26.4 6.2 18.4 32.1 67.Z 14»5 18.4. 29.6 22.1 17.0 29; r 100.0 66j4 68.847.6 23.8 36.9 18.1 37.1 7 .4 31.3 44.6 ,2t 100.0 loe. a 1 Thes&> figures, based upon thfi1Waited! Stakes Cessnas of. 1910;. do net include Federal employees and^ interstate* railroad employees, en>the ground; that they a»e noi subject to State laws. The total, persons gainfully employed include employers as well as employees. 2 The Alabama percentages have'been applied to the noncompensation' Spates; 3 Figures as of July 1,1919, taken from United States register. * Does not include shop employees and others usually subject to State compensation acts. 32 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . As already stated, the absolute figures are based on the Federal Census of 1910, and therefore would not state the facts as they exist at present. They are given here primarily for the purpose of showing the relative numerical importance of the several States and of emphasizing the large number of persons (over 10,000,000) who can not possibly be covered under any existing compensation act. In the number of persons gainfully employed (column 1) Federal em ployees and interstate railroad employees have not been included, on the ground that they are not subject’ to State laws. The percentages employers, employees covered by the act, and employees not covered by the act are of the total gainfully employed (cols. 3, 5, and 7) are given chiefly to show to what extent the number of employees is affected by different industrial conditions. As would be expected, in agricultural States the percentage of employees is relatively small, while in industrial States it is large. The eight States in which over 50 per cent of persons gainfully employed belong to the employing class are agricultural States,72 while the four most intense industrial States have a small employing class.73 The last two columns (8 and 9) show the percentage of employees theoretically covered and not covered by the acts. As already explained, it is assumed that all employers in elective States subject to the compensation act have accepted its provisions. In computing the percentages of employees subject to the acts proper numerical deductions have been made for all the exclusions and exemptions except casual laborer, those not employed for the purpose of the employer’s business, and employments not conducted for gain. For these no separate deductions were made, because a large proportion of such employments are automatically excluded through the domestic service, numerical, and nonhazardous exemp tions. Furthermore, it would be difficult, if not impossible, to com pute with any degree of accuracy the number engaged in such employments. It will be noted that of the 32,551,969 persons gainfully employed in the 45 States and Territories having compensation laws, 10,537,449 or 32.4 per cent, belong to the employing or independent class, while 15,450,139, or 47.5 per cent, represent employees covered by compen sation acts, and 6,564,381, or 20.2 per cent, are employees not covered. Approximately 80 to 85 per cent of the employing class are farmers or home-farm laborers. On the same basis the 7 non compensation States74 have approximately 1,808,640 employees. I *2 .Alabama, 61.6; Oklahoma, 58.1; Texas, 57.5; South Dakota, 56; North Dakota, 65.3; Tennessee, 52.8; Nebraska 50.4; Kentucky, 50.1. 73 Rhode Island, 14.9; Massachusetts, 15.7; New Jersey, 16.6; Connecticut, 17.9. The small percentage of employers in the two agricultural Territories of Hawaii (11.5) and Porto Rico (15.4) is due to the large plantation system, employing many laborers. 71 Including District of Columbia. S C O P E O F, T H E 33 L A W S . The total number of employees, therefore, in the 52 States and Terri tories deprived of the benefits of workmen’s compensation legislation is over 8,000,000. In addition, there are about 1,400,000 interstate railroad employees not subject to State acts and for which no Federal compensation law has been enacted. Table 6 shows the States arranged in the order of the percentage of employees covered: T a b le 6 .—COMPENSATION STATES A R R AN G ED IN DESCENDING CENTAGE OF EM PLO YEES COVERED. ORDER OF PER [The estimates of ‘‘ employees covered” used in this.table are made on the assumption that all elections' provided for by law have been made. Owing to lack of definite information no estimates have been, made of employees unprotected because of failure of employers to elect under elective acts.] Per cent employees cov ered are of— State. Per cent employees not covered are of— Total employees. Total gainfully employed. Total employees. 1 2 3 Total gainfully employed. 4 99.8 92.6 83.2 82.3 0.2 7.4 0.2 6.2 Pennsylvania _ ........... .................... Massachusetts............................................................ Michigan..................................................................... Rhode Island............................................................. Connecticut .............................................................. New York..................... ............................................ West Virginia............................................................ 88.8 87.8 83.1 82.9 81.9 80.1 80.1 71.7 74.1 55.3 70.6 67.2 64.2 50.0 11.2 12.2 16.9 17.1 18.1 19.9 19.9 9.0 10.2 11.3 14.5 14.9 15. 9 12.4 Indiana............... *...................................................... Minnesota................................................................... Ohio............................................................................. Nevada........................................................................ California.................................................................. Wisconsin................................................................... Utah ......................................................................... Maine ........................................................................ Nebraska..................................................................... 79.4 79.0 76.3 76.2 76.2 75.4 74.4 72.9 70.4 50.6 48.1 54. 7 60.1 57.8 47.0 49.5 51.0 34.9 20.6 21.0 23. 7 23.8 23.8 24.6 25. 6 27.1 29. ^ 13.1 12. 7 17.0 18.8 18.1 15.3 17.0 Idaho ........................................................................ Missouri....................................................................... Colorado...........*.......................................................... Delaware ......................................................... Kentucky................................................................... 68. 7 66.1 63.1 62. 9 62. 7 60.2 40.6 40.1 43.0 46.1 33.9 30.1 31.3 33.9 36.9 37.1 37.3 39.8 18.4 20. 5 25.2 26. 4 20.2 19.8 South Dakota........................................................... New Hampshire........................................................ Illinois......................................................................... Vermont...................................................................... Arizona........................................................................ Washington................................................................ Montana...................................................................... 58. 0 56.0 55. 4 55.2 52.4 51.5 50.9 25.6 42. 9 39. 8 36.6 40.2 39.2 35. 7 42.0 44.0 44.6 44.8 47. 6 48.5 49.1 18.4 33. 7 32.1 29. 7 36. 6 36.9 34.3 Oregon......................................................................... Texas........................................................................... North Dakota............................................................ Wyoming.................................................................... Maryland.................................................................... Virginia....................................................................... 48. 7 47.9 46. 8 46.3 45. 9 45.6 33. 8 20.4 20.9 32. 7 36.0 27. 4 51.3 52.1 53.2 53.7 54.1 54.4 35. 6 22.1 23. 8 37. 8 41.6 32. 7 Tennessee.................................................................... Kansas ....................................................................... Oklahoma................................................................... Louisiana.................................................................... Alabama...................................................................... Alaska.......................................................................... New Mexico............................................................... Porto Rico.................................................................. 37.2 36.9 35. 9 35.2 33.6 31.2 30. 7 20.5 17.6 18. 6 15.0 21.3 12.9 27.0 17.6 17.4 62.8 63.1 64.1 64.8 66. 4 68.8 69.3 79.5 29. 6 31. 7 26.9 39.1 25.5 59.4 39. 8 67.2 70.2 47.5 29.8 20.2 New Jersey................................................................. Hawaii......................................................................... .......... Average........................................................ 172 3 08 °— 2 0 — Bull. 275— * IS. 9 14. 7 34 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . Columns 2 and 4 show what proportion the number of employees covered and not covered is of the total gainfully employed in the State. By bringing the two classes of percentages into juxtaposition the effect of the industrial character of the States in determining the percentage of gainfully employed persons subject to an act is brought out; for example, Illinois (55.4 per cent) and South Dakota (58 per cent) have nearly the same percentage of employees covered, but in industrial Illinois these constitute 39.8 per cent of the total gainfully employed, whereas in agricultural South Dakota they con stitute only 25.6 per cent. New Jersey, with 99.8 per cent of its employees covered, heads the list of States, while Porto Rico, with 20.5 per cent, stands at the bottom. Nine States cover over 80 per cent, 18 over 70 per* cent, 24 over 60 per cent, and 31 over 50 per cent. One covers only 20 per cent, 8 cover less than 40 per cent, and 14 less than 50 per cent. The States which include only hazardous employments stand lowest in the scale; next come the numerical-exemption States, and these are followed by those excluding agriculture and domestic service only. Naturally there are deviations from the group by individual States. Texas, for example, because of the exclusion of her dominant industry—agriculture—has fewer of her employees covered than most of the hazardous States. On the other hand, Rhode Island, which excludes all employers having less than 5 employees, has a higher percentage of employees covered than California, which excludes only agriculture and domestic service. Table 7 shows the effect of the three main exclusions upon the number of employees covered: S C O P E T a b le O F T H E 35 L A W S . ^ —COMPENSATION STATES CLASSIFIED ACCORDING TO EM PLOYM ENTS E X C L U D E D AN D PER CEN T OF EM PLO YEE S COVER ED IN EACH. [The estimates of employees excluded used in this table are made on the assumption that all elections provided for by law have been made. Owing to lack of definite information no estimates have been made of employees unprotected because of failure of employers to elect under elective acts.] All employments covered. Per cent of em- State. Agriculture and domestic service excluded. State. covered. N. J......... Hawaii 92.6 P a........ Mass. 3.. M ich... W. Va. I n d .... Minn.3. Nev— Calif.. . Nebr... Idaho.. Iowa 3- . S. Dak. N. Dak Per cent of em ployees covered. 87.8 83.1 80.1 79.4 79.0 76.2 76.2 70.4 68.7 62.7 58.0 46.8 Numerical exclusions. State. Per cent of em- Nonhazardous exclusions. State. covered. R. I . . . Conn.4 N. Y .. Ohio 4. W is ... Utah.. M e .... M o .... Colo... Del.1.. K yA. V t.3 ... Tex.*.. V a . ... Tenn.1 Ala.3.. P. R .. 82.9 81.9 80.1 76.3 75.4 74.4 72.9 66.1 63.1 62.9 60.2 55.2 47.9 45.6 37.2 33.6 20.5 N. H .i.......... Ill.................. Wash.3......... Mont----------Oreg............. W yo.3........... Md.3............. Okla.3........... L a................. N. Mex.1. . . , Per cent of em ployees covered. 56.0 55.4 52.4 51.5 50.9 48.7 46.3 45.9 36.9 35.9 35.2 31.2 30.7 1 All public employees exempted. 8 Hawaii exempts employments not in the usual course of the employer's business and those not con ducted for gain. 3 Public employee^ partially exempted. * Agriculture and domestic service not specifically exempted. Taking the median in each group as a basis of comparison there is a difference of from 13 to 20 per cent between each two groups of States; 96.2 being the median for the two States including all employments; 76.2 per cent for the 13 States excluding agriculture and domestic service; 63.1 per cent for the 17 numerical-exemption States; and 46.3 for the 13 nonhazardous-exemption States. The relative importance of the principal exclusions is shown more clearly in the following table, in which the exclusions for each State have been divided into their main constituent elements; i. e., agri culture, domestic service, and numerical and nonhazardous exemptions. The purpose of this subdivision is to show what relation each indi vidual exemption bears to the total number of employees excluded and also to the total number of employees in the State. The agri culture and domestic service exclusions have been put in separate columns, irrespective of whether these employments were exempted specifically or through the numerical or nonhazardous exclusions. 36 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . T a b l e 8 . — ESTIM ATED NUM BER OF EM PLOYEES E X C L U D E D U N D ER COMPENSATION ACTS AN D PER CENT OF SUCH E X C L U D E D EM PLO YEE S W H O AR E EX C L U D E D BE CAUSE OF E M PLO YM EN T IN AGR ICU LTU RE , DOMESTIC SERVICE, NON HAZAR D O U S EM PLOYM ENTS, ETC. {The estimates of employees excluded used in this table are made on the assumption that all elections provided for by law have been made. Owing to lack of definite information, no estimates have been made of employees unprotected because of failure of employers to elect under elective acts.] Total employees excluded. State. Number. Per cent. Of total employees excluded, per cent excluded by— NonhazNonhazardous Domes Numer ardous Domes Numer Agri ical and Agri ical and tic serv tic serv exemp other culture. culture. exemp other ice. ice. tions.! exemp tions.! exemp tions. tions. Ala........ Alaska.. Ariz....... C a lif.... Colo....... 249,336 23, t)67 29,519 192,091 80,215 66.4 68.8 47.6 23.8 36.9 47.1 19.0 41.9 62.5 40.4 26.8 19.5 18.6 37.5 29.5 Conn___ Del........ Hawaii.. Idaho. . . Ill........... 71,402 22,075 6,424 22,784 702,784 18.1 37.1 7.4 31.3 44.6 30.6 41.0 83.7 19.1 49.5 36.5 93.4 16.3 25.5 Ind........ Iowa___ Kans___ fy.... L a......... 130,093 158,7x6 18^, 6o4 167,i26 258,053 20.6 37.3 63.1 39.8 64.8 68.5 52.4 25.0 51.4 48.7 31.5 19.4 17.3 39.4 27.4 Me......... Md......... Mass___ M ich .... Minn___ 55,708 217,376 153,237 121,648 100,449 27.1 54.1 12.2 16.9 21.0 41.8 26.9 23.9 64.6 57.6 37.4 31.5 57.3 35.4 40.6 20.8 *Mo Mont----Nebr.. . . Nev....... N .H .... 254,68354,636 61,301 7, ^35 62,522 33.9 49.1 29.6 23.8 44.0 39.5 41.7 61.2 69.0 22.7 37.4 22.2 38.8 31.0 22.1 23.1 N . J........ N M ex. N .Y .... N. Dak.. Ohio----- 2,000 45,289 622 677 49,367 312,842 .2 69.3 19.9 53.2 23.7 58.5 24.1 73.2 34.6 15.4 63.2 26.8 41.7 O k la .... Oreg----P a......... P. R ----R. I ........ 156,532 101,960 269,318 263,846 35,604 64.1 51.3 11.2 79.5 17.1 38.3 29.6 42.7 76.4 18.7 18.0 19.8 57.3 18.2 50.4 4.5 39.2 50.6 3.0 30.9 2.4 S. D ak .. Tenn— Tex....... U ta h .... V t .......... 38,884 245,855 333,243 20,789 41,279 42.0 62.8 52.1 25.6 44.8 68.1 35.4 55.1 50.8 39.8 31.9 32.5 28.9 35.7 30.2 19.7 9.5 13.5 30.0 12.3 6.5 V a ......... W ash. . . W . V a... W is....... W yo — 249,526 180,085 52,778 131,888 22,985 54.4 48.5 19.9 24.6 53.7 43.5 28.5 65.6 48.0 53.0 36.5 20.3 31.8 42.4 18.6 20.0 Total.. 6,564,381 29.8 40.6 35.2 8.2 .... Of total employees, per cent ex cluded by— 21.0 .2 5.1 61.3 39.5 17.8 13.4 8.9 8.9 10.9 13.9 .2 30.1 31.3 13.0 20.0 14.9 14.9 19.9 22.5 5.6 15.2 3.6 8.4 25.5 8.5 8.9 13.5 7.4 5.8 11.4 14.1 19.5 15.8 20.4 31.6 6.5 9.4 10.9 15.7 17.6 11.3 14.2 2.9 10.9 12.1 10.1 16.9 6.9 6.0 8.3 5.7 13.4 20.3 18.1 16.4 10.0 12.7 10.9 11.5 7.4 9.7 7.8 40.5 4. 8 38.8 8.2 10.6 12.6 14. 3 9.9 2.9 2.5 24.6 15.2 4.8 60.7 3.2 11.6 10.2 6.4 14.4 8.6 2.9 25.1 25.9 2.4 5.3 1.9 28.5 22.2 28.7 13.0 17.8 13.5 20.4 15.0 9.1 13.5 12.4 4.9 3.5 13.4 7.8 3.4 19.8 9.8 6.3 10.4 10.0 10.9 28.4 23.7 13.8 13.0 11.8 28.4 16.0 12.1 10.5 2.5 6.6 55.4 28.2 9.0 9.2 48.6 ..... ” 23.9 41.6 18.8 1.8 36. i 3.4 22.0 12.8 51.8 100.0 4.1 23.7 9.6 51.2 2.6 3.4 42.2 18.7 11.1 24.7 8.4 31.1 5.3 3.7 * i5.*6 23.0 2.4 .6 17.9 i.5 22.8 .2 15.3 5.6 24.9 .5 2.4 15.2 4.8 1 Does not include agriculture or domestic service. It will be recalled that 6,564,381, or 29.8 per cent of the total em ployees, are not covered by compensation legislation in the 45 com pensation States, and that these exclusions have been brought about S C O P E O F T H E 37 L A W S . in several ways. It will be noted that of these, 40.6 per cent75 have been excluded through the exemption of agriculture, 35.2 per cent76 through the exemption of domestic service, 8.2 per cent77 through the exemption of the small employer, and 16 per cent78 through the exemption of nonhazardous and other employments. These exclu sions constitute, respectively, 12.1, 10.5, 2.5, and 4.8 per cent of the total number of employees. The per cent each exclusion is of the total exclusion in any given State depends upon the total number excluded in the State as well as upon the number of employees in the excluded group. To illus trate, agriculture might constitute 60 per cent of the total excluded if farm labor and domestic service only were excluded, but would con stitute a much smaller percentage of the total if nonhazardous em ployments also were excluded. It will be noted that the percentage of total exclusions due to agri culture alone ranges from 18.7 per cent in Rhode Island to 83.7 per cent in Idaho, while the exclusion due to domestic service ranges from 15.4 per cent in New Mexico to 93.4 per cent in Hawaii. The per centage of employees excluded by exempting the small employer is much less than either the agriculture or domestic service exclusions. In the foregoing computations as to the number of employees covered by the compensation laws no distinction has been made be tween compulsory and elective acts. It has been assumed that all the employers in the elective States are under the law. •As a matter of fact, however, this is not true. In some States practically aH employers have accepted the act, while in others relatively few have done so. For this reason elective compensation acts have been severely .criticized. It is maintained that the substitution of the compensation system for the old liability system has not been brought about and to this extent elective compensation laws have failed. A large number of employees must still resort to damage suits and be subject to expensive litigation in order to be indemnified for indus trial injuries. In New Hampshire only 19 employers, employing 19,000 persons, were under the compensation law in 1916. These con stituted less than 25 per cent of the employees potentially covered by the act and only 13 per cent of the total employees in the State. Very little reliable information as to the number of employees actually covered by compensation acts in the elective States is available. Table 9 gives the estimates furnished by the States themselves: 75 2.,663,123 employees. 76 2,311.829 employees. 77 539,359 employees. 78 1,050,070 employees. 38 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . 9 .—NUM BER OF EM PLO YEES W H O M A Y BE BR O U G HT U N D ER COM PENSATION ACTS A ND NUM BER A C T U A L L Y UN D ER TH E ACTS IN TH E 31 ELECTIVE STATES. T a b le Elective State. Alabama................................ Colorado.... . . . . . .................... Connecticut.......................... ^ Delaware................................ Indiana................................... Iowa........................................ Kansas.................................... Kentucky............................... Louisiana............................... Maine......... ............................ Massachusetts........................ Michigan....... ........................ Minnesota................ ........... Missouri.................................. Montana................................ Nebraska................................ Nevada........................ . New Hampshire................... New Jersey............................. New Mexico........................... O regon...,.............................. Pennsylvania........................ Rhode Island............... ......... South Dakota..................... Tennessee................... T e x a s .................................... .............................. Virginia.. . .......................... West Virginia.. ................. Wisconsin............................... Number of employees who may be brought un der compen sation acts as computed by Number of employees actually under acts through employers' election and number of employers rejecting the act, as esti United States Bureau of mated by the several States. Labor Statistics, based upon the 1910 census. 126,125 * 10,481 137,157 322,211 7 employers rejected act (1915). 37,447 502,729 4,000 employers (mostly small) rejected act (1917). 266,936 Over 25 per cent of employees, estimated at 30,0(jjp, subject to act not insured (1916).1 108,388 253,281 140,239 150,305 152.000 (1917). 1,109,134 650.000 (1915).3 597,585 739,496 (1916). 379,349 497,632 56,826 50,386 (1919). 146,034 37 employers rejected act (1915). 24,746 12,981 (1918). 79,680 19,000 (1916). 861,963 20,073 96,910 80-85 per cent {1915).* 2,149, 867 172,915 154,538 (1915). 53, 997 145,619 306,777 206.000 (1916). 50,942 Verm ont 55.000 (1916). Only one employer has rejected the act. 209,058 212,812 192,561 (1918). 405,009 Over 250,000. 551 employers with 3,000 employees rejected act (1915). i Failure to insure supposed to be due to stringent insurance provisions, a Total subject to act estimated by industrial accident board at 800,000. s Estimated by writer at 72,500. HOW ELECTION IS MADE. Under this head are indicated the* methods required by the laws for their acceptance or rejection in the 31 States where the elective system is provided. In 21 States79 the employer is presumed to accept the act in the absence of positive action rejecting it, while under the other 10 elective systems he must, institute some action indicating his purpose to come under the law. In 7 of these States80 he elects by filing acceptances with designated State authorities, while in 3 States81 election is made either by insuring in authorized casualty companies or by subscribing to the State fund. In the 21 w Alabama, Alaska, Colorado, Connecticut, Delaware, Indiana, Iowa, Kansas, Louisiana, Minnesota, Missoifri, Nebraska, New Jersey, New Mexico, Oregon, Pennsylvania, South Dakota, Tennessee, Vermont, Virginia, and Wisconsin. so Kentucky, Maine, Michigan, Montana, Nevada, New Hampshire, and Rhode Island. 81 Massachusetts, Texas, and West Virginia. S U IT S F O R D A M A G E S . 39 States where the employer is presumed to accept the act the employee is subject to the same presumption in the absence of positive steps to reject, while in 9 of the 10 States where the employer must take positive action acceptance by the employee is presumed until the negative is shown; the other State, Kentucky, requires the em ployee to file written notice of acceptance with his employer. In the original Texas law no option was given the employee in case the employer elected, but this restriction was repealed in 1917. Such a provision invalidated the old Kentucky act, and the Texas provi sion was also questioned, but the Texas supreme court held the ^law constitutional on all points. The extent to which employers have accepted the compensation laws has already been discussed. In most States very few employees have rejected the acts. ABROGATION OF DEFENSES, Under the elective system, as provided in 31 States, acceptance of the act is induced by the withdrawal or modification of the three customary common-law defenses of assumed risk, fellow' service, and contributory negligence in cases where the employer refuses to accept the act. Employers accepting the compensation act are generally exempt from damage suits, while those rejecting the act are relieved of the duty of paying compensation but are subject to actions at law, with the Usual defenses abrogated. In cases where an employee rejects the compensation system and sues an employer who has accepted it the employer usually retains Ms three defenses. The defenses of assumed risk and fellow service are abrogated in each of the 31 elective States without restriction. The defense of contributory negligence, however, is abrogated unqualifiedly only in 17 82 of the 31 States. In 13 States 63 this defense is modified to the extent that injuries caused by the employee’s intoxication, willful act, or reckless indifference are not actionable. In 1 State 84 the de fense remains, but the burden of proof is shifted to the employer. SUITS FOR DAMAGES. When both the employer and employee have accepted the compen sation act the bringing of suits for damages under either the common or statute laws of liability is forbidden absolutely in 16 States.85 In the other 29 States employees are permitted to sue upon certain con 82 Connecticut, Delaware, Indiana, Kansas, Kentucky, Louisiana, Main©, Massachusetts, Michigan, Missouri, New Mexico, Rhode Island, South Dakota, Tennessee, Vermont, Virginia, and West Virginia. 83 Alabama, Alaska, Colorado, Iowa, Minnesota, Montana, Nebraska, Nevada, New Jersey, Oregon, Pennsylvania, Texas, and Wisconsin. 84 New Hampshire. S3 Alabama, Alaska, Colorado, Hawaii, Idaho, Kansas, Louisiana, Maine, Massachusetts, Minnesota, New Jersey, New Mexico, Vermont, Virginia, Wisconsin, and Wyoming. 40 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . ditions, generally some neglect on the part of the employer. Table 10 shows in which States and upon what conditions employees are allowed to bring actions at law: T a b le 1 0 .—CONDITIONS U N D ER W H IC H SUITS FOR DAMAGES M AY BE BR O U G H T W H E N BO TH PAR TIES COME U N D E R ACT. Not permitted. Permitted. Conditions under which they are permitted. A1 ham.i Arizona........... California........ After injury. Defense of contributory negligence alone remains. If employer fails to insure his risk. Defenses abrogated. Connecticut. . . If employer fails to insure his risk. Delaware......... If employer fails to insure his risk. Defenses abrogated. Hawaii.............. Illinois............. If employer fails to insure his risk. Indiana........... If employer fails to insure his risk. Iowa................. If employer fails to insure his risk. Kentucky....... Maine................. Defenses abrogated. 11 injury is due to deliberate intention of employer, illegal employment of minors, or failure to insure. Maryland........ If injury is due to deliberate intention of employer or failure to insure. Defenses abrogated. Massachusetts Michigan......... If employer, insuring in State fund, is in default on insurance premiums. Missouri.......... Montana......... Nebraska........ Nevada........... New Hamp shire. If employer fails to insure his risk. If employer, insuring in State fund, is in default on insurance premiums. If employer fails to insure his risk. Defenses abrogated. If employer is in default on insurance premiums. In lieu of compensation, after injury. Minnesota......... New Jersey.__ New Mexico Vermont........... Virginia............. New Y o r k .. . . If employer fails to insure his risk. Defenses abrogated. North Dakota. If employer fails to insure his risk, or illegally emplays minors. Ohio................. If injury is due to willful act of employer, violation of safety law, or if employer is in default on insurance premiums. Defenses abrogated. Oklahoma....... If employer fails to insure his risk. Defenses abrogated. Oregon............. If injury is due to willful act of employer, or if employer is in default on insurance premitims. Defenses abrogated. Pennsylvania. If employer fails to insure his risk. Porto Rico___ If injury is due to employer’s willful or criminal negligence. Rhode Island. If employer fails toinsure his risk. South Dakota.. If employer fails toinsure his risk. Tennessee........ If employer fails toinsure his risk. Texas............... If employer’s willful or gross negligence causes death, or if employer charges part of insurance premium against employee.1 Utah................ If employer fails to insure his risk when injury is caused by employer’s negligence (defenses abrogated); if injury causes death (defenses remain and employer’s negligence must be proved); if injury is due to employ er’s willful misconduct. Washington... If injury is due to employer’s deliberate intention.2 West Virginia.. If injury is due to employer’s deliberate intention,2 or if employer is in default on insurance premiums. W is c o n s in . Wyoming......... i ................................ 1 In addition to compensation. 2Excess damages in addition to compensation. It will be noted that 9 States 86 permit suit if the injury was due to a willful act, willful misconduct, or gross negligence of the em ployer; 24 87 permit it in case the employer fails to insure his risk or is in default on insurance premiums; 1 88 if the employer has violated 86 Kentucky, Maryland, Ohio, Oregon, Porto Rico, Texas, Utah, Washington, and West Virginia. 87 California, Connecticut, Delaware, Illinois, Indiana, Iowa, Kentucky, Maryland, Michigan, Missouri, Montana, Nebraska, Nevada, New York, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Dakota, Tennessee, Utah, and West Virginia. 88 Ohio. S U IT S F O R D A M A G E S . 41 the safety laws; 2 89 if he has illegally employed minors; 1 90 if em ployer charges part of insurance premiums against his employees; and 1 91 if the injury causes death. In most of the above cases the injured employee has the option of either accepting compensation or suing for damages, but he may not do both. In Washington and West Virginia, however, where the injury is due to the employer’s deliberate intention, the emploj^ee may bring suit for excess dam ages in addition to receiving compensation, while in Texas the employee may sue for damages in addition to compensation if the employer has charged part of the insurance premium against the employee. When employees accept a compensation act, they must do so before the injury, except in 2 States,92 where the law reserves the right to an injured employee to bring suit or accept compensation after the accident, and in both States the defense of contributory negligence alone remains available to the employer. Possibly this provision explains in part why only 19 employers have accepted the act in New Hampshire. There is little inducement for an employer to come under a compensation act if he is also to be subjected to damage suits. In Arizona the law is compulsory, and consequently employ ers have no option. The former Montana statute, which fixed upon the employer a double liability by compelling him to contribute to an insurance fund and leaving him still liable for damages, was declared unconstitutional by the court. The failure to enact a Fed eral compensation law for interstate railroad employees has been in part due to the unwillingness of the railroad brotherhoods to give up their right to sue for damages. If the compensation system is accepted by the employer but re jected by the employee, the defenses remain available to the former in 29 States,93 but in Alaska, Iowa, and Nevada the defense of assumed risk is abrogated if the employer has violated the safety laws and regulations; in Kansas all defenses are abrogated if the employer has been guilty of willful negligence; in Delaware dam ages can not be recovered if the injury is caused by the employee’s willful intention to injure himself or another, intoxication, failure to use safeguards, violation of law, or reckless indifference to safety, while in West Virginia the employee surrenders his right of action if he remains in the service of his employer after the latter elects to come under the act. 89 Kentucky and North Dakota. 90 Texas. « Utah. 92 Arizona and New Hampshire. 93 Alabama, Alaska, Colorado, Connecticut, Delaware, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, Oregon, Porto Rico, Rhode Island, South Dakota, Tennessee, Texas, Vermont, Virginia, and Wisconsin. 4 2 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . SPECIAL CONTRACTS. In order to secure to the employee the benefits contemplated by the act, without loss by reason of ill-considered and inadequate settle ments; the law usually provides that an employee can not waive his right to compensation benefits or otherwise contract with his em ployer for the purpose of modifying the latter’s liability under the law. Such waivers are absolutely forbidden in 19 States,94 except that in 4 of these States 05 the employer and employees may enter into a hospital contract. In 19 States 96 the employer is permitted to establish and maintain substitute insurance schemes or benefit funds, the benefits of which must equal those provided in the com pensation act. In 3 States97 only existing substitute insurance schemes are permitted. The laws of 3 States98 make no provision in this regard, except that in New Mexico employers and employees may enter into an agreement to maintain a hospital. If the em ployee makes any contribution to the fund or substitute system, he must receive additional benefits corresponding to the amount of ’ his contribution. This, of course, does not apply in Oregon, where the law places a part of the burden of cost upon the employee. In four States 99 employees, under certain conditions, are permitted to waive their compensation rights. In Kansas and Ohio blind employees only are permitted to waive such rights, while in Con necticut all physically defective employees are permitted to do so. In Alabama, however, not only are settlements allowed if in “ sub stantial” conformity with the law, but the courts are authorized to approve settlement agreements calling for less than the statutory benefits if they are “ in the interest of the employee.” BURDEN OF COST. With the single exception of Oregon, the burden of cost for com pensation is entirely on the employer. In this State employees are required to contribute one cent for each day or part of day worked, the contributions being deducted from their wages. Such contribu tions have ranged from 6 to 10 per cent of the total premiums con tributed by the employers. The remainder of the burden is borne by the employer, except that the State pays a subsidy of one-seventh of the amount contributed by both employers and employees. For 84 Alaska, California, Colorado, Hawaii, Louisiana, Maryland, Massachusetts, Montana, Nevada, New Jersey, New York, North Dakota, Oregon, Pennsylvania, Tennessee, Texas, Vermont, Washington, and W yoming. 93 Colorado, Montana, Nevada, and Washington. 98 Alabama, Arizona, Connecticut, Delaware, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Min nesota, Missouri, Oklahoma, Rhode Island, South Dakota, Utah, Virginia, West Virginia, and Wisconsin Maine, Michigan, and Nebraska. 88 New Hampshire, New Mexico, and Porto Rico. »»Alabama, Connecticut, Kansas, and Ohio. B tT B D E K O F C O S T . 43 merly Ohio and West Virginia, also, required the employees to bear a part of the compensation costs, 10 per cent being required in each case. Also the laws of Idaho, Montana, Nevada, Utah, and Washington specifically authorize the withholding of sums from employees for medical and hospital services. In Montana employers and employees may enter into an agreement to maintain jointly a hospital fund, the charges for which amount to approximately $1 a month; in Idaho employers may require employees to pay $1 a month for medical services; in Nevada and Utah the charges against the employees are not to exceed the actual cost of maintenance, while in Washington employees are required to contribute one-half of the medical expenses. The laws of Colorado and New Mexico, also, provide that employers may contract with their employees for surgical and hospital facilities in lieu of the statutory medical benefits. In the. foregoing far Western States the employers do not as a rule maintain their own hospitals, but enter into arrangements with contract hospitals whereby the latter agree to furnish medical and surgical attention to employees in case of accident. The terms of the contract usually require the employees to contribute from SI to $1.50 a month, which is deducted from their wages and turned over to the hospital. Under substitute insurance or benefit schemes, employees may be required to contribute to the fund; but since the laws do not allow the employer to reduce his liability, the compensation benefits received by injured employees must equal the compensation scale as provided in the act plus the employees’ contributions, and conse quently there is no real tax upon the employee for the statutory benefits. In some States certain employers have made a practice of com pelling their employees to share the cost of compensation. In the lumber industry in Texas and Louisiana, for example, a large pro portion of the burden of cost was borne by the employees. To pre vent this evil, Louisiana amended its law in 1916, making it a mis demeanor for employers to charge premiums against their employees; while Texas, with similar intent, also amended its law in 1917 by subjecting the employer to damage suits in addition to the payment of compensation. Similar protective provisions have recently been enacted by other States. At the present time 19 States 1 penalize the employer if he compels his employees to bear part of the compen sation costs. 1 California, Hawaii, Illinois, Iowa, Kentucky, Louisiana, Maryland, Minnesota, Montana, Nevada, New York, Ohio, Oklahoma, Porto Rico, Texas, Utah, Vermont, Washington, and Wisconsin. 44 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . SECURITY OF PAYMENTS. Since it occasionally happens that employers become insolvent or meet with a catastrophe and consequently are unable to meet their pecuniary obligations, it is important that employees be safeguarded from such or similar contingencies by suitable legislation providing for security of compensation payments. In the 39 States having compulsory insurance law^s, such security is reasonably assured, pro vided, of course, that the risk is actually and adequately insured. In most of the compulsory insurance States employers have the option of insuring either in private casualty compaijies or in the State fund or of providing self-insurance. In many States failure to insure penalizes the employer either by subjecting him to a fine or by per mitting the employee to sue for damages. Usually, also, the law holds the employer and insurer individually liable for compensation. However, a j'udgment awarding damages is of little service to an employee if the employer is insolvent. A recent investigation2 in New York brought out the fact that more than 15,000 employers failed to give security, although required to insure under the compensation act. Unfortunately this deplorable situation obtains in most of the compulsory insurance States. Many of the employers were financially irresponsible, and awards by the commission arising from claims against them were often uncollectible. Most of these noninsured employers are small concerns—stores and the like. Some are extrahazardous employments whom the commercial carriers would not insure, such as window cleaners, fishermen, junk dealers, and so on. It has even been found necessary to permit such employers to carry their own risk. The State should provide facilities for insurance for every employer subject to the compensation act and then penalize heavily those employers who fail to insure. The usual penalty of allowing the employee to sue for damages with the employer’s defenses removed is useless in case the employer is insolvent. When employers are authorized to carry their own risk, they are usually required to iurnish satisfactory proof of solvency and ability to meet present and future compensation payments, or to deposit adequate bonds or other security. In 163of the 31 States permitting self-insurance employers are required to furnish proof of solvency or to deposit such security as required by the compensation com mission or insurance department; while in 15 States4 they must deposit security in addition to furnishing proof of financial respon 2 Report of investigation by J. F. Connor as commissioner under section 8 of the executive law, in relation to the management and affairs of the State Industrial Commission, Nov. 17,1919. a Connecticut, Hawaii, Idaho, Illinois, Iowa, Michigan, New Hampshire, Missouri, New Jersey, New Mexico, Pennsylvania, Rhode Island, South Dakota, Tennessee, Vermont, and Virginia. 4 California, Colorado, Delaware, Indiana, Kentucky, Maine, Maryland, Montana, Nebraska j New York, Ohio, Oklahoma,Utah, West Virginia, and Wisconsin. S E C U R IT Y O F P A Y M E N T S . 45 sibility. In four States5 they are also permitted to insure their risk in authorized guaranty companies. Experience as to self-insurance has been reported to the Bureau of Labor Statistics by the compensation commissions of 21 States. In 15 of these States no self-insured employer has failed or gone into the hands of a receiver; three States reported one failure each and one State reported two failures, but in all cases the compensation claims were paid either by the receiver or through security which had been deposited. Only two States reported failures—one small concern in each State—which resulted in several claims being unpaid. While the security record of self-insurers has been excellent this favorable experience may be due in part to good fortune or pure chance. It is also quite possible that compensation commissions are not always cognizant of every failure of self-insured employers, be cause such failures may not be reported to them. This was actually the case in Illinois. In such cases the injured claimant usually con sults an attorney, "who takes the matter before a bankruptcy court and the commission remains in ignorance of the facts. Another form of security in most of the laws is the provision making compensation payments preferred claims against the property of the employer. In fact, this is practically the only security possessed by employees in the 6 noncompulsory insurance States. In order to protect the injured employees from themselves and from creditors, nearly all of the States provide that compensation payments shall be nonassignable and exempt from attachment or execution, INSURANCE RATES AND RESERVES. The adequacy and reasonableness of insurance premiums are of vital importance to the employers of the compensation States, since the burden of cost depends largely upon the insurance rates. When compensation laws were first enacted there existed no satisfactory experience upon which to base premium rates. The old employers’ liability experience was unsatisfactory and the experience of foreign countries was to some extent inapplicable. Called upon suddenly to produce a schedule of rates, with no reliable data as a basis, the insur ance carriers were forced to rely upon their “ underwriting judg ment, ” and the rates thus formulated were generally too high. Since then, however, with the accumulation of experience and the entrance of the State into the insurance field as a competitor, rates have been established more nearly in accordance with the hazards of industry. The security or solvency of insurance companies depends first, upon adequate rates and, second, upon adequate reserves. Both 6 Hawaii,Idaho, Oklahoma,and Vermont. 48 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . should be under the strict supervision and regulation of State insur ance departments. No company can long maintain its solvency with inadequate rates. Under stress of cutthroat competition the temptation to reduce rates below the safety level generally becomes too great to resist. State regulation is necessary to maintain the solvency of the insurance carrier and to protect the compensation rights of the injured employees. Notwithstanding these obvious requirements 186 of the 45 compensation States make no provision as to rate regulation. The remaining 27 States, including, of course, those having exclusive State funds, require the approval of rates, either as to adequacy or reasonableness, by the industrial com missions or insurance departments. The absence of proper supervision over insurance rates and re serves has resulted in several disastrous failures of stock companies during the past two or three years. Whether the State should, as maintained by some, either guarantee the solvency of insurance companies authorized to do business or make good'the losses directly out of the State treasury where such insolvency is due to lax insur ance laws or their administration, may be questioned. By no means, however, should the injured employee be permitted to suffer. More stringent State regulation over insurance carriers has recently been in evidence. Idaho and Montana require every company to deposit bonds with the industrial accident board before it is allowed to issue an insurance policy. In five States7 the industrial commis sion or insurance department is authorized to revoke the license of the carrier if found guilty of unnecessary delay in settling compensa tion claims. The provisions as to rates and reserves applicable to private companies should also apply to State funds. In some of the States the employer, when insured in the fund, is relieved of all further liability. The fund therefore becomes the employee’s sole protection. Nor does any State having such a fund assume liability in case of the fund’s insolvency. On the contrary, some of the States specifically disclaim liability beyond the amount of the fund. Since no State fund has as yet become insolvent the policy of the State as regards compensation claims in the event of the fund’s insolvency can not be ascertained. However, its probable attitude may be seen from the experience in California where the legislature of the State appropriated over $60,000 to pay claims resulting from the bankruptcy of a private stock insurance company. There seems to be no legitimate reason, either, why self-insurers should not be subject to the same supervision and regulation as to b Alaska, Arizona, Connecticut, Delaware, Hawaii,Illinois, Indiana, Iowa, Kansas, Louisiana, Min nesota, Montana, Nebraska,New Hampshire, New Mexico, Rhode Island,, South Dakota, and Vermont. 7 Colorado,Illinois, Minnesota, Missouri, and Vermont. IN S U R A N C E R A T E S A N D R E S E R V E S * 47 security and reserves as those imposed upon the regular insurance carriers. The filing of a mere financial statement showing assets and liabilities is an insufficient guaranty of ability to meet long-continuing payments or to withstand a catastrophe successfully. The financial statement of a Wisconsin self-insurer showed net assets of $5,000,000, yet the concern shortly afterwards went into the hands of a receiver. Self-insured employers should also be required to deposit sufficient security to meet all reasonable compensation obligations. Such security may be furnished in various ways: Deposit of cash or bonds; surety bonds; reinsurance; requiring employers to set up reserves; purchase of annuities or trust funds in case of death or permanent disability awards. Reinsurance is frowned upon in some States. Wisconsin, for example, prohibits self-insurers from taking out “ deductible average” insurance policies because there exists no reliable data upon which premium rates may be based. In Colorado, on the other hand, employers in the more hazardous industries are required to reinsure losses over $25,000 to $150,000. In Delaware self-insurers must deposit the full amount of the death award with a bank or trust company. Industrial commissions should have full authority to grant, refuse, or revoke permission to self-insure if satisfactory cause is shown. This discretionary power should include, in addition to questions of solvency, such matters as the employer’s attitude toward safety, settlement of claims, discrimination against cripples, and so on. MERIT RATING. The determination of an adequate, just, and reasonable rate for each industrial risk or process in accordance with its hazard has been found exceedingly difficult, due to the limited experience or exposure. In order that the individual rates should reflect the hazard of the class to which it belongs, it has been found necessary to com bine the loss experience of each industry classification of all the insurance carriers and of the several States. These losses when reduced to a common denominator by the application of reduction factors representing the relative benefits of the various compensa tion laws become the basic pure premium rates. From these basic pure premiums, which are continually modified in the light of addi tional experience, are computed the premium or final insurance rate for each classification and for each State. Such rates, while reflecting the hazard of the whole class, do not take into consideration the difference in the hazard of individual employers within the class. Therefore, in order to stimulate accident prevention work and to promote justice as between employers in the same risk or industry, various systems of merit rating have been devised, by which the 48 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . employer receives a credit or debit upon the basic rate in accordance with his loss experience or with the amount of safety work performed. Merit rating is divided into “ schedule” rating and “ experience” rating. Under the former credits and debits are based upon the physical condition of the plant, i. e., upon the presence or absence of machine guards, fire escapes,*safety organizations, and so on. Under the latter credits and debits are based upon the actual loss experience, which should refleet the moral as well as the physical hazard of the plant. The relative merits of experience versus schedule rating is a much controverted question. Some States have adopted one system, some the other, and some a combination of the two. While the adoption of a merit-rating scheme may be necessary to stimulate and reward accident-prevention work, it also introduces an incentive to pare or deny compensation claims. This incentive depends largely on the directness of the relationship between the accident and the cost thereof, i. e., the incentive increases directly with individual liability and inversely with collective liability. In order to retain the benefits of merit rating while eliminating the incentive factor it may be desirable to adopt a merit-rating system, but to base the employer’s credits and debits not on his cost experience but upon his accident experience. This would simultaneously pro mote safety work, insure equity as between individual employers, and remove the incentive to pare or deny compensation claims. INJURIES COVERED. Compensation laws are limited not only as to employments covered and persons compensated, but also as to injuries covered. No State holds the employer liable for every injury received by the employee. As a rule, the injury must have been received in the course of the employment and must have resulted as a natural consequence there from; usually, also, injuries due to the employee’s intoxication, will ful misconduct, or gross negligence are not compensable. Table 11 shows the laws classified as to kind of injuries, i. e., what, and under what condition, injuries are compensable and noncompensable: IN J U R IE S (T a b le 1 1 .—COMPENSATION STATES, CLASSIFIED ACCORDING TO INJURIES COVERED A N D CONDITIONS U N D ER W HICH COMPENSATION IS PAID OR D ENIED. Exclusions. Kind of disar Injuries In bility. juries In Willful arising in inten juries out of inten and in course tion of Willful tion to course em of em ploy injure Intoxi miscon ally Acci In cation. duct. in self ploy dent.1 jury* flicted or (31) (17) ment. ment (34) (11) only. an by an (39) (6) other. other. (36) (10) A la___ Alaska . Ariz___ Calif. Colo— Conn. DelV.*.' Hawaii Idaho.. Iil......... Ind. Iowa. Kans... Ky La .. Me Md 49 C O V E R E D . Mass. Mich. Minn Mo Mont Nebr N ev.. N .H . N.J N . Mev N. Y N.Dak Ohio. Okla Oreg Pa P . R . . . ........... R .l S. Dak. Tenn T e x .. Utah* Vt . Va Wash W .Va Wis W yo. A la .. . Alaska Ariz... Calif.. Colo... Conn.. D e l ... Hawaii Idaho. Ill....... Ind Iowa Kans. 7 Ky La Me Md Mass Mich Minn Mo Mont Nebr Nev N .H N. J N.Mex N .Y .. A la .. . A l a ... A la .. . Alaska Alaska Occupational diseases. Excluded— Violation of safety Specifi By In appli word cally By cluded. ances “ acci courts. (6) ,law. by or dent.” (3) laws. (32) (20) (13) Ala.3. A la .. . A la .. . Ala Alaska ........... Ariz Calif. . Calif.. Colo... Colo Colo Conn.. Conn.4 D e l ... D e l ... Del.5. . D e l.. D e l ... D e l ... Del Hawaii Hawaii Idaho. Idaho. Idaho. Idaho. Ill Ind e.. I n d ... Ind I n d ... I n d ... Ind Iowa Iow a.. Iowa Iowa. Kans.. Kans. 8 Kans.8 Ky.V.*. Ky K y - . . K y .... K y L a___ L a___ L a___ L a___ La Me M e .... Me9 Md.10.. M d .... M d .... Md.8. . Md Mass * Mich. Mich Minn.10 Minn.. Minn Minni2 M o .... M o.. . . Mo M o .... M o .... Mo Mont.. Nebr.. Nebr.. Nebr.& Nev N e v ... Nev N.H.13 N .H .. N .H *N.*J N .J ... N.J N. Mex N.Mex. N.Mex N.Mex N. Y N . Y . . N. Y 8 N.Dak N.Dak Ohio. Ohio14 Ohio Okla Okla Okla Okia.. Okla Oreg.10 Oreg Oreg Pa Pa 3 Pa.is Pa P. R . . P.R .6. P . R . . P.R.16 P .R . ............. P. R . . R .l R .l R . l . . . R .l S.Dak. S.Dak. S.Dak. S.I>ak. S.Dak. S.Dak. S. Dak. Tenn.. Tenn.. Tenn Tenn Tenn.. Tenn.. T ex.. Tex.1? T e x .. Tex. . . Tex Utah.. Utah18 Utah V t ___ V t . . . . Vt V t . . . . Vt Vt Va V a . . . . Vn V a . ... V a . . . . Va Va Wash. Wash.! Washis W ach W .Va .20 W .V a. W .V a. W .VaW .Va.21 Wis.22. Wis W yo.23 1 W yo.« 1 W yo. 1 1 Calif. Conn. Hawaii* Mass.1* N.Dak11 . ...... ...... Wis. 1 Includes such expressions as: Personal injury by accident or accidentally sustained; accidental injuries; and injuries caused by a fortuitous event. 2 The word “ accident” does not appear in description of compensable injuries, a For reasons not connected with the employment. 4 Willful and serious misconduct. e Deliberate or reckless indifference to safety, e Also while willfully intending to commit a crime. i Except when going to and from work. 6 Solely. 9 Without employer’s knowledge. 10 By implication. 11 Included by decision of court or commission. By fellow employee for personal reasons. 13 Violation oflaw. H Court held that injuries must be caused by or incidental to employment. ** While actually engaged in furtherance of employer’s business. Gross negligence of employee sole cause. 17 Also injuries caused by act of God. *3 Accidents arising either out of or in the course of employment are eompensahle. is Sustained on premises of plant or in course of employment away from plant. 20 In course of or resulting from employment. 21 Disobedience to rules. 22 Growing out of or incidental to employment. 23 Sustained as a result of employment and while at work. 24 Culpable negligence of employee. 172308°—20—Bull. 275------ 4 5 0 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . ACCIDENTS* VERSUS INJURIES. But what constitutes an injury I In most States an injury is lim ited to what is commonly known as an accident. There must be a sudden and tangible happening, producing an immediate or prompt result, and occurring from without. In other words, it must be o f a traumatic nature. Industrial diseases, especially the slow-developing ones, would therefore be excluded by this definition, and such has been the position taken by the courts of the several States, with the exception of Massachusetts. Thirty-four States,8 in describing com pensable injuries, use some variation of the word “ accident/7or words of similar import, such as personal injuries by accident, accidental injuries, or injuries caused by some fortuitous event. A few States restrict the meaning of an injury still further by definition. In Louisiana and Nebraska,, for example, an accident means an unex pected or unforeseen event, happening suddenly or violently, with or without human fault, and producing at the time objective symptoms of an injury; while in Oregon a compensable injury must be caused by violent or external means. The courts, however,, have been rather liberal in interpreting this phrase. Compensation has been granted for sunstroke,9 frostbite,10 neuritis from vibration of punch press,11 gas poisoning,12 acute arsenical poisoning from inhaling fumes from a furnace,11 nervous shock,14 angina pectoris,15 pneumonia,16 typhoid,17 anthrax,18 arteriosclerosis/9 insanity,19 infection due to compulsory vaccination/9 tuberculosis,22 lead poisoning/9 facial paralysis/9 blind ness due to inhalation of noxious gases/9 erysipelas,28 ivy poisoning,27 and aggravation of a preexisting disease.28 Eleven States 29 do not employ the term “ accident” in describing compensable injuries, limiting themselves simply to “ injuries” or “ personal injuries.77 The meaning of this broader term, as inter preted by the commissions and courts, is confusing and con flicting- Apparently it was the intent of the legislature in several of 8 Alabama* Alaska, Arizona, Colorado, Delaware, Hawaii, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maine, Maryland, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey,.New Mexico New York, Oklahoma, Oregon, Pennsylvania, Porto Rico, Rhode Island, South Dakota, Tennessee, Utah, Vermont, Virginia, Washington, and Wisconsin. 9 California, Illinois, Iowa, Maine, Minnesota, Ohio, and Pennsylvania, Connecticut, Massachusetts, Montana, New York, and Wisconsin. 11 Illinois. 12 Illinois, Massachusetts, Minnesota, New York, Ohio, Pennsylvania, and. Wisconsin. w California. 15 Massachusetts and New York. 16 Connecticut, Illinois, and Massachusetts. 17 Michigan and Wisconsin. 18 Massachusetts, New York, and Pennsylvania*. 19 Massachusetts. 22 Massachusetts, New York, and Wisconsin; 26 Connecticut. 27 New York. 28 California, Connecticut, Massachusetts, and Ohio. 29 California, Connecticut, Iowa, Massachusetts, Michigan, New Hampshire, North Dakota* Ohio, Texas, West Virginia, and Wyoming. IN J U R IE S C O V E R E D . 51 the States to include occupational diseases when it substituted the word “ injury” for the British term “ injury by accident,” but with the single exception of Massachusetts, the courts, where cases have come before them, have ruled against the inclusion of such diseases. Of the States employing the term “ injuries,” Iowa and Wyoming have specifically excluded occupational diseases by law; in Michigan, Ohio, and Texas such diseases have been excluded by the courts. In New Hampshire the law declares the employer liable “ for any injury arising out of and in course of employment” ; but as it also announces its purpose “ to establish a new system of compensation for accidents to workmen,” and repeatedly uses the term “ accident” in prescribing the methods of administration, it is probable that occupational dis eases are excluded. In West Virginia, although the phraseology of the law favors more strongly the inclusion of occupational diseases, such diseases are not compensated. In the other States using the word “ injuries/’ occupational diseases are included either by law or interpretation of court or commission, OCCUPATIONAL DISEASES. Of the 46 workmen’s compensation jurisdictions in the United States, only 7 (California, Connecticut, Hawaii, Massachusetts, North Dakota, Wisconsin, and the Federal Government) provide compen sation for occupational diseases. In Massachusetts, North Dakota, and the United States this inclusion has been effected through the commissions and courts, whereas in the other States it has been brought about by statutory enactment. In all the other States, as already noted, occupational diseases are excluded, in theory at least, from the operation of the compensation acts. This exclusion has been brought about (1) by limiting the scope of the law to injuries by “ accident,” (2) by adverse rulings of the courts and commissions; and (3) by express provisions in the compensation acts themselves. What constitutes an “ occupational disease” under the various compensation laws ? This is a question perennially confronting the courts and industrial commissions in the United States. In those States in which industrial diseases are supposed to be excluded, com pensation benefits have been awarded for anthrax, dermatitis, arsenic poisoning, fume poisoning, occupational neuritis, housemaid’s knee, and so on. In each case, however, the court or commission always took pains to point out that the particular injury in question was compensable because it was not an “ occupational disease.” Com pensation was granted not because it was a disease but because it satisfied in other respects the requirements of a^eompensable injury as defined by the statute or as interpreted by the court. When, then, is an occupational disease not an occupational disease ? 52 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . Occupational diseases may be classified according to cause and and nature of injury, as follows: 1. Diseases due to gradual absorption of poisons (lead poisoning). 2. Diseases in which the poison or germ enters the system through a break in the skin (anthrax). 3. Skin affections from acids or other irritants (eczema, derma titis) . 4. Diseases due to fumes or dusts entering the system through respiratory organs (tuberculosis, gas poisoning). 5. Diseases due to vibrations or constant use of particular members (neuritis, telegrapher’s cramp, housemaid’s knee). 6. Miscellaneous diseases (caisson disease, miner’s nystagmus). There are, however, two additional classes of diseases, nonoccupational in character, for which compensation is usually granted: (1) Those diseases, such as typhoid fever, erysipelas, pneumonia, and ivy poisoning, which arise out of and are proximately caused by the employment. These diseases, to be compensable, however, must have had their origin in the employment and must be definitely traceable to it. (2) Those diseases which either result from an acci dent or are aggravated, accelerated, or developed by the accident. In these cases compensation is awarded not for the disease per se but for the results of the accident. Had the accident not occurred the disease would presumably never have developed; consequently the resulting disability is justly attributable to the accident. In this con nection the Pennsylvania’ Workmen’s Compensation Board said: The workmen’s compensation act does not prescribe any standard of health or physical condition to which the workman of the State must conform to qualify for compensation, nor does it imply a war ranty on the employee’s part that he is free from latent disease or physical defect which may develop into serious injury if excited into activity through his exertions in the course of his employment.30 In theory, therefore, wThen an employer employs a workman he accepts him as he is, and becomes liable for injuries for which the employee’s preexisting disease or defect was partly responsible. Of the six classes of occupational diseases enuifterated above com pensation has been uniformly denied for the first class, i. e., for those diseases which have developed gradually and which are inherent in the employment. No State, except those which compensate for all occupational diseases, has awarded compensation for lead poisoning. As regards the other classes of diseases, there has been a lack of uni formity in the practices of the courts and commissions of the several States. Numerous diverse and contradictory rulings have been made in what appear to have been identical or similar cases. For example, compensation for occupational neuritis has been awarded in one State 80 Smith v. Pittsburgh Coal Co. Pennsylvania Workmen’s Compensation Board decisions for 1916, p. 63. IN J U R IE S C O V E R E D . 53 and denied in another; a workman contracting anthrax has been granted compensation in a third State and denied compensation in a fourth; and so on. However, while the practices among the several State commissions and courts vary, the legal theories and principles upon which their decisions are based have been remarkably uniform. Compensation for occupational diseases has been usually granted if one or more or all of the following conditions were present: (1) If the disease resulted in violence to the physical structure of the body, i. e., if it was trau matic or produced a lesion; (2) if the injury occurred unexpectedly or not in the usual course of events; (3) if the injury can be traced to a definite time and place in the employment; and (4) if the injury was not due to a known and inherent risk of the occupation; or, even if inherent in the occupation, if the employer had neglected to provide reasonable safeguards which would presumably have prevented the injury. The guiding principle adopted by most of the courts and commis sions in occupational disease cases is stated by the Pennsylvania Workmen’s Compensation Board in awarding compensation for der matitis due to the fortuitous presence of poison in hides handled by the employee, as follows: Where injuries received in the course of employment are of untraceable inception and gradual and insidious growth and can not be traced to having been received at some certain time, and in which there is no sudden or violent change in the condition of the physical structure of the body, theymust'be regarded as the results of an occupational disease. However, if the disease can be traced to some certain time when there was a sudden or violent change in the condition of the physical structure of the body, as, for instance, where poisonous gases were inhaled which damage the physical structure of the body, it is an accident within the workmen’s compensation act of 1915, and is compensable.31 The following list shows the various classes of occupational diseases for which compensation has been awarded in the several States. This list is by no means complete nor are the States enumerated the only ones in which the specified occupational diseases have been com pensated. ANTHRAX. Anthrax contracted through chaps or cracks on the back of the hands of a workman while handling hides (New York). Anthrax contracted by a wool sorter through an abrasion on his neck (Pennsylvania). ARSENIC POISONING. Acute arsenical poisoning from inhaling fumes from spelter furnace (Illinois). Roller v. Drueding Bros. Pennsylvania Workmen’s Compensation Board decisions for 1916, p. 86. 54 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . GAS, FUMES, AND DUSTS. Gas poisoning resulting in cerebral hemorrhage from close proximity to gas flame (Illinois). Breathing of poisonous gases which had accumulated by reason of insufficient ventilation (New York). Miliary tuberculosis following inhalation of gas fumes due to an explosion (Wisconsin). Infection of throat due to inhalation of dust from dry hides by reason of poor ventilation (Michigan). Involuntary inhalation of gas fumes caused by explosion (Pennsyl vania). Inhalation of gas fumes from salamanders used to heat work place (Minnesota). Inhalation of poisonous fumes while heating bucket of paint in an insufficiently ventilated room (Ohio). SKIN DISEASES. Dermatitis due to fortuitous presence of poison in hides handled by workman (Pennsylvania). Abrasion and irritation of skin from acids in handling hides in tan nery (Wisconsin). VIBRATIONS OR CONSTANT USE OF PARTICULAR MEMBERS. Traumatic peripheral neuritis due to constant vibration of punch press (Illinois). Housemaid’s knee contracted by a plumber (Connecticut). NONOCCUPATIONAL DISEASES* Typhoid fever contracted from impure drinking water furnished by employer (Wisconsin). Erysipelas contracted from frostbitten nose (Connecticut). Pleurisy and pulmonary tuberculosis contracted from wetting re ceived by jumping in river in course of employment (New York). Nephritis and disability contracted by becoming wet from flushing hot pulp from basement of paper mill (Indiana). Ivy poisoning of railroad employee while mowing grass on right cf way (New York), It is interesting to note the paradoxical position in which the courts and compensation commissions have placed themselves. Our work men’s compensation laws have been enacted in the vague belief that industrial accidents are inevitable and constitute a permanent and integral part of our industrial life. The one clinching argument con stantly used by proponents of compensation laws has been that a large proportion of industrial accidents are due to the inherent risk of the industry, and consequently the employers’ liability system based upon negligence is no Longer applicable. These same reasons, formerly advanced for accident compensation laws, are now used by the courts and commissions against compensation for occupational diseases, in IN J U R IE S C O V E R E D . 55 accordance with their interpretation of the probable legislative intent of the statute, compensation for such diseases is denied if they are naturally inherent in or incidental to the employment and granted if their occurrence is sudden or accidental. In actual practice and as a matter of simple justice, however, commissions and courts un doubtedly feel that an employee who contracts an occupational dis ease is just as much entitled to compensation as one who sustains the loss of an arm. Consequently in their decisions under the law they have no doubt been influenced by their desire to remedy so far as pos sible the economic injustice of the statutes. ARISING OUT OF AND IN THE COURSE OF EMPLOYMENT. The next limitation of compensable injuries is the condition under which they occur. No State compensates for all injuries, irrespective of the time and place of their occurrence. In every State a com pensable injury must happen in the course of the employment, and in all but six States 32 it must arise out of or result from the employ ment. A definition of this double clause has been stated by the Massachusetts Supreme Court, as follows:33 It is not easy nor necessary to the determination of the ease at bar to give a comprehensive definition of these words which shall accu rately include all cases embraced within the act and with precision exclude those outside its terms, It is sufficient to say that an injury is received “ in the course o f” the employment when it comes while the workman is doing the duty which he is employed to perform. It arises “ out o f” the employment when there is apparent to the rational mind, upon consideration of all the circumstances, a causal connection between the conditions under which the work is required to be performed and the resulting injury. Under this test, if the injury can be seen to have followed as a natural incident of the work, and to have been contemplated by a reasonable person familiar writh the whole situation as a result of the exposure occasioned by the nature of the employment, then it arises “ out o f” the employment. But it excludes an injury which can not fairly be traced to the employ ment as a contributing proximate cause and which comes from a hazard to wThich the workman would have been equally exposed apart from the employment. Hie causative danger must be peculiar to the work and not common to the neighborhood; it must be incident to the character of the business and not independent of the relation of master and servant. It need not to have been foreseen or expected, but after the event it must appear to have had its origin in the risk connected with the employment and to have flowed from that source as a rational consequence. In other words, the injury must result from a hazard of the employ The commissions and courts generally have been liberal in their interpretations of this ment, not merely one of the hazards of existence. 32 North Dakota, Ohio, Pennsylvania, Texas, Utah, and Washington. 33 McNichol v. Employers’ Liability Assurance Association, 215 Mass. 1497. 56 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . phrase. Granted a causal connection between injury and employ ment and compensation is usually allowed. Awards have even been granted in the case of a watchman who was shot by a burglar 34 and where an employee was killed by an intoxicated fellow worker.35 Five States use merely the single phrase “ in the course of employ ment/' thus considerably increasing the scope of injuries covered, since such injuries need not result as a consequence of the employ ment. For example, a workman may be injured as a result of a prank played by a fellow employee. Such an injury does not “ arise out of” the employment, but it does occur “ in the course o f” the employment and would be compensated if the provision of the law were limited simply to the latter phrase. In one of these four States,36 however, the court has ruled that the injury must be caused by, or incidental to, the employment. The Utah law has a still wider scope, compensating both injuries which arise out of the employ ment and those which occur in the course of the employment. EXEMPTIONS DUE TO EMPLOYEE’S FAULT. Most of the States do not grant compensation for injuries occa sioned in whole or in part through some gross fault of the employee. Three States,37 however, have not accepted this principle and allow compensation regardless of the employee’s negligence. Thirty-six States withhold compensation if the injury wa^s caused by the willful intention of the employee to injure himself or another; 31 deny com pensation if injury is due to intoxication; 17 if caused by willful misconduct; and 13 if employee is guilty of violation of safety laws or removal of safety appliances. Another limitation, though not directly connected with either the employee’s or employer’s negligence, is the exclusion of injuries which are intentionally inflicted by another. Ten States have exemptions of this character. For more detailed information see Table 11. PENALTY FOR NEGLIGENCE. Seven States,38 while not denying compensation entirely in certain cases of the employee’s negligence, nevertheless penalize him by decreasing the amount. Three States reduce the amount of com pensation 50 per cent: California, if the injury is due to the employee’s willful misconduct except in case the accident results in death or is due to employer’s failure to comply with the safety provisions and in cases of minors; Colorado, if the injury is caused by the employee’s willful failure to use safety devices or obey reasonable rules, or is the 34 California. 36 Massachusetts. 36 Ohio. 37 Arizona, Illinois, and Montana. 88 California,Colorado, Kentucky, Nevada, New Mexico, Washington,and Wisconsin. IN J U R IE S C O V E R E D . 57 result of his intoxication; and New Mexico, if the injury is due to the employee’s failure to use safeguards. Kentucky and Wisconsin reduce.the amount 15 per cent if the injury is caused by the employee’s willful failure to use safety devices or obey reasonable safety rules, and in the case of Wisconsin, if the injury is due to the employee’s intoxication. Nevada reduces the amount 25 per cent and Washing ton 10 per cent, if the injury is caused by the removal of safeguards. On the other hand, in six States 39 the employer is penalized if ho has been guilty of negligence. In Kentucky and Wisconsin the employer must pay 15 per cent additional compensation if the injury is caused by his failure to obey safety laws or regulations, and in Wisconsin the amount of compensation is trebled in case of illegal employment of minors. New Mexico and Washington add 50 per cent if injury is caused by violation of safety statutes; in Washing ton 50 per cent is added in case of illegal employment of minors; in Illinois the commission may increase the award 50 per cent in case of intentional underpayment or unnecessary delay or appeal; while in Massachusetts the compensation is doubled if the injury is due to the serious or willful misconduct of the employer. WAITING PERIOD. As already noted, injuries in order to be compensable must, as a rule, arise out of and in the course of the employment and must not be occasioned by gross negligence on the part of the employee. Another factor restricting a compensable injury is the degree of severity of the injury or the duration of disability caused by it. In most of the States an injury to be compensable must cause disability for a certain length of time, no compensation being paid during this time. This noncompensable preliminary period is known as the “ waiting period.” In two States (Oregon and Porto Rico) there is no such waiting time, compensation being paid for all in juries producing any disability. The most common provision is that disability must continue for nptore than one week, this being found in 22 States. Utah and the Federal Government require a waiting period of 3 days, 7 States of 10 days, and 13 of 2 weeks. Qualifica tions of the general provisions occur in 22 States. In Hawaii there is no waiting period in case of partial disability. In Maryland the waiting time is reduced from 2 weeks to 1 week if the disability is total and permanent. In the other 20 States the waiting period is abolished entirely if the disability continues longer than certain specified periods. In North Dakota no compensation is paid for the first week, but if disability continues for more than 1 week compen sation begins from date of injury; in 2 States 40 there is no waiting 39 Illinois, Kentucky, Massachusetts, New Mexico, Washington,and Wisconsin. 40 Two weeks or more, Nevada; over 2 weeks, Arizona. 58 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . period if disability continues for 2 weeks or more; in one State41 if disability continues for 3 weeks; in 6 States42 if for 4 weeks or more; in 2 States43 if for more than 30 days; in 6 States44 if for 6 weeks or more; in 1 State 46 if for more than 7 weeks; and in 1 State 47 if for 8 weeks or more. Table 12 classifies the States according to length of waiting period: T a b le 1 3 .—COM PENSATION ST ATES, CLASSIFIED B Y L E N O T H OF W A IT IN G P ER IO D . N o waiting period. (2) Oregon. Porto Rico. 3 days. (2) Utah. United States. 1 week* (22) California. Connecticut (none if disabled over 4 weeks). Hawaii (none if partially dis abled). Idaho. Illinois,(none ifdisabled 4 weeks). Indiana. Kansas. Kentucky. Louisiana (none if disabled G weeks). Michigan (ncrne if disabled 6 weeks). Minnesota. Missouri (none if disabled over 6 weeks). Nebraska (noae if disabled 6. -weeks )Nevada (none if disabled 2 weeks). l&erth Dakota (none if disabled . ©ver 1 week). Ohio. Oklahoma (none if disabled 3 weeks). Texas. Vermsont. Washington (none if disabled ev>er30*iays). i West Virginia. Wisconsin (none if disabled, over ; 4 weeks). 10 days. (7) Colorado. Maine. Massachusetts. New Jersey. Pennsylvania. -South D a k o ta (none il disabled 6 weeks). Wyarning (none if disabled over '30 days). 2 weeks. (13) Alabama (none if disabled 4 weeks). Alaska (nonelf dis abled 8 weeks). Arizona (none if disabled over 2 weeks). Delaware (none if disabled 4 weeks). Iowa. Maryland (1 if to tally and perma nently disabled). Montana. New Hampshire. New Mexico. New York (none if disabled over 7 weeks). R h od e Isla n d (none if disabled over 4 weeks:). Tennessee (none if disabled 6 weeks). Virginia. Probably no ether feature of compensation laws is considered and debated more than the waiting period. It is maintained, especially by organized labor, that the laws in this respect are by far inade quate, since the large majority of industrial injuries cause disability of less than two weeks. There is a* general tendency toward re ducing the waiting period, 18 States48 amending their laws to this effect during the past 2 years, and Utah reducing its period from 10 to 3 days. & Oklahoma. 42 Four weeks or more, Alabama, Delaware, and Illinois; over 4 weeks, Connecticut, Rhode Island, and Wisconsin. 43 Washington, Wyoming, 44 Six weeks or more, Louisiana, Michigan, Nebraska, South Dakota, and Tennessee; over 6 weeks, Missouri. 4* New York.' 47 Alaska. ^CaM-ornia, Colorado, Connecticut:, Hawaii, Indiana, Kansas, Kentucky, Maine, Michigan, Minnesota, Nebraska, New Jersey, New Mexico, Oklahoma, Permsylrama, South Dakota, Utah, and Vermont.' W A IT IN G P E R IO D . 59 The loss of even a week’s wages to the average workman would create a hardship or at least cause inconvenience to his family. On the other hand, several objections are advanced against the abolition of the waiting period altogether. There is the supposed danger of increased malingering; another objection is the undue increase in administrative expensas. There is an irreducible minimum amount of expense involved jn the settlement of every case, and a point may be reached where the cost of administering a case may exceed the compensation award. This difficulty will be obviated to some extent, however, by the fact that in many cases the injured em ployee will make no claim for compensation when the injury is slight and the award is small. COMPENSATION BENEFITS. The theory underlying the old employers’ liability system is the payment of damages to an employee for an injury resulting from the employer’s fault or negligence. It is recompense for a wrong. The new compensation system, with unimportant exceptions, abol ishes the whole question of negligence and bases its justification upon economic necessity. Instead of the least able unit of industry assuming its risks, the consuming public, acting through the em ployer, furnishes relief to injured workers by fixed awards. The question arises, however, as to the extent to which an em ployee should be compensated for his losses sustained as a result of the injury. On the one hand it is maintained that the entire cost of rehabilitation and restoration of earning capacity, including full wages, or more if necessary, and adequate medical treatment, should be borne by the industry; and if the employee is totally and per manently incapacitated he should receive an adequate life pension. On the other hand it is contended that only major injuries should be compensated for, and then only for a small part of the wage loss. In most of the States the compensation scale has been based, in theory at least, upon the loss of earning power of the injured work man, while a number of States, notably Oregon and Washington, in providing fixed pensions have based their awards upon the work er’s need rather than his loss of earning capacity. No 2 of the 45 States have identical compensation provisions, and few States seem to have followed any definite theory in this respect. Nevertheless, two factors have operated in determining the amount of compensation provided in various State laws: (1) Loss of earning capacity, and (2) social need. In general it may be said that State workmen’s compensation schedules are based upon loss of earning power modified both by the employee’s need and by the desire to limit the employer’s burden. Thus, the expression of compensation bene-^ 60 C O M P A R IS O N O F C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . fits in percentages of wages clearly shows that loss of wages was a determining factor, whereas the adoption of a sliding scale of benefits in accordance with the number of dependents shows the effect of the social need factor. On the other hand, the desire not to burden the employer unduly finds expression in the limitations upon the amount of medical service, the weekly compensation payments, the periods during which compensation is to be paid, and finally upon the per centages of wages themselves. The necessity for a workable law, therefore, not excessively burdensome to the employer and not con ducive to malingering, while affording such reasonable benefits to the injured workman as to prevent hardship to himself and family, has led to a wide variety of attempts to determine the proper amounts to be awarded. Every injured employee should receive adequate compensation, which should include unlimited medical service and full indemnity for loss of earnings resulting from the injury. This would also fulfill the requirements as to social needs, assuming, of course, that the workers’ wages adequately meet their needs. Compensation benefits may be classified according as they apply to death, total disability, and partial disability. The provisions for each class usually vary, and there may also be different provisions for permanent and temporary disability. In addition to these com pensation provisions most of the laws provide for medical, surgical, and hospital treatment, and in most of the States for burial in case of fatal injuries as well. SCALE. The compensation scale is usually based upon the earnings of the injured employee, ranging from 50 to 66§ per cent of his weekly or monthly wages at the time of injury or for a prescribed period pre ceding it. In the case of minors, however, an exception is some times made, the law recognizing the fact that the wage of a minor would naturally increase as he grows older. Twelve States 49 make provision upon this point. The weekly benefits are, as a rule, also subject to a maximum and a minimum limit. The period during which compensation is paid varies also, the usual provision in case of death being from 5 to 8 years, and in case of disability payment during disability, with a maximum of 300 to 500 weeks, and frequently during life in case of permanent total disability. A further limitation may be prescribed stipulating that the total compensation shall not exceed a certain fixed amount. To compare accurately the compensation benefits 49 California, Iowa, Kansas, Maryland, Massachusetts, New York, North Dakota, Ohio, Oklahoma, Texas, Utah, and Wisconsin. C O M P E N S A T IO N B E N E F IT S . 61 awarded in the several States it is necessary to take into consideration the present value of those benefits—i. e., whether the compensation is paid outright as a lump sum or whether it is paid in periodical installments covering a long period of time. For example, a lump sum of $4,000 considerably exceeds the present worth of payments of $10 a week for 400 weeks. Similarly the present value of a pay ment of $20 a week for 100 weeks exceeds that of a payment of $10 a week for 200 weeks. However, experience has shown that, on the average, greater economic benefit will result from continuing payments. Table 13 shows the provisions of each State as to (1) percentage of weekly wages, (2) maximum weekly payments, and (3) maximum period and amount of compensation in case of death, permanent total disability, and partial disability. CENT OF W E E K L Y WAGES PAID AS COMPENSATION, MAXIMUM W E E K L Y PAYM ENTS, AN D M AXIMUM PERIOD AND AMOUNT OF COMPENSATION PAYABLE IN CASE OF DEATH, PERMANENT TOTAL D ISABILITY, AND PA R TIA L D ISA B IL IT Y. COMPARISON Maximum period (in weeks) and amount. State. Per cent of weekly wages. Weekly maximum. Permanent total disability. Death. Weeks. Amount. Weeks. Partial disability. Amount. Weeks. 62 T a b l e 1 3 — PER Amount. OF California Colorado Hawaii ............................... $5,000 400 Life 6,000 4,000 5.000 3,125 Life........ Life /$ 18 (death and partial disability).. \$14 (total disability)........................ $18 (death)........................................ $15 (disability).................................. •$21.60 (death)................................... $18 (total disability)........................ $12 (partial disability) j$12 j.312 520 >285 475 4.000 285 312.......... 5.000 312........................ 5,000 5; 000 150.. 416........... ..........J 300........................ 225........................ 416........................ 335........................ 4,000 .312......... 5,000 3,800 4,000 Life ’ 500......... 400......... 416___ 416___ 3,500 4; 250 400 500.,___ Life 4,200 5.000 500......... 4.000 fDuring disabil- J. 4.000 5.000 300 300......... 416......... \500....... 300......... 300....... 300......... 400 350 520 Life 400 416......... 300......... 300_____ 260......... 335......... . 4,000 500......... 550......... Life T/iffi 5,000 300........................ 6,000 300........................ 3,500 500........................ 300...................... . 400........................ 150........................ Life........1 .. ................ 300........................ 4,000 ST A T E S. J-S18 $15...................................................... $12...................................................... fflO (death and specified injuries).. Massachusetts....................... 66f................................................ t$ib (otners)....................................... Michigan................................ 60.................................................. $14...................................................... Minnesota.............................. 30to66§ (death)........................ l$15 . . . 66| (disability)........................... .......................................... Missouri................................. 66|................................................ $15 Montana................................ 30 to 50 (death).......................... 50 (disability)............................. Nebraska............................... 66§................................................ $15...................................................... . $4,800 4,000 During disabil ity. ' 240........................ 3 years’ earnings. $2,600 During disabil ity. UNITED $12 to $15 .............................. $13.20 ......................................... $15....... .............................. $15 (disability) .. ..................... $12................ . .................................. . . 300 OF 15 to 60 (death).......................... 50 (disability)............................. 25 to 60 (death).......................... 60 (total disability)................... 50 (partial disability)................ 20 to 55 (death).......................... 55 (disability)............................. 50 to 65......................................... 55.................................................. 60.................................................. 60.................................................. Illinois.................................... Indiana.................................. Iowa....................................... Kansas.................................. Kentucky.............................. Louisiana............................... 25 to 55 (death).......................... 55 (disability)............................. Maine...................................... 60.................................................. Maryland............................... 50.................................................. 550 6,000 4.000 LAWS Idaho...................................... $5,000 65.................................................. $20.83................................................. 240 50.................................................. $10......... ............................................ 312 Connecticut........................... Delaware............................... 300 COMPENSATION Alabama................................ 25 to 60 (death).......................... j$12 to $15 50 to 60 (disability)................... 50 (temporary total)................. No provision..................................... 50.................................................. No provision................................... Nevada. New Hampshire. New Jersey.......... New Mexico. . . New York........ North Dakota.. O hio................ Porto Rico....... Rhod© Island.. South Dakota.. Tennessee.„___ Te^as----- Utah....... Vermont. West Virginia. Wisconsin........ Wyoming......... United 300.,....................: 300....................... (During disabil- ) 3,500 I ity. jDuring disabil- } ............................ }?2a.......................... j r flQ— ............. Monthly pension (temporary $60 (temporary total—monthly total.) pension). Fixed amounts (others)........... 10 to 6 6 | ( d e a th )...;................ •115.38.................................................. 66§ (disability}--...................... 3,000 fDunng disabil- } \ ity. 300....................... 104....................... 5.000 •4,000 5.000 3.000 5.000 300....................... 2 , 500 300....................... 312....................... 300....................... 300....................... 312....................... 4.000 5.000 3,750 260....................... 300....................... 5,000 4.000 2.000 340....................... During disabil ity. 5,500 Death or remarriage. L ife ___ 4.500 1.500 B E N E F IT S , Virginia............ Washington.... 433....................... COMPENSATION Oklahoma____ Oregon1........... Pennsylvania.. 15 to66§ (death)...................... 1$18.46 (death).................................. jDeatJi or remarriage. Life 60 (total disability)........ - — p .0 3 to $16.62 (disability)............. 50 (permanent partial)........... 3,000 300......... 300... 50............................................... $10....................................... ............. 35 to 60 (death)........................ 400......... 300... } f l 2 ....... ......................................................... 66§ (disability)......................... 15 to 60 (death)........................ $18 (death)....................................... [300... 620......... $12 (disability),....!..................... 50 (disability)...................— 15 to66§ ((J e ^ th )..:.............. 115.38 (death).................... ............. [Death or remarriage. Life $15 to 120 (disability)............ : . . . . 6(J§ (disability)............ . . . — 20 to 66§ ( d e a t h ) ........... Death or remarriage. Life 66§ (disability).;......., ............ ($15 (death and temporary total) - [416......... 5,000 Life., . . . 66|.............................................. V S12 (others)...................................... Not covered............... 500........, 50................................................ $18..................................................... Death or remarriage Life___ * Monthly pension..................... $45 2 (monthly pension)................. 15 to 60 (death)........................ 5 0 0 ...... 300... 6Q (disability)........................... $12....................................... ............. 4.000 50 (temporary total)................ $7 (temporary total)....................... f$14 (total disability)....................... 500......... 50................................................ 810 (others)...................................... >300. 378., 3.000 Life 112 (disability)— . . . . — : ......... 55................................................ 20 to 50 (death). . ^................... 550......... $ 11 .................. ................................ 50 (disability).*,..................... 60....................... . ...................... |15................................... 300......... 401......... 60................................................ $16................................... 5.000 Life 312......... 15 to 45 (death)___ : ............... 112.50 (total disability). 3,500 260......... 50 (disability)......... 1............... . $10 (partial disability).. 300......... 4.000 500......... 50................................................. Death or remarriage. Life Monthly pension..................... . $5Q (mpnthly pension). Monthly pension (death)....... . \$12 (disability)........... . Death or remarriage. Life 50 (disability)___ '.............. $14-63.............................. 6 5 . . , . . ................................... 4,500 780......... /During disabil- I .................. . \ ity. J 1 Oregon by a 1923 amendment increased ail compensation benefits 30 per cent, effective Dec. 1,1919. 2Increased to 60 per cent qi wages for first 6 months in case of temporary total disability. OS 05 61 * C O M P A R IS O N o r C O M P E N S A T IO N L A W S O F U N IT E D S T A T E S . PER CENT OF WAGES. In all but three States (Oregon, Washington, and Wyoming) the amount of compensation is based upon wages. A number of States, however, provide fixed lump sums for certain injuries, but apply the percentage system to all others. In most of the States the prescribed percentage remains uniform for all injuries. A few States have varying percentages for different types of injuries, and in several States the percentage varies with conjugal condition and number of children. # It will be noted that in 18 States 50 the amount of compensation is 50 per cent of the employee’s wages; in 4 States,51 55 per cent; in 9 States,52 60 per cent; in 3 States,53 65 per cent; and in 8 States54 and the Federal Government, 66§ per cent. In the remaining three States, as already noted, different methods are provided. Oregon and Washington provide for monthly pensions in case of death or injury, while in Wyoming fixed absolute amounts are prescribed. WEEKLY MAXIMUM AND MINIMUM. The compensation benefits based upon percentage of wages are usually modified by weekly maximum and minimum limits which may materially affect the amounts, though to what extent depends, of course, upon the wage level. Under the present high wage level it is doubtful if in any State the compensation benefits equal 50 per cent of the employees’ wages, while in some States and particularly in the higher paid occupations the ratio of compensation to wage loss does not exceed 25 to 30 per cent. Two States (Alaska and Arizona) have no maximum or minimum provisions; 4 States55 have a weekly maximum of $10 or under; l 56 has a maximum of $11; l l 57 have a maximum of $12; 7 58 of over $12 and under $15; 8 59of $15; 7 States60 and the Federal Government have a maximum of over $15 to $18; 2 States 61 have a maximum of $20 or over; while 3 States 62 provide monthly pensions or fixed amounts. 50 Alabama (increased to 60 per cent in certain cases), Alaska, Arizona, Colorado, Connecticut, Delaware, Illinois (increased to 65 per cent in certain cases), Maryland, Montana, New Hampshire, New Mexico, Oklahoma, Porto Rico, Rhode Island, Tennessee, Vermont, Virginia, and West Virginia. Idaho, Indiana, Louisiana, and South Dakota. * 52 Hawaii (total disability only; partial, £0 per cent; death, 25 to 60 per cent), Iowa, Kansas (specified injuries, 50 per cent), Maine, Michigan, Nevada (total disability only; partial, 50 per cent; death, 15 to 66§ per cent), Pennsylvania, Texas, and Utah. ^California, Kentucky, and Wisconsin. 54 Massachusetts, Minnesota, Missouri, Nebraska, New Jersey (death, 35 to 60 per cent), New York, North Dakota, and Ohio. 55 Colorado, New Hampshire, and Virginia, $10; Porto Rico, $7. 56 Tennessee. 57 Alabama (increased to $15 in certain cases), Idaho, Illinois (increased to $15 in certain cases), Kentucky, Maryland, New Jersey, New Mexico, Ohio (death and temporary total disability, $15), Pennsylvania, South Dakota, and West Virginia. 58 Montana and Vermont, $12.50; Indiana, $13.20; Connecticut, death and partial disability, $18, total disability, $14; Michigan, $14; Rhode Island, total disability, $14, other disabilities, $10; Wisconsin, $14.63. 69 Delaware, Iowa, Kansas, Maine, Minnesota, Missouri, Nebraska, and Texas. 60 Utah, $16; Hawaii, Louisiana, and Oklahoma, $18; Massachusetts, death and specified injuries, $10, other disabilities, $16; Nevada, $9.23 to $16.62; New York, $15 to $20; Federal Government, $15.38, f California, $20.83; North Dakota, $20. e2 Oregon, Washington, and Wyoming. CO M P E N SA TIO N B E N E F IT S. 65 DEATH. The benefits for death in most cases approximate three or f o ^ years' earnings of the deceased employee. The methods provided for determining compensation for death vary somewhat. Two States 63 provide for fixed absolute amounts without reference to wages or length of time, and one State64proportions the amount of compensation to the earning capacity and number and needs of dependents of deceased. Six States65 provide for amounts equal to annual earnings for three or four years. The large majority of States, however, apply a wage percent age for specified periods. Of these, 2 States 66 pay death benefits for less than 300 weeks; 13 67for 300 weeks; 7 68for over 300 but under 400 weeks; 7 69for 400 to 500 weeks; while 6 States70 and the Federal Gov ernment provide benefits until the death or remarriage of the widow. Twenty-two States also place a limit upon the maximum amount pay able in any one case. These maximum amounts range from $3,000 in New Hampshire, South Dakota, and Wyoming to $6,000 in Alaska. The Oklahoma law does not cover fatal accidents. While most of the States provide for a uniform rate in death cases, in 20 States71 the compensation varies with conjugal conditions and number of children, the percentage ranging from 10 to 66f. The provisions as to children who are beneficiaries usually make the benefits payable in their behalf cease on their reaching the age of 16 or 18 years, but many of these state that the benefits shall not cease if, at the age named, the recipient is mentally or physically incapacitated for earning a living. In West Virginia benefits are paid to children until 15 years of age and in Missouri until 17 years. Eighteen States 72 pay benefits up to 16 years while 20 States 73 pay up to 18 years. Five States 74 have no provision as to age of children. Table 14, compiled by Mr. F. W. Hinsdale, secretary of the Work men’s Compensation Board of British Columbia, shows the expec63 Alaska and Wyoming. 64 Porto Rico. 65 California, Kansas, New Hampshire, 3 years; Illinois, South Dakota, and Wisconsin, 4 years. 66 Vermont, 260 weeks; Delaware, 285 weeks. 67 Alabama, Indiana, Iowa, Louisiana, Maine, Michigan, Minnesota, Missouri, New Jersey, New Mexico, Pennsylvania, Rhode Island, and Virginia. 68 Colorado, Connecticut, Hawaii, and Utah, 312 weeks; Kentucky, 335 weeks; Nebraska, 350 weeks; Texas, 360 weeks. 69 Arizona, Idaho, Montana, and Tennessee, 400 weeks; Maryland and Ohio, 416 weeks; Massachusetts, 00 weeks. 70 Nevada, New York, North Dakota, Oregon, Washington, and West Virginia. 71 Alabama, Alaska, Delaware, Hawaii, Idaho, Illinois, Louisiana, Minnesota, Nevada, New Jersey, New Mexico, New York, North Dakota, Oregon, Pennsylvania^ Tennessee, Vermont, Washington, West Vir ginia, and Wyoming. 72 Alabama, Alaska, Delaware, Hawaii, Illinois, Iowa, Kentucky, Maryland, Michigan, Minnesota, Mon tana, Nebraska, Ohio, Oregon, Pennsylvania, Tennessee, Washington, and Wyoming. 73 Arizona, California, Colorado, Connecticut, Idaho, Indiana, Kansas, Louisiana, Maine, Massachusetts, Nevada, New Jersey, New Mexico, New York, North Dakota, Rhode Island, Utah [(hoys 16), Vermont, Virginia, and Wisconsin. 74 New Hampshire, Oklahoma, Porto Rico, South Dakota, and Texas. 1 7 2 3 0 8 ° — 2 0 — B u l l . 2 7 5 --------- 5 66 CO M PARISON OF C O M P E N SA TIO N L A W S OF U N IT E D STATES. tancies of children as to attaining the^age of 16 years, and the present value, at 5 per cent compound interest, of monthly pensions of $5, payable until death or age 16. 1 4 .—EXPECTANCIES OF CH ILDREN AS TO AT TA IN IN G THE AGE OF 16 YEAR'S AND PR ESEN T V A L U E , AT 5 PER CENT COMPOUND IN TEREST? OF M O N TH LY P E N SIO N OF #5, P A Y A B L E TTNTIL M E A T H OR AGE .16. T a b le Age. 0 1 2 3 4 5 6 '7 8 9 10 11 12 13 11 15 Present Expect value of $5 Difference. ancy years. per month. 12.85 13.48 12.97 12.26 11.45 10.60 9.70 •8.79 7. 85 -6.89 5.92 4.95 3.97 :2.98 1.99 .99 '$572.48 •592.-27 576.39 1553.25 525. 95 496.17 463.29 428/56 391. 02 350.84 308.30 263.70 216.43 166.32 113. 73 57/96 $19.79 15, 88 23.14 27.30 :29.78 32. 88 34.73 37.54 40.18 42.54 M/m 47.27 S0..11 52. 59 -:55.'77 Onetwelfth of difference. SI. 65 1.32 1.93 2.275 2.48 2.74 2.89 3.13 3.35 3.545 3.7*2 3.94 '4.18 4.38 4.-65 REMABBIAGrE O F T O O W S . The statutoTy provisions relating to remarriage of widows vary considerably among the several States. In 19 States75 &nd the Fed eral Government compensation benefits of the widow terminate upon her remarriage, but the unpaid balance due her is paid to the children or other dependents. In 9 States 70 the widow upon remarriage re ceives only a portion of the compensation benefits to which she would ‘otherwise be entitled, but this amount is paid to her in a lump sum at the time of remarriage. Of these 9 States, Colorado and Minnesota provide a lump sum equal to one-half of the compensation remaining unpaid, in case there are no dependent children; Pennsylvania pays the widow the present value of the compensation for one-third the re maining period but for not over 100 weeks; Nevada and New York provide a lump sum equal to 2 years’ compensation, and North Da kota a lump sum equal to 3 years’ compensation; Oregon pays the widow a flat sum. of -$300 and Washington "$240; while in West Vir ginia if the widow" remarries within two years from the death of her husband she receives 20 per cent of the compensation benefits due 'for the period between the date of remarriage and the end of 10 years from the death of her husband. Fifteen States 77 have no special provisions relative to remarriage oi widows and presumably in these Alabama, Connecticut, Delaware, Hawaii/Idaho, Indiana,Iowa (if no children), Kansas, Kentucky, Louisiana, Maryland'(if *no children), Montana, -New Jersey, New Mexico, >South ^Dakota, Tennessee, Utah, Vermont,sand Virginia. 76 Colorado, Minnesota, Nevada, New York, Kocth .Dakota, Oregon, Pennsylvania, Washington, and West Virginia. w Alaska, Arizona, California, -Illinois, Maine, Massachusetts, Michigan, -Missouri, Now Hampshire, Ohio, Porto Rico, Rhode Island, Texas, Wisconsin, and Wyoming. 67 CO M PEN SATIO N B E N E F IT S. States the full .statutory amounts are paid. In Jfefomska the com pensation rights of a widow without children are not affected upon remarriage, but in case she has children the unpaid benefits go to them. The Oklahoma law does not cover fatal accidents. The probability of death or remarriage of widows is an essential factor in determining the cost of compensation and in setting up adequate reserves. The probability of death, however, increases, while the probability of remarriage decreases, with the passing years. This necessitates the computation of a table combining the two ex pectancies, i. e., of death and of remarriage, in order to arrive at any intelligent handling of the situation.78 As a matter of reference for those interested a combined expectancy table (Table 15), also compiled by Mr. F. W. Hinsdale^ secretary of the Workmen’s Compensation Board of British Columbia, is reproduced herewith. 1 5 __ EXPECTANCIES OF W ID O W S A T AGE OF W ID O W H O O D TO D E A T H OPv R E M ARRIAGE (LIFE E X P E C T A N C Y O N L Y A F T E R AG E 55), AND PRESENT V A L U E , AT 15 PER CENT COMPOUND IN T E R E ST , O F PENSION OF $29 PER M ONTH, PAY A BL E U N T IL D E A T H OR REM ARRIAGE.® T a b le Ago when -widowed. 20 21 22 23 24 25 26 27 28, 20 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45. 46 47 48 49 50 51 52 53 54 55 56 57. 68. 59. 60. Present Expect value oi 820 ancy to per month ; death or Temarriage during ex (years). pectancy. 13, 44 • 14.14 14.88 15. 65 16. 45 17. '28 18.16 19. 01 19. S3 20. 64 21.41 22.12 22.-80 23.41 -23.96 24.44 24.82 25.10 25.28 25. 33 25.32 25. 23 25.06 24. 81 24. 47 24.08 23.62 .23.13 22.60 22.03 21. 42 20.77 20.11 10.44 18.76 1Su07 17.41 16.78 16.13 15.52 14.90 $2,£64.10 2,450. 20 2,537.71. 2,625.11 2,712.80 2,800. 40 2, 889. 53 ’ 2,972.18 3,948.1-6 3,120. 39 3, 186. 62 3,245. 81 3,300. 24 3,347. 50 3,389.43 3,424. -42 . ^,452.61 3,471.99 3., 484. 44 3,487.90 ’3, 487. 20 3,480. 98 3,469.23 3,451. 28 3,426. 60 3,398. 29 3,363.51 3,326.16 3,284. 23 3,238.61 3,187. 46 3,131.86 3,073. 62 3 ,« 2 .0 2 2,947.90 2,880. 77 2,813.69 2,74&20 2,678,48 2,610.47 2,540.07 Age when widowed. Expect Present ancy to value of $20 d e a th s per month Temarriage during ex (years). pectancy. *61....................................... 62................................... . *63........................................... 64.......................................... m ................................... ..... 67.......................................... 68.......................................... 69........................................ ; 70.......................................... 7 1 .......................................... 72.......................................... ’73........... .............................. 74.......................................... 76........... .............................. 77.......................................... 78.......................................... 79........................................... 81 8 2 . . . . . . . . . . . . . . . . . . . . ........ S3............................... _ ........ 84.......................................... 85.......................................... '86........................ ................. 8.7_______________ _______ i 89.......................................... ! 90.......................................... : 91.......................................... ! 92........................................... ! 93.......................................... i 94.......................................... 95.......................................... 96.......................................... 97.......................................... 98..................................... . m ................................... ....... 100......................................... 14.3D 13.71 13.12^ 12.54 11.96 11.40 10. 84 10. 31 9.79 9.30 '8.83 " 8.39 7.96 7.55 7.15 6.77 6. SO 6.05 5.73 5.43 5.14 4.88 4.63 4.39 4.16 3.93 3.71 3.51 3.31 s. 13 2.96 2.80 2.65 2.a 2.36 2.21 2.06 1,91 1.74 1.58 $2,469.12 2,397. 63 2,324.36 2,249.49 2,173. 60 2,096.94 2,019.18 1,943.00 1,806.74 1,792.78 1,720.56 1,650.83 1,382.36 1,514.14 1,447.. -58 1,382. 43 1,317.78 1,256.63 1,143.32 1.-090. 11 1,041.31 m . 16 946.93 902. 62 «57. 64 813.14 772.09 732. 23 83 . 03 627. 05 S95. 20 565. 46 533. 61 '501.75 469. 89 437.OS 399.17 •363. 19 1 « Lite expectancies after age 55 are as shown in table for widows prepared "by registrar-general ■of births, deaths, and marriages in England and Wales, supplement to 75th annual report. ?3®ara ferther ^iseussim M ‘ -.campsriaation periods .oiwidDws and children ” .see MontMy Lafe&r Review for J&Qvemb^r, .1910, pp. 335--33S. '6 8 CO M PARISO N OF C O M P E N SA T IO N L A W S OF U N IT E D STATES. ADDITIONAL PAYMENTS IN CASE OF DEATH. In addition to the foregoing compensation benefits most of the States provide also for burial expenses, the maximum allowances ranging from $50 to $200. Thirty States 79 and the Federal Govern ment 80 provide for such expenses in case the deceased leaves depend ents, while 15 do not.81 All the States except two 82 make similar provision in case of no dependents. In the latter event the entire liability of the employer is limited to such burial expenses in every State except eight.83 In California $350 additional must be paid into the industrial rehabilitation fund; in Idaho $1,000' additional must be paid into the administration fund; in Kentucky $100 additional must be paid to the personal representative of the employee; in Massachusetts, Minnesota, and New York $100 additional is required toward the creation of a special fund, from which are to be paid benefits to employees who sustain second injuries; in New Jersey $400 additional must be paid into the State treasury toward defraying the administrative expenses of the bureau; and in Utah $750 additional must be paid into the State treasury if the employer is not insured in the fund, from which second injuries shall be compensated. The original Connecticut act provided for the payment of $750 into the State treasury in case the deceased employee left no dependents, but this provision of the law was never enforced because of doubt of its constitutionality, and was subsequently repealed. PERMANENT TOTAL DISABILITY. Most States recognize the fact that a permanently disabled work man is a greater economic loss to his family than if he were killed outright at the time of the accident, and, consequently, provide greater benefits than in case of fatal accidents. Eighteen States 84 and the Federal Government provide that for permanent total disability com pensation payments shall continue for the full period of the injured workman’s life. Three States 85 pay benefits for 312 weeks or less; 7 States 86 for 400 but under 500 weeks; 13 States 87 for 500 to 550 '9 $50—Wyoming; $75—Kentucky, Maryland, Montana, and New Mexico; $100—Alabama, Connecticut, Delaware, Hawaii, Idaho, Indiana, Iowa, Louisiana, Minnesota, Missouri, New Jersey, New York, North Dakota, Oregon, Pennsylvania, Tennessee, Vermont, Virginia, Washington, and Wisconsin; $125— Nevada; $150—Nebraska, Ohio, Utah, and West Virginia. eo $100. 81 Alaska, Arizona, California, Colorado, Illinois, Kansas, Maine. Massachusetts, Michigan, New Hamp shire, Oklahoma (does not compensate fatal accidents), Porto Rico, Rhode Island, South Dakota, and Texas. 82 Porto Rico and Oklahoma, whose law does not cover fatal accidents. 83 California, Idaho, Kentucky, Massachusetts, Minnesota, New Jersey, New York, and Utah. 84 Arizona, California, Colorado, Idaho, Illinois, Maryland, Missouri, Montana, Nebraska, Nevada, New York, North Dakota, Ohio, Oregon, South Dakota, Utah, Washington, and West. Virginia. 85 Vermont, 260 weeks; New Hampshire, 300 weeks; Hawaii, 312 weeks. 86 Iowa* Louisiana, and New Jersey, 400 weeks; Texas, 401 weeks; Kansas and Kentucky, 416 weeks; Delaware, 475 weeks. 87 Indiana, Maine, Massachusetts, Michigan, Oklahoma, Pennsylvania, Rhode Island, and Virginia, 600 weeks; Connecticut and New Mexico, 520 weeks; Alabama, Minnesota, and Tennessee, 550 weeks. 69 COMPENSATION BENEFITS. weeks; and one State 88 for 9 to 15 years. Alaska and Wyoming provide fixed absolute amounts, while Porto Rico proportions the amount of compensation to the wage and age of the injured workman. Nineteen States also place a limit upon the maximum amount payable in any one case. These maximum amounts range from $3,000 in South Dakota to $6,000 in Alaska and Michigan. PARTIAL DISABILITY. *• The working out of a satisfactory basis of compensation benefits for injuries causing partial disability has been most difficult. Com pensation for temporary total disability alone is inadequate, espe cially in view of the fact that while the employee may be able to return to work of some sort within a few weeks he is handicapped for life by reason of some maiming or other injury which interferes with his ability as a workman. To provide for such contingencies two methods have generally been adopted. One method, found in prac tically all of the States is the payment of an award based on the percentage of wage loss occasioned by such disability, payments continuing during incapacity but subject to maximum limits. The second method is the adoption of a specific schedule of injuries for which benefits are awarded for fixed periods, the payments being based upon a percentage of wages earned at the time of the injury. Usually both methods of payment are provided for. The practice in most States is to pay a percentage of the wage for fixed periods for certain enumerated injuries and for all other injuries a percentage of the wage loss during disability. The number of injuries specified in the schedule varies in the dilferent States, but provision is generally made for loss of arm, hand, leg, foot, eye, fingers, and toes, and parts thereof. All but five States 89 provide by law for such schedules of specific injuries, and in two of these excepted States 90 the adminis trative commission has worked out a schedule for partial disability. The advantages of the schedule-of-specific-injuries method of com pensating partial disabilities are its simplicity and definiteness. For example, compensation for loss of a hand is ordinarily fixed at 50 per cent of the employee’s wages for 150 weeks. The question arises, however, should such an employee also receive compensation for temporary total disability during the healing period ? Some of the laws are silent upon the subject, but most of the States, either by law or administrative rulings, have made provision therefor. In 26 States 91 compensation amounts provided in the partial disability schedules ss Wisconsin. 89 A r iz o n a , C a lifo r n ia , N e w H a m p s h ir e , N o r t h D a k o t a , a n d P o r t o R i c o . 90 C a lifo r n ia a n d N o r t h D a k o t a . 91 A l a b a m a , A la s k a , C a lifo r n ia , C o lo r a d o , D e la w a r e , H a w a ii, I n d ia n a , Iow a, K ansas, K en tu ck y, L o u is ia n a , M a r y la n d , M ic h ig a n , M in n e s o t a , M o n t a n a , N e b r a s k a , N e w M e x i c o , N e w Y o r k , N o r t h D a k o t a , O k la h o m a , P e n n s y lv a n ia , T e n n e s s e e , T e x a s , V ir g in ia , W e s t V ir g in ia , a n d W is c o n s in . J® COMPARISON OF .COMPENSATION LAW S *OF UNITED STATES. are ki lieu of all other benefits except medical service; in 13 States 92 compensation is paid for temporary total disability during the healing period in. addition to the schedule amounts; in Massachusetts and lihode Island compensation is paid for total disability during the healing period and for partial disability thereafter, in addition to the schedule amounts; while the Maine law provides for continuing par tial disability payments in addition to those provided in the schedule, but for not over 300 weeks in all. The question is earnestly discussed as to whether the “ percentage” or “ schedule” method is the fairer method of compensation. The advocates of the percentage basis contend that the wage loss may develop with passing years and that the subject of the amount of compensation should be open to revision in accordance with the changing conditions; while on the other side it is claimed that there is an apparent fixed proportionate loss for which an equitable award can be made, and which should be made in every case at the time of the injury. This has the advantage at least of securing com pensation to the workman on the basis of an actually proved injury without leaving the matter open to remote contingencies and the possibility of the disability arising at a time when there would be no fund available from which it could be compensated, or when h y removal or other change of conditions it would be impossible to take aaiy steps in the way of proof and the securing of the contemplated compensationDISFIGURE MENT. Frequently injuries cause disfigurement which may not affect the injured employee’s earning capacity, but may decrease his oppor tunities to obtain employment. Should compensation be awarded for such injuries ? Twenty-one States a make specific statutory provisions for such contingencies. Most of these States limit com pensation to disfigurement of the head or face, while some specify that the injury must result in diminished ability to obtain employ ment. In addition to these States the courts in three others 93 have ruled upon the matter. Michigan and Minnesota have granted compensation for the loss of an ear, and the Iowa court has held that it might allow compensation if the injury affected the oppor tunity to secure employment. 32 C e n m e c tro u t, I d a h o , I ll in o i s , M is s o u r i, N e v a d a , N e w J e r s e y , O h a o, O r e g o n , S a u t ii .D a k o ta , C fta k , V e r m o n t, W a s h in g to n , a n d W y o m in g . a A la s k a , C a lifo r n ia , C o lo r a d o , H a w a i i, Id a h o , I ll in o i s , I n d ia n a , K en tu ck y, L o u is ia n a , M is s o u r i, N e b r a s k a , N e v a d a , N e w M e x ic o , N e w Y o r k , N o r t h D a k o t a , O k la h o m a , S o u t h D a k o t a , T e x a s , U t a h , V e r m o n t , a n d W is c o n s in . 93 I o w a , M ic h ig a n , a n d M in n e s o t a . COMPENSATION BENEFITS. 71 SECOND INJURIES. One consequence of workmen’s compensation laws, possibly unfore seen at the time of their enactment, is the adverse effect o f such laws upon the employment of physically defective workers. When a oneeyed workman loses the second eye in an industrial accident, he is totally disabled for life. If the employer is required, under the law, to pay compensation for permanent total disability in such cases, he will feel considerable apprehension about employing such men. On the other hand, if the employee is to receive compensation for the loss of one eye only, regardless of the resulting disability and loss of earning capacity, he will be inadequately compensated and the pur pose of the compensation act will be partially defeated. Industrial discrimination against crippled workers presents a serious and complex problem, which has been accentuated by the return of disabled soldiers. Many factors contribute to this discrimination, one of which is the fear that the employment of crippled workers will greatly increase the cost of accident compensation. A few of the States have enacted remedial legislation on the subject, but most of the States have thus far done nothing to meet this problem. The statutory provisions relative to second injuries, as interpreted by the courts and commissions in the 45 States having workmen’s compensa tion laws at the present time, are as follows: In 14 States94 compensation is granted only for the disability caused by that particular injury, without reference to previous injuries. In these States the factor of increased compensation costs as a contributory cause of discrimination has of course been elim inated, but, on the other hand, the employee receives grossly inade quate compensation. In this connection the experience of the Montana Industrial Accident Board is illuminating. The Montana law makes no specific provision covering second injuries. The board, however, held that an employer should not be penalized for his generosity in hiring a crippled workman. One of the principal em ployers of the State, having a hundred or more crippled workers on his pay roll, requested a ruling as to the extent of his liability in case of a subsequent accident to any%of these crippled men, stating that if he was to be liable for the total disability he would immediately discharge them. The board promptly ruled that the employer would be liable only for the subsequent injury without reference to the resulting disability. It is stated that as a result of this ruling over 400 cripples in the State retained their positions as watchmen, door keepers, etc., whereas if the board had held the employer liable for the entire disability these crippled men would all have been dis 94 A l a b a m a ( e x c e p t lo s s o f e y e , a r m , o r l 3g ), C a lifo r n ia , C o lo r a d o , D e la w a r e , I n d i a n a , M ic h ig a n , M o n t a n a , N e b r a s k a , N e w J e r s e y , O k l a h o m a , P e n n s y lv a n ia , T e n n e s s e e , T e x a s , a n d V i r g in i a , 72 COMPARISON OF COMPENSATION LAW S OP UNITED STATES. charged and would of necessity in the majority of instances have become a charge upon society. The board does not defend its inter pretation of the law but pleads necessity and expediency and its desire to protect the cripple. Similar to Montana’s experience has been that of California. The California act at one time provided for full compensation, or life pension, in case of a worker who loses the sight of his second eye. The commission took into consideration the social need and unfortunate condition of such a man and deemed it wise to give him a life pension. However, the act was amended at the request of the disabled men themselves, who stated that they found it difficult to obtain employment. In 15 States 95 compensation is granted for the entire disability caused by the combined injuries. In case of the loss of a second eye, therefore, compensation would be awarded for permanent total dis ability. This places a heavy burden upon the employer, who under the circumstances feels himself justified in refusing to employ crippled men. New York early met the problem by relieving the employer of the extra liability. An amendment to the New York law, enacted in 1916, provides that in case of a second major disability the em ployer shall be held liable only for the second injury, but the injured employee shall be compensated for the disability resulting from the combined injuries. The additional compensation is paid out of a special fund. This fund is created by requiring the employer to con tribute $100 for each fatal accident in which there are no persons entitled to compensation. The States of Massachusetts, Minnesota, North Dakota, Ohio, Oregon, Utah, and Wisconsin have recently followed the example set by New York, and enacted similar provi sions. Wisconsin, however, raises the special fund by requiring employers to pay an additional $150 in case an employee sustains a major permanent disability. These plans of taking care of the extra compensation liability through a special fund insure substantial justice to both employer and employee and remove one potent factor of discrimination. In six States 96 compensation for second injuries is determined by subtracting the disability caused by the prior injury from the whole disability caused by the subsequent injury. The Virginia law also has this provision, which is limited, however, to cases in which both injuries occur within the same employment; while in Alabama, in case of the loss of a second eye, leg, or arm, the amount of compen sation shall be three-fourths of the difference between the award for permanent total disability and the award for the second injury. In other cases the employer is liable only for the disability caused by the second injury. ss I d a h o , I ll in o i s , M a in e , M a r y l a n d , M a s s a c h u s e t t s , M in n e s o t a , N e w Y o r k , N o r t h D a k o t a , O h io , O r e g o n , R h o d e I s la n d , U t a h , W a s h i n g t o n , W e s t V ir g in i a , a n d W is c o n s in . K a n s a s , K e n t u c k y , M is s o u r i, N e v a d a , S o u t h D a k o t a , a n d W y o m i n g . COMPENSATION BENEFITS* 73 Ten States 97 make no specific provision regarding second injuries. It is probable that in some of these States the administrative com missions or courts have ruled upon the question in cases coming be fore them for adjudication, but no report of any of these rulings has come to the attention of the United States Bureau of Labor Statistics. Three States 98 grant a greater award for the loss of a second mem ber than for the loss of a first. The objection to this plan is that it does not solve the problem of discrimination. On the contrary, in creased compensation benefits for second injuries increase the prob ability of discrimination against crippled men. Connecticut attempted to meet this problem of discrimination by permitting physically defective employees to enter into an employ ment contract whereby they might waive their right to compensation for injuries due directly to their physical defect. Kansas and Ohio also recognize this waiver principle, but only in case of blind em ployees. Undoubtedly under this scheme many defective workmen are given employment which would be denied them if the employer were to assume the liability resulting from a second injury. Such a plan, however, leaves the handicapped workman unprotected in case of a subsequent accident. As far as he is concerned, the compen sation law is to a great extent a dead letter, and in case of injury \le wTill be thrown upon public charity or the generosity of his employer. Some scheme should be adopted which would relieve the employer of the extrahazardous risk involved and at the same time compensate the crippled workman in proportion to his loss of earning capacity. The special-fund plan already in operation in the eight States specified answers this dual purpose. Another method aiming at the prevention of industrial discrimina tion against cripples is to prohibit insurance companies from charging employers higher premiums in case they employ disabled men. Min nesota recently enacted a law embodying such a provision. The weakness of this scheme is that it does not cover self-insured employ ers, who, because of the direct relationship between accidents and compensation costs, would be more inclined to practice discrimination than insured employers. It might be added that the total number of second injuries in pro portion to the total number of all injuries would be infinitesimally small. A computation recently made by the United States Bureau of Labor Statistics shows that of all the employees under the com pensation act in the State of Wisconsin who had lost a hand, an arm, a foot, a leg, or an eye, only one would sustain a second major per manent disability in any given year. Application of the Wisconsin M A la s k a , A r iz o n a , C o n n e c t ic u t , H a w a i i, I o w a , L o u is ia n a , N e w H a m p s h ir e , N e w M e x i c o , P o r t o R i c o , a n d V erm on t, s* C o lo r a d o , I o w a , a n d W i s c o n s in . 74 COMPARISON OF COMPENSATION LAW S OF UNITED STATES. rate to the 45 State compensation laws would give a grand total of 38 second major permanent disabilities for all industries covered b y the compensation acts of these States. The increased cost of second injuries would therefore be negligible. Assuming that all second major permanent disabilities would result in permanent total dis ability, the increased compensation cost of such accidents would probably in the aggregate not exceed three-tenths of 1 per cent of the total compensation costs for all accidents under the compensation act. It must be acknowledged, however, that an individual employer is not particularly concerned with the fact that “ in the aggregateM the increased cost of second disabilities is insignificant. When a crippled workman in his employ sustains a second major disability the increased cost to him is much greater than the cost of a similar dis ability to a normal worker would be, and this notwithstanding the fact that the increased aggregate cost is negligible. But even acknowl edging that for an individual employer the occurrence of a second injury would materially increase his compensation costs, the fact that there is little possibility of such an accident occurring at all, as already pointed out, would seem to prove that the widespread dis crimination against the employment of crippled men is hardly justified. BEHABILIT ATIGN. Until recently the welfare of workers permanently injured in industry has been criminally neglected. Disabled workers have been paid their compensation benefits, and then allowed to shift for them selves exactly as they would have done prior to the enactment of com pensation laws. Fortunately the war focused attention upon the problem. In the attempt to restore the war cripple the plight of the industrial cripple was also brought into relief. Massachusetts, in 1918, was the first State to provide for a rehabilitation department; since then, California, Illinois, Minnesota, Nevada, New Jersey, North Dakota, Oregon, Pennsylvania, and Rhode Island have followed suit. It is to be hoped that every disabled workman will not only be paid the statutory compensation benefits but also be functionally restored as far as possible, retrained, and replaced in desirable employment. COMPARISON OF PARTIAL DISABILITY SCHEDULES. As already noted, the partial disability schedules adopted in the various States include generally the same items, and it is possible to tabulate many of them so as to afford a comparison of the awards allowed by different States for specified injuries. In 38 States the schedules for permanent partial disabilities, either by law or administrative decree, are stated in terms of weeks or months. In order to make the latter cases comparable with the majority, the num ber of months indicated has been multiplied by 4 J to reduce them to weeks, the nearest whole number of weeks being used. 75 CO M PARISO N OF P A R TIA L D ISA B IL ITY SCH ED U LES. Table 16 shows the number of weeks for which compensation is payable for specified injuries in the several States. In this table has been included the schedule of severity rating formulated by the com mittee on statistics of the International Association of Industrial Accident Boards and Commissions.89 The purpose of this schedule, however, was to obtain a more accurate measure of industrial hazards, the schedule not being intended as a basis for compensation awards. T 1 6 .— N U M B E R O F W E E K S F O R W H IC H C O M P E N S A T IO N IS P A Y A B L E F O R S P E C I able F IE D IN J U R IE S IN T H E SEVE RAL STATES. L o s s o f— Per ma S ta te . C o m m itt o e .* .... A la * ..,.. C o l o .2......... ■Goan .3____ D e l . * .......... H a w a i i 2. . I d a h o 8. . . I fl* I n d .2.......... ........ tawst2 __ K a n s .2____ nent tota l d is a b i l ity . 1,000 550 L ife . 520 475 312 L ife L ife 500 400 416 Ky.a....... ........ 416 Jua .-2 400 M a in e 4 .. . 500 M d .2............ £ L ife M a s s .s -----§00 __ M a jor— A rm In .(a t dex H and. T hum b. s h o u l fin g e r. d e r ). ?5© m 5 00 208 150 104 208 156 312 194 2M 200 200 150 150 125 200 150 250 225 2K) 200 . J90 150 280 50 M i e h .2 M i n n ,2____ M e? M o n t .2____ 500 200 550 L ife L ife 200 N e v .3......... N . J.3......... N . M exA . N . Y .s .. .. N . D a k s .. L ife 400 520 L ife L ife O h i o 3 ____ O k la - 2 . . . . O r e g .3____ P a ;s R . I .e .. . . . L ife 500 L ife 500 500 ....... __ Life __ S . D a k .3 .. i L ife T ftnn.a 550 T e x .2 ......... 401 U t a h 3 . . . Life V t .3 ............ 269 __ ....... V a ;2 W . V a . 2. . W is .2 _____ 500 L ife *780 S ig h t H e a r H earO th L eg CJreat in g , of F oot. er M id L i t (a t on e one toe. R in g to e . tle k ip ) .’ d le fi n eye. e a r. fi n fin g e r. der. 220 200 225 260 200 150 312 312 0 aoo ISO 500 10 100 35 38 130 SO 18 38 4 13 150 139 156 205 38 1-6 104 104 113 128 125 15 30 60 25 30 6 10 20 100 100 135 125 125 150 150 125 150 50 125 125 125 150 50 BO 12 10 10 10 10 12 125 30 30 35 15 30 10 10 1-2 6 10 30 30 15 38 38 11 10 0 108 16 16 128 130 150 150 M5 150 175 20 11*0 217 150 110 244 2G0 150 215 50 329 175 50 200 200 150 150 150 200 125 140 125 173 125 30 60 60 60 GO 104 100 205 208 20 25 25 i 159 i 277 150 50 30 39 43 30 150 125 125 125 125 100 110 15 10 150 100 100 100 100 50 100 100 100 156 1«0 125 260 160 135 100 100 10 10 100 17 173 100 156 416 100 50 100 100 SO 30 15 1*0 120 20 200 150 240 320 200 125 140 180 30 : 40 , 25 ! 240 100 150 150 200 170 100 100 150 250 200 50 125 104 % 0 158 200 416 3B0 1G9 150 150 100 1-00 8 i 100 10 . 18 ! 8 43 170 100 132 : 140 | 1 C o m m it t e e o n s t a t is tic s a n d c o m p e n s a t io n in s u r a n c e c o s t o f th e I n t e r n a t io n a l A s s o c i a t i o n o f I n d u s t r ia l A c c i d e n t B o a r d s a n d Coanm issioaas. 2 P a y m e n t s u n d e r t h is s c h e d u l e a re e x c l u s i v e o f o r in li e u o f a ll o t h e r p a y m e n t s . * P a y m e n t s u n d e r t h is s c h e d u l e a re i n a d d i t io n t o p a y m e n t s fa r t e m p o r a r y t o t a l d i s a b i l i t y d u r in g t h e h e a lin g p e r io d . 4 P a y m e n t s c o v e r t o t a l d is a b i li t y . P a r t ia l d i s a b i l i t y m a y b e c o m p e n s a t e d a t e n d o f perk > ds given Ifer n o t o v e r 300 w e e k s in a ll. s M a x im u m , $5,000. N e P a y m e n t s u n d e r t h is s c h e d u le a re in a d d i t io n t o a ll o t h e r p a y m e n t s , 7 M a x im u m , 13,000. 8 0 1© 15 y e a r s , d e p e n d i n g u p o n t li e a g e o f t h e e m p l o y e e a t t h e t i m e ©I i n ju r y . 99 F o r a c o m p le t e r e p o r t o f t h is c o m m i t t e e s e e p p . 123 t o 143 o f t h e O c t o b e r , 1017, M o n t h l y R e v i e w . 76 COMPARISON OF COMPENSATION LAW S OF U N IT E D , STATES. In comparing the laws of the several States as to the number of weeks for which compensation is payable for the specified injuries noted in the above table, care should be taken to see that the laws are actually comparable. In most of the States, as already noted, the benefits provided are in lieu of all other payments and are therefore comparable. In Massachusetts and Rhode Island, however, these benefits are in addition to all other payments, including com pensation for total disability during the healing period and for partial disability if the injury has resulted in loss of earning power. A number of the other States also pay additional compensation during the healing period. The laws of eight States 1 provide that compensation for permanent partial disabilities shall be based upon the nature of the injury, the occupation of the injured employee, and his age at the time of the injury. The North Dakota law~ provides for a compensation sched ule based upon the percentage of disability, but authorizes the com pensation commissioner to determine what the percentage of disabil ity should be in case of individual injuries. The compensation bureau has formulated a partial disability schedule, stated in terms of weeks, which is shown in Table 16. The West Virginia commis sioner, under a similar act, formulated a schedule of permanent partial disabilities which was incorporated in the law in modified form in 1919. The Washington law provides for maximum amounts in case of a few major injuries, leaving to the industrial insurance department the working out of a detailed schedule of payments based upon the statutory amounts. California, however, is the only State wrhich has formulated an elaborate partial disability schedule based upon the nature of the injury and the occupation and age of the injured employee. As already noted, most of our State laws compensate for certain specified partial disability injuries by providing benefits payable for fixed periods. v European laws differ from American laws in this re spect by basing compensation for such injuries upon the percentage of total disability caused by the injuries. Table 17 shows the percentage of disability for specified injuries, based on schedule of compensation for permanent total disability under the laws of the various American States. Inasmuch as certain American laws pro vide for payment during life, it would be impossible, without the introduction of the actuarial basis of expectancy, to compute percent ages for the temporary awards made, and these are therefore omitted from this comparison. The schedule of the committee on statistics of the International Association of Industrial Accident Boards and Commissions is also included. i C a lifo r n ia , I d a h o , K e n t u c k y , N e v a d a , N o r t h D a k o t a , T e x a s , W a s h i n g t o n , a n d W e s t V i r g in ia . 77 COMPARISON OF PARTIAL DISABILITY SCHEDULES. Table 17.—C O M P U T E D BASED ON PERCENTAGES SCH EDULE UNDER THE LAW S OF OF D IS A B IL IT Y C O M P E N S A T IO N FOR FOR S P E C IF IE D IN J U R IE S , PERM ANENT TOTAL D IS A B IL IT Y O F V A R IO U S S T A T E S . L o s s o f— S ta te . Commit tee 1...... A l a ............... C o n n ............ D e ! ............... H a w a i i___ I n d ............... I o w a ............ K a n s ............ K y ................ L a ................. M a in e .......... M i c h ............ M i n n ........... N . J .............. N . M e x ___ O k l a ............ P a ................ T e n n ........... T e x .............. V t ................. V a ................ A rm I n d e x M id (a t d le H a n d . T h u m b . fin s h o u l fin ger. d e r ). g er. R i n g L it t l e L e g fin fin (a t g er. ger. h ip ). P . ct. P . ct. 75 36 40 41 50 27 30 33 78 40 38 36 36 38 25 30 27 38 100 50 56 50 48 50 30 40 36 50 29 50 43 36 50 65 40 21 40 35 27 37 54 30 P . ct. P . ct. P . ct. P .c t . P .c t . 5 5 5 4 5 5 3 4 8 6 6 4 4 4 5 3 3 3 4 10 11 6 7 7 6 19 15 10 12 10 8 8 7 14 14 13 10 12 11 15 6 12 11 6 5 7 6 6 5 9 4 7 8 5 5 5 5 4 4 4 5 3 2 2 6 4 3 5 7 4 5 8 0 6 3 4 4 3 9 11 8 6 7 7 5 5 15 15 6 11 10 12 7 4 F oot. S ig h t G rea t O th er o f one to e . to e . eye. P .c t . P .c t . P .c t . 10 2 30 18 3 20 10 P .c t . P .c t . P . ct. 40 23 25 28 5 5 7 66 12 12 6 5 4 4 75 32 35 41 92 40 50 48 48 44 30 35 32 44 27 35 43 32 50 65' 35 30 31 30 30 31 25 25 23 31 19 30 30 23 31 46 25 7 7 5 5 2 2 3 24 41 30 25 26 24 25 5 2 2 2 8 3 3 6 1 2 5 7 2 2 8 6 3 25 18 25 38 2 20 6 H ea r H ea rin g , one e a r. ea rs. P .c t . 50 27 30 19 100 20 6 24 10 7 28 40 26 16 27 37 65 20 20 18 25 19 20 1 S c h e d u le o f s e v e r i t y r a t in g s f o r m u la t e d b y t h e c o m m i t t e e o n s t a t is tic s a n d c o m p e n s a t io n in s u r a n c e c o s t o f t h e I n t e r n a t io n a l A s s o c i a t i o n o f I n d u s t r ia l A c c i d e n t B o a r d s a n d C o m m is s io n s . ADEQUACY OF PARTIAL DISABILITY SCHEDULES. The value of the foregoing table for comparative purposes is im paired to some extent because the percentages are not comparable one with another, due to the lack of a common denominator. The schedules for permanent total disability which were used as the bases vary considerably and consequently the percentages, while showing the relationship between permanent partial and permanent total disabilities in a given State, are incomparable as between different States. This relationship is shown in Table 18, in which the scale of time losses as determined by the committee on statistics and compensation insurance cost of the International Association of Industrial Accident Boards and Commissions is used as the base. In formulating this schedule of severity ratings of injuries, per manent total disability, rated at 1,000 weeks, was used as the base and the partial disabilities computed therefrom. The purpose of the schedule, as already noted, was to obtain a more accurate meas ure of industrial hazards, the schedule not being intended as a basis of compensation awards. In fact, the committee disclaims any such intention. Assuming, however, that the schedule is a reason able measure of adequacy for compensation payments, it is interest ing to note the percentages of adequacy of payments for the more important injuries provided for by the several State compensation 78 COMPARISON -DF COMPENSATION LAW S OF UNITED STATES. laws. These percentages refer only to periods of time during which compensation is to be paid and do not take into account the per cent or rate of compensation. In computing the percentages given in the following table the committee’s schedule is taken as 100 per cent. T able 1 8 .— P E R C E N T A G E F IE D IN J U R IE S OF P R O V ID E D B . C. C O M M IT T E E ADEQUACY FOR IN OF D U R A T IO N OF PAYM ENTS T H E S E V E R A L -S T A T E S , U S I N G FOR THE S P E C I I. A . I. A . S C H E D U L E A S 100 P E R C E N T . L o s s o f— S ta te . M a jo r — T ota l d is a b ilit y . A r m (a t s h o u l d e r ). H and. Thum b. In dex lin g e r . 100 io o ; 100 UB0 100 70 36 76 92 23 1 28 i 24; 26! 381 31 26 33 36 51 i60 36 76 .............. 76 33 35 35 38 43 40 70 80 60 7-4 24 | 23; 27; 27 27 5 31 31 38 31 31 30 60 120 50’ 60 33 33 50 33 37 60 40 50 50 60 33 33 33 33 33 33 33 33 42 36 100 100 A l a b a m a ......................................... C o l o r a d o .......................................... C o n n e c t i c u t ................................... " D e la w a r e .. . . .................................. iH a w a ii......... ................................... 55 27 28 28 26 42 30 31 32 49 30 30 40 30 30 30 60 60 40 60 27 27 60 50 m 50 60 90 60 160 60 70 70 80 21 I d a h o ................................................ I l l i n o i s .............................................. I n d i a n a ............................................ I o w a .................................................. K a n s a s ............................................. 100 100 50 40 42 27 27 33 30 28 K e n t u c k y ....................................... L o u is ia n a ....................................... M a in e ................................................ M a r v l a n d ........................................ M i c h i g a n ......................................... 42 40 50 ^0* 50 27 27 30 30 25 30 30 M i n n e s o t a ------------------------------M i s s o u r i - . - .................................... M o n t a n a .......................................... ■ N ebraska......................................... N e v a d a ............................................ 55 ICO 27 29 ' 27 30 * 35 30 , 33 30 35 43 ; 60 55 30 *60 65 27 42 30 22 49 42 52. 27 30 60 30 60 =60 60 33 55 29 27 27 40 60 104 3530 30 60 70 23 38 69 38 31 31 27 27 23 27 32 43 30 30 28 30 40 48 60 -30 40 60 80 70 90 27' 31 20 24 31 50 70 80 64 23 23 27 ,40 30 30 34 55 69 27 N e w J e r s e y .................................... :N e w M e x i c o .................................. N e w Y o r k ...................................... N o r t h D a k o t a .............................. O h i o . . ............................................. O k l a h o m a ...................................... O v eg & n ............................................. P e n n s y l v a n i a ............................... jjSouth D a k o t a T e n n e s s e e .................................. .. T e x a s ................................................ U t a h .................................................. V e r m o n t ......................................... V i r g i n i a .............. - .......................... W e s t V i r g i n i a .............................. W i s c o n s i n ....... ............................... A v e r a g e .............................. 100 MK) 100 40 52 100 100 100 50 100 50 55 40 100 26 50 100 67 a© 66 S ig h t o f one eye. 60 35 38 ................... 60 ISO 52 48 31 Gresat toe. 100 C o m m i t t e e .................................. 100 L e g (a t E oot. h ip ). | 27 23 31 31 20 31 23 23. 38 31 23 26 24 29 29 31 35 31 38. 43. 60' 70. 30 70 40 92 S2 70 23 19 38 -38 23 31 25 00 70 138 23 51 29 20 70 78 " " " i o * ” * '* 7 0 21 / 51 52 31 §f); 60- 50 7676 60 33 33 43 43 33 60 33 -86 58 33 -60 33 60 33 35 45 60 30 40 •60 SO 50 33 33 44 £7 35 59 36 31 33 33 In considering the above table it must again be borne in mind that several States pay compensation for total disability during the healing period in addition to the schedule of payments for partial disability. Two important facts stand out, however. Om is the relatively greater w a rd s for the minor injuries, and the otter is & e 79 CO M PARISO N OF P A R T IA L D ISA B IL ITY SCH E D U LE S. ismall proportionate awards for ail injuries. The average statutory compensation provided for the loss of an arm, -&hand, or a foot is approximately one-third of the loss o f earning capacity caused by such injuries; It will be noted also that the adequacy of compen sation dooreases 4irectly with, the severity of the injury. Moreover, this schedule, as already noted, refers only to time. When the stat utory wage percentages are applied the percentages of adequacy .are still further reduced. This can better be shown by way of a con crete illustration,. For example, what compensation benefits would a man earning $.2-0 a week receive for various types of injuries under the committee’s schedule md, mider the laws of Now York and New Mexico ? Tbese two States am taken because they represent, respec tively, the most liberal and least liberal of the compensation States. T a b l e 1 9 . — C O M P A R I S O N O F B E N E F I T S U N D E R I . A . I . A . -B. € . C O M M I T T E E AND UNDER C O M P E N S A T IO N L A W S O F N E W YO RK AND NEW M © n a y b e n e fit s r e c e iv e d . T y p e o f in ju r ? . C om m it t e e . P e r m a n e n t t o t a l d i s a b i l i t y ................................................ ........ F o u r w e e k s ’ d i s a b i l i t y ....................................................... .......... T ii ir t e e n w e e k s ’ d i s a b i l i t y ........................... ............................... L o s s o f— A r m a t shseniliier........................................................................ H a n d .............................................................................................. T ir n n t b ........................................................................................... I s d e x f i n g e r .................... ............................................................ L e g .at h i p . ................................................................................... F # o t ................................................................................................. ! Orespt ^toe....................................................................................... i! O n e e y e .................................................... .......................... ........... ! RELATIVE SEVER ITY O F U & m iW i N ew Y ork. 80 260‘ 1 5 ,0 0 0 10,000 :2 , « 0Q 1 ,6 0 0 l a , 600 8,000 1,000 6,000 A M D $ 1 3 ,3 3 3 ; 27 173 , 4 ,1 6 0 3,253 890 613 3 ,8 4 0 2 ,7 3 3 507 1,7*07 N ew M e x ico . SS,200 20 m 1,100 mo 200 1 ,4 0 0 1,000 X50 1,000 SCH ED U LE M E X IC O . P e r C€nt N ew Y ork b e n e fit s ar^e o f com m it t e e b e n e fit s . P er cen t N ew M e x ico b e n e fit s a re of com m it t e e b e n e fit s . 67 33 m 26 25 42 28 33 40 61 26 34 51 28 10 11 15 • 20 9 13 15 17 I O W E B LIMB INJURIES. It msay be well to emphasize here that white from the medical iand economic standpoint the loss of a foot or leg, under present indus trial conditions, is more serious than the loss of n thand or arm, the compensation schedules of every State are based, upon the theory that industrial workers who lose an upper limb suffer a greater eco nomic loss than those who lose a f oot or a leg. Even the committee on statistics of the International Association of Industrial Accident Boards and Commissions seems to have adopted this view in formu lating its severity rating schedule. The common, and practically the only, argument in substantiation of this belief is that “ it stands to reason.” Yet an analysis of Table 20, giving the results of four independent investigations, shows the contrary to be true. There are two main reasons for this. In the first place the eco nomic severity of foot and leg injuries is accentuated by the fact 80 COMPARISON OF COMPENSATION LAWS OF UNITED STATES. that a preponderant number occur in industries in which the loss of the member is a practical bar to employment. A one-legged man is effectively excluded from most of the operations in the transporta^ tion, construction, lumbering, and mining industries; and it is in employments of this character that three-fourths of the foot and leg injuries occur. In California 91 per cent of the permanent foot and leg injuries occurred in nonmanufacturing industries and 60 per cent occurred in transportation and construction. An analysis of the permanent disability accidents in Massachusetts during the first four years’ operation of the compensation act shows that 75 per cent of the hand and arm injuries occurred in manufacturing industries and 25 per cent in nonmanufacturing industries, while the percentages as regards foot and leg injuries were exactly reversed, being 25 per cent in manufacturing and 75 in nonmanufacturing industries. Nearly all of the latter injuries occurred in the building trades, trans portation, and construction. Ordinarily, when one thinks of the relative industrial usefulness of an upper and a lower limb one has in mind factory operations. And, of course, in operating a machine a one-legged man is less handicapped than a one-armed man; but machine operators do not lose their legs; they lose their hands and arms. Moreover, in manufacturing indus tries, in which the majority of upper-limb injuries occur, the injured workman can often go back to the same employer or the same occu pation. On the other hand, the industries dangerous to lower limbs are the industries in which the use of lower limbs is practically indis pensable. A larger proportion of those who sustain foot and leg injuries, therefore, must seek a new employer, and this fact affects adversely their reemployability (see Table 20). In the second place, the greatest industrial handicap heretofore suffered by a crippled worker has been not his inability to perform work, but his inability to get a job. Potential ability to perform work is of little use to a workman who by reason of his injury is pre vented from seeking employment or is not employed even if he does find a prospective job. Table 20 shows the relative severity of upper and lower limb inju ries as shown by four independent investigations: SI COMPARISON OF PARTIAL DISABILITY SCHEDULES. T a ULE 2 0 . — R E L A T I V E S E V E R I T Y O F U P P E R A N D L O W E R L IM B IN J U R IE S , A S S H O W N B Y V A R IO U S IN V E S T IG A T IO N S . A v e r a g e p e r io d o f t o t a l d i s a b i li t y , in m o n th s . P e r c e n t o f ca se s i n w h ic h d is a b ilit y co n tin u e d fo r 18 m o n t h s o r m ore. H and or a rm . H and or a rm . P la c e o f in v e s t i g a t i o n , M a s s a c h u ce tt s .................................. C a lifo r n ia ........................................... N e w Y o r k C i t v .............................. D e n m a r k . . . . 1................................ 1 3 .4 1 2 .7 F oot o r le g . 2 4 .8 1 3 .4 F oot o r le g . 26 28 59 42 19 55 P er cen t u n em p lo y e d . H and or a rm . F oot o r le g . 30 41 8 * 24 62 17 P er cen t reem p lo y e d b y sa m e e m p lo y e r or in s a m e o c c u p a t io n . H and or a rm . Foot o r le g . 52 i 40 30 i 32 227 *16 * P e r c e n t r e e m p lo y e d b y s a m e e m p l o y e r . 2 P e r c e n t o f p e r s o n s r e e m p lo y e d i n s a m e o c c u p a t io n s . It will be noted that in practically every case the loss of a foot or a leg is more serious than the loss of a hand or an arm as regards length of total disability, per cent of persons reemployed by same employer or in same occupation, and per cent of persons remaining unemployed after the injury. In this connection see also discussion by Dr. Schnitzler given on pages 89 to 90. FOREIGN SCHEDULES. A strict comparison between American and European scales is not possible. Under the European systems payment is usually con tinuous during life, and the compensation payments begin only after expiration of a period during which, in many instances, benefits are derived from other funds. The Bureau of Labor Statistics undertook some time ago to secure the official scales of disability (Invaliditats-STcala) of the German associations (Berufsgenossenschaften), but obtained such a scale in only one of the threescore instances in which they were supposed to exist, this being the scale of the association managing the insurance in the Bavarian woodworking industries. A number of such associa tions stated that the matter was in the hands of the administrative bodies, and such tables were not used. There are available, however, several reports presenting the results of a number of studies of foreign compensation schedules, while the Twenty-fourth Annual Report of the Commissioner of Labor, Workmen’s Insurance and Compensation Systems in Europe, contains some material along these lines, notably the official schedule used in administering the Russian workmen's insurance law, presented at pages 2107-2111 of the report. Such data as are at hand at this time are collected in Table 21, the list of injuries being one that was drawn up by the authors (Imbert, Oddo, and Chavernac) of a French work “ Accidents du Travail: 1 7 2 3 0 8 °— 20— B ull. 275------- 6 82 COMPARISON OF COMPENSATION LAW S OF U N IT E D STATES. Guide pour PE valuation des Incapacities.’ ’ The data on which this classification and rating are based are cited as from official sources, the German, French, and Austrian material being official adjudications or ratings, while the Italian law itself furnishes the rates for that country. From these four sources, and some others which the authors consider as of commanding value, the scale pre sented in the column headed “ Imbert, etc.,” is derived; the four succeeding columns present the basic data contained in the work above mentioned. The West Virginia scale, given in the next column, is contained in the compensation act as amended in 1919. Dr. Maximilian Miller published a work in 1908 on the subject of degrees of disability under the insurance legislation of Germany, “ Die Erwerbsunfahigkeit und ihre Ursachen.” This author presents a table based on the collective experience of a number of German insurance associations giving different rates for skilled and unskilled workmen. These rates are presented in the two columns headed “ Miller77 on page 84. The next column presents the data furnished by the Bavarian woodworkers’ association mentioned above, while the column immediately following contains the Russian standard adopted in 1904, which was drawn up by the medical council of the Minister of the Interior for the guidance of the physicians con cerned with the administration of the workmen’s insurance law of that country. This scale and the one presented in the column headed “ KonenK dln” present forms of disability not contained in the other scales, to which attention will be given in another place, the items here pre sented being such as correspond to the list of Imbert. The basis of the scale presented by Konen-Koln is the decisions of the German ad judicating officers. The next column, headed “ Bahr,” is the result of the consideration of the experience of important German, Swiss, and Austrian insurance associations by F. Bahr. The two last-named scales are presented in a volume, “ Handbuch der Unfallerkrankungen,” by Dr. CL Thiem, 1909. Dr. Thiem undertakes to draw up from the above and other data a table of his own, systematizing the degrees of disability in accordance with the various facts at hand. The result of his labors is given in the last column of Table 2L 83 COMPARISON OF PARTIAL DISABILITY SCHEDULES. T arle 2 1 .— D E G R E E S OF D IS A B IL IT Y F O R S P E C IF IE D IN J U R IE S , A C C O R D IN G R IO U S S T A N D A R D S A N D A U T H O R IT IE S , E X P R E S S E D IN P E R C E N T A G E S O F TO VA TOTAL D IS A B IL IT Y . N a t u r e o f in ju r y . L o s s o f r i g ii t o r m a jo r : A r m ........................... .............................................. F o r e a r m ................................................................. D is a r t i c u l a t i o n a t s h o u l d e r ......................... H a n d .............. ....................................... ................. T h u m b ....... . . ....................................................... Trmlvidjfmj m e t a c a r p a l b o n a ................ O n e p h a l a n x o n l y . .................................. Tndfl-jr firfg fir.. . , . T___ T- - - r ___________ T w o p h a la n g e s ...................................... .. . O n e p h a l a n x o n l y .................................... MidfTIo f i n g e r . . . _ _ T. ___________________ T w o p h a la n g e s ........................... . OrrfJ pfralfvn*' o n l y . T, T______________ T w o p h a la n g e s .......................................... O n e p h a l a n x o n l y .................................... L i t t l e f i n g e r . ........................................................ T w o p h a la n g e s ........................................... O n e p h a l a n x o n l y .................................... T h u m b *vnd in d fiT fingp.r _ _ , _______ I n d e x a n d m id d l e f i n g e r .............................. R i n g a n d l i t t l e fin g e r s ......... .......................... T h u m b , in d e x , a n d m id d le f i n g e r s .... T n d e x , m i d d l e , a n d r f n g ^ fin fe r s .............. M id d le , r i n g , a n d l i t t le fin g e r s . . , T h n t r ib a n d th rp o fin p e r s . . . . . . . T . F o u r fin g e r s ...................... ............................ L o s s o f l e f t o r m in o r : A r m .......................................................................... F o r e a r m ......... . . . . . ...... . . . ................. .. D is a r t i c u l a t i o n a t s h o u l d e r ......................... H a n d ........................... ........................................... T h u m b ........... ....................................................... I n c l u d i n g m e t a c a r p a l b o n e ................ O n e p h a l a n x o n l y .................................... I n d e x fin g e r ................................................ ........ T w o p h a l a n g e s ............................ .. O n e p h a l a n x o n l y . . . ................................ M i d d le fin g e r .............................................. .. T w o p h a la n g e s ................................ O n e p h a l a n x o n l y .................................... R i n g fin g e r ................................................... .. T w o p h a la n g e s ........................................... O n e p h a l a n x o n l y ................................ L it t l e f i n g e r . ....................... ................................. T w o p h a la n g e s .......................................... O n e p h a l a n x o n l y .................................... T h u m b a n d i n d e x f i n g e r .............................. I n d e x a n d m id d l e fin g e r s ............................ M id d le a n d r i n g f i n g e r s . . .............................. R i n g a n d l i t t l e f i n g e r s . .................................. T h u m b , i n d e x , a n d m i d d l e fi n g e r s ____ I n d e x , m i d d l e , a n d r i n g f i n g e r s .. . . . . . . M i d d le , r in g , a n d li t t le fin g e r s .................. T h u m b a n a t h r e e fin g e r s .............. ............... F o u r fin g e r s ......................................................... L e s s o f th ig h : D is a r t ic u la t io n .................................................... A m p u t a t i o n ......................................................... L o s s o f le g ...................... ................................................ L o s s o f f o o t .................................................................... F o r e p a r t o f f o o t o n l y . ................... .............. L o s s o f g r e a t t o e ......................................................... I n c l u d i n g m e t a t a r s a l b o n e .......................... O n e p h a l a n x o n l y ............................................. L o s s o f o t h e r t o e ......................................................... L o s s o f a l l t o e s ............................................................. L o s s o f s i g h t , o n e e y e ............................................... L o s s o f h e a r i n g , o n e e a r: P a r t ia l...................................................................... C o m p le t e ................................................................ L o s s o f n e a r in g , b o t h e a r s : P a r t ia l.............. ................ ..................................... C o m p le t e ................................................................ I m b e r t ,. e tc. A u s t r ia n F ren ch G erm a n I m p e ria l a d ju d ic a a d ju d ic a O ffic e t io n s . t io n s . r a t in g s . I t a lia n la w . W est V i r g in i a la w . P e r c e n t. 75 70 85 65 30 35 15 15 P e r cen t. 60-75 6 6-75 P e r ce n t. 6 0-85 70-80 P e r cen t. 6 6-83 P e r cen t. 80 7 0-80 P e r cen t. 60 55 50-75 30 5 5-8 0 1 4 -6 0 5 0-83 2 5-33 70 30 50 10-20 16 15 20 12 10 10 6 10 8 10 0-10 20 0-10 0-10 6 -3 0 8 -1 5 7 -2 0 2-12 0-10 10 8? 7 5 3 5 5 10 8 5 8 6 3 45 25 20 20 55 35 30 65 50 1 0-15 5 -1 0 3 -1 0 0 1 -1 0 15 8 -11 8 0-10 0-10 10 0-10 0 5 -1 0 0- 8 6- 8 3- 8 0- 6 12 40 25-50 3 3 -4 0 2 0-33 5 0-6 0 4 5-60 33 5 0 -8 0 20 & 8-10 3 5 o 5 32 20 3 4 -7 0 3 3 -4 0 15 15 40 30 10-20 3 0-5 0 4 0-5 0 5 0 -6 0 6 0 -6 5 60 20 32 65 60 75 55 25 30 60 6 0-75 60-80 60 66-83 6 6-75 75 6 5 - 75 60 55 5 0 -6 0 25 5 0-5 5 10-20 50-832 5-30 65 25 20 10 10 8 10 10 10 0-10 5 -1 3 1 1 -1 3 15 5 -1 6 8 -1 5 3 -1 0 5 8 6 2 8 6 2 6 4 1 0-10 0-10 0-10 0 -10 0 -10 0-10 0-10 0 50 12 12 10 15 6-20 0-10 6 8 7 1-1 0 3 8-10 5- 8 2- 6 3 -1 0 3 5 2-10 1- 6 8 -10 3 32 35 20 2 0-35 20 13 3 0 -4 0 10 15 15 12 45 25 33 45 20 . ... .1 ______ . 20 2 0 -3 5 50 40 8 5 -9 0 7 0 -8 0 6 0-65 45-55 2 0-30 1 2-1 6 15-20 4- 5 3- 5 2 0-2 5 2 0 -5 0 8-10 40 30 32 85 66 5 0 -7 0 5 0 -6 0 3 5 -5 0 1 0 -1 5 5 0-83 66 6 5-90 4 3-65 6 0-6 5 4 5 -6 5 5- 8 10 70 GO 50 50 60 50 45 35 30 7 15 10 2- 8 5 2 0-2 5 25 10-15 1 0 -4 0 1 5-30 1 0-15 50 2 0-3 0 15-50 7 -2 0 5 30 33 35 4 -2 2 i ..................... 1 10 45 J 40 5 4 25 33 8 '4 COMPARISON OF COMPENSATION LAWS OF UNITED STATES. Table 2 1 . — D E G R E E S OF D IS A B IL IT Y F O R S P E C IF IE D IN J U R IE S , A C C O R D IN G T O .V A - R IO U S S T A N D A R D S A N D A U T H O R IT IE S , E X P R E S S E D IN P E R C E N T A G E S O F T O T A L D I S A B I L I T Y — C o n c lu d e d . M ille r . B ava R u s r ia n s ia n w ood sta n d w ork ers’ ard , a s s o c ia 1904. t io n . N a t u r e o f in ju r y . S k ille d w ork m en. U n s k il le d w ork m en. L o s s o f r ig h t o r m a jo r : A r m .................... ........................................................ F o r e a r m .................................................................... D is a r t i c u l a t i o n a t s h o u l d e r .......................... H a n d ., ,. ....... _ ____________ ________ T h u m b ...................................................................... I n c l u d i n g m e t a c a r p a l b o n e ................. P e r ct. 80 70 P e r c t. 60 60 70 30 40 60 20 30 15 15 ii -i3 16 - 1 8 10 5 | -6 1 3 -1 4 10 4 -5 8 -1 0 10 3 11 -1 2 Tnflp.x fin g e r . -, - - _______ - - ............... O n e p h a l a n x o n l y ..................................... M i d d le fin g e r ............................................... 10 10 T w o p h a la n g e s P e r ct. 70 - 8 0 70 - 8 0 22 -2 6 ......................................... 10 T w o p h a l a n g e s ............................................ O n e p h a l a n x o n l y ...................................j T h u m b a n d i n d e x f i n g e r .T............................ I n d e x arid m i d d l e f i n g e r s ............................. M id d le a n d r i n g f i n g e r s .................................. P e r ct. P e r ct. 75 75 75 75 75 66i 30 2 5 -3 0 30 15 25 1 5 -2 0 15 B a h r. T h ie m . P e r ct. 5 0 -6 6 § 50 -6 6 § P e r ct. 6 6 f-8 0 5 0 - 66§ 18 -2 7 60 -6 6 $ 25 - 3 0 3 0 -3 3 $ 12 -1 7 * 15 -1 8 10 5 15 5 -1 0 12 10 5 10 5 -1 0 10 10 10 -1 7 h 10 -1 2 40 -5 0 40 - 5 0 60 -7 0 40 - 5 0 12 -1 7 | 50 -6 0 20 -2 5 25 - 3 0 15 8 -1 2 12 -1 5 3£- 4 50 35 25 20 60 50 35 70 70 T h u m b , i n d e x , a n d m i d d l e fin g e r s ......... T h u m b a n d t h r e e f i n g e r s .............................. F o u r f i n g e r s ........................................................... L o s s o f le f t o r m in o r : A r m ............................................................................ F o r e a r m .................................................................... D is a r t i c u l a t i o n a t s h o u l d e r .......................... H a n d .......................................................................... T h u m b ...................................................................... I n c l u d i n g m e t a c a r p a l b o n e ................. O n e p h a l a n x o n l y ..................................... I n d e x fin g e r o n l y ................................................ T w o p h a l a n g e s ............................................ O n e p h a l a n x o n l y ..................................... M i d d le f i n g e r ......................................................... T w o p h a l a n g e s ............................................ O n e p h a l a n x o n l y ..................................... R i n g f i n g e r ................................................ T w o p h a l a n g e s ............................................ O n e p h a l a n x o n l y ..................................... L i t t l e f i n g e r ........................................................... T w o p h a l a n g e s ............................................ O n e p h a l a n x o n l y ..................................... T h u m b a n d i n d e x fi n g e r ................................ I n d e x a n d m i d d l e f i n g e r s .............................. M i d d le a n d r i n g f i n g e r s .................................. R i n g a n d l i t t le f i n g e r s ..................................... T h u m b , i n d e x , a n d m i d d l e fin g e r s ......... I n d e x , m i d d l e , a n d r i n g f i n g e r s ................ M i d d le , r i n g , a n d l i t t l e f i n g e r s ................... T h u m b a n d t h r e e f i n g e r s .............................. F o u r f i n g e r s ........................................................... L o s s o f t h ig h : D is a r t i c u l a t i o n ..................................................... A m p u t a t i o n ........................................................... L o s s o f l e g ........................................................................ L o s s o f f o o t ...................................................................... F o r e p a r t o f f o o t o n l y ....................................... L o s s o f g r e a t t o e ........................................................... I n c l u d i n g m e t a t a r s a l b o n e ............................ O n e p h a l a n x o n l y .............................................. L o s s o f o t h e r t o e ........................................................... L o s s o f a ll t o e s ............................................................... L o s s o f s i g h t , o n e e y e ............................................... L o s s o f h e a r in g , o n e e a r : P a r t i a l ....................................................................... C o m p l e t e ............................................................... L o s s o f h e a r in g , b o t h e a r s : P a r t i a l ..................................... . ............................... C o m p l e t e ................................................................. K onenK o ln . 70 60 50 50 60 -7 0 60 20 30 50 20 20 60 - 7 0 19 -2 2 15 15 * 9 i^ ii” 1 4-16 60 65 60 65 25 25 10 15 10 50 66| 5 0 -6 0 2 0-25 42— sj10 10 10 10 i i -1 3 5 10 5 -1 0 10 10 3£- 4 7 -8 5 10 5 -1 0 10 10 2K 3 9 -1 1 10 72 -1 0 10 -1 2 3 - 3£ 40 25 20 10 50 40. 20 60 55 80 60 50 3 0-40 10 70 60 50 3 0-40 10 33 25 10 20 20 50 50 -7 0 40 85 75 60 40 40 -5 0 40 -5 0 30 -5 0 10 5 -1 0 15 -2 0 75 65 60 50 10 5 -6 5 0 -6 0 35 -5 0 25 35 25 - 4 0 10 20 10 25 0 -1 0 20 20 50 50 65 10 -4 0 50 -6 0 5 0 -6 0 5 .75 50 -6 6 § 50 0 -1 0 3 -5 ’ 20 -3 3 | 20 - 3 0 85 COMPARISON OF PARTIAL DISABILITY SCHEDULES. As mentioned in the introduction to the foregoing tables, certain forms of disability are provided for in some of these scales which are not mentioned in the American laws except by the provision in some cases that the loss of the use of a member is equivalent to the loss of that member. Because of their interest in the general field, even though not strictly comparable with any American material, some of these rates are given in Table 22: Table 3 2 .— D E G R E E S IN G S , A C C O R D IN G O F D IS A B IL IT Y F O R T O C E R T A IN S P E C IF IE D IN J U R IE S O T H E R T H A N F O R E IG N STANDARDS, EXPR ESSED M A IM IN . P E R C E N T A G E S O F T O T A L D IS A B IL IT Y . R u s s ia n s t a n d a r d , 1904. K 6n e n -K o I n . N a m e o f in ju r y . R ig h t. S t if f w r i s t j o i n t .................................................................................... ...................... S t if f e lb o w join t, a t fu l l e x t e n s io n o r fu ll f l e x i o n ................................... S t if f e lb o w j o i n t a t r ig h t -a n g le f l e x i o n ........................................................ L o o s e e l b o w j o i n t ...................................................................................................... S t if fn e s s o f e l b o w a n d w r i s t j o i n t s ................................................................. S t if fn e s s o f s h o u l d e r j o i n t .......................... : ..................................................... I n a b i l i t y t o r a is e a r m a b o v e h o r i z o n t a l p o s i t i o n ................................... H a b i t u a l d i s l o c a t io n o f s h o u l d e r ................................................... ............ . . L e ft . 30 50 35 60 60 60 40 25 40 25 50 50 50 30 20 10 S t if fn e s s o f k n e e j o i n t a t e x t e n s i o n ................................................................ S t if fn e s s o f k n e e j o i n t s t r o n g l y f l e x e d o r o v e r e x t e n d e d .................... L o o s e k n e e j o i n t ......................................................................................................... F r a c t u r e o f p a t e lla , w it h in ju r y t o e x t e n s io n a t t a c h m e n t s . . . . . . 40 50 50 R ig h t. 40 60 40 60-70 70 50 30 35 L e ft. 30 50 30 50-60 60 40 20 15 50 6 0-7 0 50 50 EYE INJURY SCHEDULES. Injuries to the eye have received comparatively little attention in American laws. The chief difficulty confronting compensation com missions in this connection is the translation of impairment of vision into percentage of disability. The International Association of Industrial Accident Boards and Commissions has recently given the matter some consideration and intends to make it a special subject for discussion at its next annual meeting. The following compensation table for visual losses of one eye was officially adopted by the Chicago Ophthalmological Society at its meeting on November 10, 1919. This table represents, in the opinion of the society, a fair basis of settlement for visual losses in one eye resulting from industrial accidents. Most of the compensa tion commissions, however, have refused to adopt this table because they consider it inadequate,, 86 COMPARISON OF COMPENSATION LAW S OF UNITED STATES, T 2 3 .— C H IC A G O able O P IIT H A L M O L O G IC A L S O C IE T Y ’ S C O M P E N S A T IO N TABLE FOR V IS U A L L O SSE S O F O N E E Y E . P er cen t o f v is u a l e ff ic i e n c y . V is u a l c a p a c it y . P er cen t o f lo s s o f v is i o n . 20/20.. 100.0 2 0 /3 0 .. 2 0 /4 0 .. 2 0 /5 0 .. 2 0 /6 0 .. 9 4 .5 8 9 .0 S 3 .5 7 8 .0 22.0 2 0 /7 0 .. 2 S /8 0 .. 2 0 /9 0 .. 7 2 .5 6 7 .0 6 1 .5 5 6 .0 5 0 .0 2 7 .5 S 3 .0 3 8 .5 4 4 .0 5 0 .0 20 / 100. 20/ 110. 0 .0 5 .5 1 1 . 0= 1 6 .5 ■ P ercen t o f v is u a l e f f ic i e n c y . V isu a l c a p a c ity . 20/120............................................ 2 0 /1 3 0 ................ .......................... 20/140 ............................................ 2 0 /1 5 0 ........................................... 20/1 60 ............................................ 4 1 .0 3 6 .5 3 2 .0 2 8 .5 2 3 .0 20/1 70 ............................................ 2 ^ 1 8 0 ............................................ 2 0/1 90 ............................................ ! 20/200............................................ | 1 8 .5 1 4 .0 12.0 10.0 P ercen t o f lo s s o f v is i o n . 5 9 .0 6 3 .5 68.0 7 1 .5 7 7 .0 8 1 .5 86.0 88.0 9 0 .0 The subject has been given detailed attention in European prac tice, the medical council of the Imperial Russian Ministry of the Interior having adopted what is known as Jostenrs table for com puting the degrees of disability due to the weakening of eyesight. The table is as follows: T able 2 4 .— J O S T E X ’ S T A B L E F O R D E T E R M IN IN G IN G S. 0 .5 0 .4 0 .3 0 .20 .10 .00 DEGREES F R O M W E A K E N IN G 0 .5 0 0.00 6 .5 0 1 3 .5 0 20.00 2 6 .5 0 3 3 .5 0 OF D IS A B IL IT Y 0 .4 0 0 .3 0 0.20 0.10 0.00 6 .5 0 1 4 .5 0 1 3 .5 0 20.00 22.00 3 0 .0 0 4 1 .0 0 5 2 .0 0 6 2 .5 0 7 3 .5 0 2 6 .5 0 3 8 .0 0 5 0 .5 0 6 2 .5 0 7 5 .0 0 8 7 .0 0 3 3 .5 0 4 6 .0 0 6 0 .0 0 7 3 .5 0 8 7 .0 0 22.00 3 0 .0 0 3 8 .0 0 4 6 .0 0 3 1 .5 0 4 1 .0 0 5 0 .5 0 6 0 .0 0 RESU LT O F V IS IO N . 100.00 N o t e . — S . S t a n d s fo r s t r e n g t h o f v i s i o n ; t h e fir s t h o r i z o n t a l lin e o f fig u r e s g i v e s t h e r e m a in in g s t r e n g t h o f o n e e y e , a n d t h e fir s t v e r t i c a l li n e t h e r e m a in i n g s t r e n g t h o l v i s i o n o f t h e o t h e r e y e . T h e fig u r e a t t h e cr o s s in g o f t h e t w o lin e s p r o c e e d in g fr o m t h e r e s p e c t i v e fig u r e s in t h e fir s t h o r i z o n t a l a n d v e r t i c a l li n e s g iv e t h e d e g r e e o f lo s s o f v is i o n . T h u s , w h e n t h e v i s i o n i n o n e e y e i s 0. 20, a n d t h e o t h e r 0 .1 0 , t h e d i s a b i l i t y is 62.50 p e r c e n t . B e s id e s t h e s tr e n g th , o f c e n t r a ] v i s i o n , o t h e r c o n d i t i o n s , s u c h a s a c c o m m o d a t i o n , m u s c u la r a c t io n o f t h e e y e , e t c . , a s w e ll a s t h e n a t u r e o f t h e e m p l o y m e n t o f t h e in ju r e d , m a y b e t a k e n i n t o c o n s id e r a t io n . In a small volume by a German authority, Dr. Maschke* this subject is the sole matter of consideration. A French translation of this volume is entitled u Guide Pratique pour la Determination des Rentes en Cas &’Accidents Octilaires.” The table presented by Dr. Maschke is said by him to be the rating actually employed in German practice in determining insurance benefits. It differs in detail from Jos ten’s table used by the Russian authorities, making more refined distinctions as to degrees of disability. The method is the same as in Josten’s table, i. e., the left-hand column represents the visual power of one eye and the horizontal line of fractions represents the visual power of the other, while the figure in the body of the table found at the vertex of a right angle drawn from the two fractional quantities represents the percentage of a total disability that is allowed for the particular case. Thus if the left-hand figure, one-seventh, represents the visual capacity of 87 COMPARISON OF PARTIAL DISABILITY SCHEDULES. one eye, and the fraction, one-half, represents the visual capacity of the other, the amount of compensation allowed would be 20 per cent of a full allowance. It will be noted that in 8 cases an amount of compensation in excess of the standard full allowance is granted; the amounts ranging from 105 to 125 per cent. This is explained by the fact that it is considered that the person whose loss of vision is so extensive as to involve complete or practically complete blindness is entitled to a higher rate of compensation because he is not only incapable of following any trade but in addition requires personal care and attention. T able 2 5 .— G E R M A N T A B L E F O R D E T E R M IN IN G D E G R E E S O F D IS A B IL IT Y R E S U L T IN G ^ FROM Visual capacity. 1 t o § ....... . * ................. * ................. i ................. * ................. T**............... 0................. 1 to § 0 0 5 10 10 15 15 29 20 25 h W EAKN ESS i4 I m 45 55 V IS IO N . y is 10 10 25 40 40 45 50 55 60 65 5 10 25 25 30 30 35 0 5 10 10 15 20 25 25 30 35 OF 15 20 30 45 60 70 75 80 85 90 10 15 30 43 55 60 65 70 75 80 tV iV 15 25 35 50 65 75 85 90 95 105 0 75 20 25 40 55 70 80 90 95 100 115 20 30 45 60 75 85 95 100 110 125 25 35 55 65 80 90 105 US 125 125 With the foregoing tables may be compared a table prepared by the State compensation commissioner of West Virginia “ from a combination of the tables used in Germany and Russia for compen sation purposes.” The table is self-explanatory, its method of use being identical with that of tables 24 and 25. Table 2 6 .— P E R M A N E N T D IS A B IL IT IE S OF EYE EXPRESSED IN PERCENTAGE OF T O T A L D I S A B I L I T Y A S U S E D B Y W E S T V I R G I N I A C O M P E N S A T IO N C O M M IS S IO N E R . V is u a l c a p a c ity . 20/20................................... 1 9/2 9 ................................... 1 8/2 0 ................................... 17/20.................................. 1 6 / 2 0 . . . . ......................... 15-/20.................................. 1 4/2 0 .................................. 1 3 /2 0 .................................. 12/20................................... n / 2o : ................................ 10/20.................................. 9 /2 0 .................................... 8/20..................................... 7 /2 0 ........................... 6/20..................................... 5 / 20 . . - ................................ 4 /2 0 ..................................... 3 /2 0 .............. .................... .. 2 / 20 . . . .............................. 1/20 .................................. .. 0/0....................................... 20/20 0 1 3 5 6 8 10 11 13 15 16 18 20 21 23 25 26 28 30 31 33 19/20 1 3 5 7 9 10 12 13 15 17 19 21 23 24 26 27 29 31 33 35 37 18/20 3 5 7 9 11 12 14 15 17 If 21 23 25 26 28 33 32 33 35 37 40 17/20 5 7 9 11 13 15 16 18 20 21 23 25 27 28 30 32 35 3d 38 40 43 16/20 15/20 6 8 10 12 9 11 13 14 16 18 2© 15 16 18 20 22 22 2*4 26 28 30 32 34 36 38 40 42 44 46 • 24 26 28 30 32 34 36 38 41 43 45 47 49 14/20 10 12 14 16 18 20 22 24 26 2a 30 32 35 37 ! 39 41 44 46 48 50 51 13/20 11 13 15 18 20 22 24 27 29 31 33 35 38 40 42 44 47 m 51 53 57 12/20 13 15 17 2© 22 24 26 29 31 34 36 38 41 43 46 4-8 50 S3 55 57 60 11/20 15 17 19 21 24 26 28 31 34 36 38 4® 43 46 48 50 53 55 57 m G3 88 T a b l e COMPARISON OF COMPENSATION LAWS OF UNITED STATES. 2 6 .— P E R M A N E N T D IS A B IL IT IE S OF EYE EXPRESSED IN PERCENTAGE OF T O T A L D I S A B I L I T Y A S U S E D B Y W E S T V I R G I N I A C O M P E N S A T IO N C O M M IS S IO N E R — C o n c lu d e d . 10/20 V is u a l c a p a city . 20/20........................... 19/20........................... 18/20............................ 17/20............................ 16/20............................ 15/20............................ 14/20............................ 13/20............................ 12/20............................ 11/20........................... 10/20............................ 9/20............................. 8 /2 0 ....:.................... 7/20............................. 6/20............................. 5/20............................. 4/20............................. 3/20............................. 2/20-’. ...................... 1/20............................. o/o.:............................ 16 19 21 23 26 28 30 33 36 38 41 43 46 48 50 53 56 58 60 63 66 9/20 18 21 23 25 28 30 32 35 38 40 43 46 49 52 54 56 59 61 64 67 70 8/20 20 23 25 27 30 32 35 38 41 43 46 49 52 55 57 60 62 65 68 71 73 7/20 21 24 26 28 32 34 37 40 43 46 48 52 55 57 59 62 65 67 70 73 77 6/20 5/20 23 26 28 30 34 36 39 42 46 48 50 54 57 59 62 65 66 71 74 77 25 27 30 32 36 38 41 44 48 50 53 56 60 62 66 68 71 74 77 80 80 83 4/20 26 29 32 35 38 41 44 47 50 53 56 59 62 65 68 71 75 78 81 84 87 3/20 28 31 33 36 40 43 46 49 53 56 58 61 65 67 71 74 78 81 84 87 90 2/20 30 33 35 38 42 45 48 51 55 57 60 64 68 70 74 77 81 84 87 90 94 1/20 31 35 37 40 44 47 50 53 57 60 63 67 71 73 77 80 84 87 90 94 97 0/0 33 37 40 43 46 49 54 60 63 66 70 73 77 80 83 87 90 94 97 100 Four weeks’ compensation is allowed for each per cent of disability, amounting to 50 per cent of the average weekly earnings (maximum, $12; minimum, $5) for the time. For a disability of from 86 to 100 per cent, 50 per cent of the average weekly earnings is paid for the remainder of life. PRESENT SCHEDULES LARGELY THEORETICAL. It is evident that the disability schedules on pages 83 to 87 are much more extensive than those established by any American statute, while on the other hand the West Virginia table for injuries to the eyes presents greater refinements of gradation than appear in the foreign tables. But by far the most elaborate system is that devel oped under the California commission, ‘ which is still confessedly unequal to all contingencies that arise— as must of necessity be the case until the exhaustion of a practically limitless series of permuta tions and combinations. In the meantime much that has of. neces sity been done on a basis of theory and estimate will be brought into comparison with the results of observation and experience, with the result that authoritative data will be used in the place of opinion and the value of such aids to the determination of equitable awards cor respondingly increased. In this connection it will be of interest to notice the conclusions reached by an Austrian authority2 with reference to the mode of making awards in cases of permanent partial disability. Austria differs from Germany in administrative methods in this field, local 2 F e r d in a n d S c h n it z le r , d i r e c t o r o f t h e W o r k m e n ’ s A c c i d e n t I n s u r a n c e I n s t i t u t e fo r M o r a v ia a n d Silesia, a n d p r o fe s s o r i n t h e T e c h n i c a l I n s t i t u t e a t B r ii n n . d e n t s i n A u s t r ia . D e t e r m in a t i o n o f t h e c o n s e q u e n c e s o f in d u s t r ia l a c c i M o n t h l y R e v i e w o f t h e U . S . B u r e a u o f L a b o r S t a t is t ic s , D e c e m b e r , 1916, p p . 3 1 -6 7 . COMPARISON OF PARTIAL DISABILITY SCHEDULES. 80 insurance institutes haring charge of the work in Austria, while in Germany there is a central body of last resort, the Imperial Insur ance Office, through whose activities a uniform interpretation of the compensation law is secured as well as an effective continuous devel opment. It is pointed out by Mr. Schnitzler that the Austrian insti tutes have in all cases established a more or less extensive expert medical service, by whose advice the determination of compensation is effected, though there is some variation as to the controlling influence of such advice as compared with that of the technical experts who are also consulted. With the introduction of accident insurance as a governmental undertaking, the Austrian institutes, lacking in original basic experience, adopted scales contained in the insurance contracts of private insurance companies, but quite generally increas ing the rates of compensation. Of these company scales it is said also that they were not based on observation of actual conditions, but merely represent assumptions on which the two contracting parties have agreed, so that there is no justification for the conclusion that slight modifications of these scales will secure equitable and satisfac tory awards. Even when there is more of a free hand given, as in the courts of arbitration, it is said that disproportionate weight is given to medical opinion, the laymen chosen as technical advisers being usually less familiar with the law than the medical and official mem bers and not having experience in the great number of individual cases of which the latter are actually or presumably cognizant. From the article by Ferdinand Schnitzler above referred to the following is quoted:3 With increasing frequency the admission is encountered in tech nical literature that the compensation scales now in use for specified visible injuries are based on very faulty principles. In inquiring into the origin of the scales in use, as, for instance, for loss of an eye, 25 to 33J per cent; loss of the right arm, 75 per cent, etc., one will be surprised to find that none of them is based on systematic observation of facts, i. e., of the actual earnings made by persons who have suffered such injuries. At the beginning of compulsory workmen’s accident insurance the insurance institutes had merely adopted the compensation scales con tained in the insurance contracts o f private insurance companies, but quite generally increased the rates of compensation. Likewise the scales of the private insurance companies (so-called scales for injuries to members of the body, Gliedertaxe) were not based on observation of actual conditions, but represent merely assumptions on which the two contracting parties have agreed. One is, therefore, mistaken in assuming that the usual compensation scales represent averages de duced from actual conditions, and that by small increases or decreases of the rates of these scales full justice can be done to the individual conditions of injured persons. The medical experts, who as a rule a M o n t h l y R e v i e w o f t h e U . S . B u r e a u o f L a b o r S t a t is t ic s , D e c e m b e r , 1916, p p . 38, 39./- 9€ COMPARISON OF COMPENSATION LAW S OF UNITED STATES. have no knowledge of the actual earnings of a large number of persons afflicted with a certain infirmity, of course, uphold the traditional scales of compensation which are also adopted by the courts of arbi tration. In the case of insurance institutes which also consider the earning possibilities of pensioners the officials charged with the deter mination of the amounts of compensation, supported by observa tions of their own, often have doubts as to the value of the usual compensation scales, but, on account of the pressure in favor of main taining existing conditions brought to bear upon them by tradition and by medical experts, they are hardly able to achieve results. This would only be possible if a general systematic observation of the pen sioners should be introduced and the results scientifically compiled. Neither in Austria nor in Germany has this so far been attempted. A t any rate, in the case of several insurance institutes, the valua tion of consequences of accident is no longer left entirely to the medi cal experts. In addition to the medical opinions these institutes consider the earnings of the injured persons after the accident and the exj>eriences of other persons similarly injured. It might be supposed that in the courts of arbitration less weight is given to the meaical opinion because the presiding judge is assisted by four associates taken from practical life. In fact, it has been shown that the courts of arbitration deviate only in exceptional in stances from the medical opinion. As a rule the court of arbitration simply adopts the rate of compensation proposed by the physician, and in case the physician in his proposed rate has left open a certain range, as, for instance, 15 to 25 per cent, it generally awards the higher rate, and in some instances goes even beyond that. The true bases of awards are discussed, the conclusion being reached that it is not the visible injury in itself that is the decisive factor, but that questions of recovery, adjustment, the opportunity for employment under changing industrial conditions, and other ele ments must be considered. The fact that an injured person has suffered no immediate wage loss is not conclusive, nor is disability to pursue one’s original employment to be finally determinative. “ The method of investigation of the earning capacity of insured persons must be adapted to the organization of the insurance and to special conditions in the individual territories of the insurance institutes.” As a result of systematic observation and the accumulation of ex perience, the prospect is held out of the establishment of more satis factory guides for administration. In this connection see also the table on percentage of adequacy of duration of payments for specified injuries provided for by American laws, given on page 78. MEDICAL AND SURGICAL SERVICE. State legislatures at last seem to have awakened to the fact that adequate medical benefits are essential, if injured employees are to receive just and proper treatment under workmen's compensation laws.v No less than 17 States increased their medical benefits in MEDICAL AND SURGICAL SERVICE. 91 1919. Although the functional restoration of industrial cripples and their adaptation to vocational pursuits require adequate medical and surgical treatment, only six 4 compensation laws require the em ployer to furnish unlimited medical services. Several laws make no provision for medical treatment whatever, and in others the low maximum limits make adequate treatment impossible. This failure to provide adequate medical service not only indi cates the opposition of the employers but also reflects the inability of society to comprehend the great importance and social value of the speedy restoration of the earning capacity of injured workers. The benefits provided for in compensation laws, instead of being regarded as a means of effecting rehabilitation, have been considered as the end itself. The old idea of indemnity for negligence on the part of the employer toward his injured employees has been all too prevalent. Here and there men with broader vision have pointed out that the objective of compensation legislation should be nothing less than the rehabilitation of injured workers as completely and quickly as pos sible, and that the payment of compensation and medical benefits is simply a means of accomplishing this result. Compensation commissioners, however, have too often been satisfied with the per formance of their duties if the benefits provided in the acts have been paid in accordance with the statutory requirements. Furthermore, the hospitals have made no adequate provision for handling industrial accident cases, nor does the average hospital organization permit effective reconstruction work. This work of rehabilitation not only requires careful and daring surgery but alsb demands unremitting aftercare with special supporting^ apparatus, arrangements for massage, exercises, and electrical treatment, and construction of artificial appliances and education in their use, all of which must be done or supervised by specially trained and specially competent surgeons. Very little effective work along these lines has been done, since hospitals have never desired this sort of work particularly. Then, too, there has been a sad lack of cooperation be tween the hospital and the employer or his representative, the in surance company. The latter all too frequently regards medical ex penses as pure losses. Even if all insurance companies were broad minded enough to accept the principle of reconstruction, the very number of such separate units would make effective cooperation difficult. Until recently very little has been attempted systematically in this country to secure suitable reemployment for permanently dis abled workmen, many of whom, because of their injuries, are unable to continue their former occupations and must therefore seek new kinds * C a lifo r n ia , C o n n e c t ic u t , I d a h o , N o r t h D a k o t a , P o r t o R i c o , a n d t h e F e d e r a l G o v e r n m e n t . 92 CO M PARISO N OF C O M PEN SATIO N L A W S OF U N IT E D STATES. of work. During the past two years, however, a number of States have made special provision for rehabilitating and reeducating industrial cripples (see p. 74). In some States compensation com missions have held that injured workmen were entitled to compen sation benefits until suitable employment had been provided for them. This has led insurance companies to engage in employment work in haphazard fashion, but the results have been entirely inadequate and unsatisfactory. The greatest drawback has been the lack of definite and centralized responsibility to carry out and supervise this important work of economic rehabilitation. The usual medical provision in the law is that the employer shall furnish reasonable or necessary medical, surgical, and hospital service during specified periods, in some cases limited as to maximum amounts. As already stated, only six States place no limitation except reasonable ness upon the amount of medical service which the employer must furnish. All other States limit the employer’s liability either as to length of time or amount, or both. The following table shows the States classified as to length of time and maximum amounts for which the employer is liable: T able 2 7 .— C O M P E N S A T IO N W H IC H N on e. (3 ) A la s k a . A r iz . N. H. STATES, C L A S S IF IE D BY M E D IC A L S E R V IC E IS F U R N IS H E D , A N D 2 w eeks. ( 0) 4 w eeks. (3 ) 30 d a y s . (5 ) 8 w eeks. D e l. ($ 7 5 ). M a s s .1 M o n t .($50). N . M ex. ($ 5 0 ). T e x .1 V t . ($ 1 0 0 ). Iow a1 ( $ 100) . N .J .1 ($50). R . I. I n d .1 M e . 1 ($ 1 0 0 ). P a . 1 ( $ 100). T e n n . ($100). Va. 111.1 ($ 200) . K a n s .2 (3 ) ($ 1 5 0 ). M o . ($ 2 00 ). LENGTH OF M A X IM U M T IM E D U R IN G AM OU NTS. 60 d a y s . (4 ) 90 d a y s . ( 6) U n lim it e d a s t o t im e . (1 6 ) A l a . ($ 1 0 0 ). C o lo . ($ 2 0 0 ). N . Y .1 O k la .1 ($ 100). K y . ($ 100). M ic h . M i n n .1 ($ 1 0 0 ). N e v .1 S. D a k .3 ($ 1 5 0 ). “ W i s .1 C a lif. C onn. H a w a i i ($ 1 5 0 ). Idah o. L a . ($ 1 5 0 ). M d . ($ 1 5 0 ). N e b r . ($ 2 0 0 ). N . D ak. O h i o 1 ($ 2 0 0 ). O r e g .1 ($ 2 5 0 ). U t a h ($ 5 0 0 ). W a s h .4 W . V a . ($ 6 0 0 ). W y o . ($ 1 0 0 ). u . S. 1 A d d itio n a l se rvice in special cases o r at d is cre tio n o f co m m is s io n . 2 50 d a y s. * 1 2 w eeks. E m p lo y e e s m u s t p a y on e -h a lf o f m e d ica l cost. 4 It will be noted that 3 States 5 furnish no medical service, except that in fatal cases involving no dependents the medical expenses of the last sickness shall be paid by the employer. S ix6 compensation acts provide unlimited service. Nine laws place no limitation upon the period during which medical treatment shall be furnished, but do limit the amount; while nine limit the period, but do not limit ® A la s k a , A r iz o n a , a n d N e w H a m p s h ir e . <C a lifo r n ia , C o n n e c t ic u t , I d a h o , N o r t h D a k o t a , P o r t o R i c o , a n d t h e F e d e r a l G o v e r n m e n t . 93 MEDICAL AND SURGICAL SERVICE. the amount. All of the other laws place limitations upon both period and amount. Table 28 gives more in detail the amount of medical aid and the conditions under which it is furnished. It will be noted that many* States, in addition to the time limitation, also limit the amount, ranging from $50 in Montana and New Mexico to $600 in West Vir ginia. Others allow additional service in certain cases, at the dis cretion of the commission or court. 2 8 — A M O U N T O F A N D C O N D IT IO N S T able S A T IO N L A W S IN FOR M E D IC A L S E R V IC E UNDER COM PEL* T H E U N IT E D S T A T E S . M e d ic a l a n d s u r g ic a l a id . S ta te . P e r io d . 60 d a y s .. A la b a m a .. A la s k a — A r iz o n a . C a li fo r n ia . . . C o l o r a d o ------ U n li m i t e d .. 60 d a y s ......... C o n n e c t ic u t . U n lim it e d .. D e la w a r e . H a w a i i— I d a h o ......... 2 w eeks — U n lim it e d . ____ d o ............ Illin o is . 8 w eeks. In d ia n a . 30 d a y s .. Iow a. 4 w eeks. K a n s a s -------- 50 d a y s . 90 d a y s .. K e n t u c k y .. U n lim it e d . L o u is ia n a . M a in e .................. . M a r y l a n d ......... . M a s s a c h u s e t t s .. M i c h ig a n ......... M in n e s o t a .... . . 30 d a y s ......... U n li m i t e d .. 2 w e e k s .. . . 90 d a y s ......... .........d o ........... M i s s o u r i. . M on ta n a . 8 w eek s. 2 w eeks. N e b r a s k a ................. U n lim it e d . N e v a d a ..................... 90 d a y s ......... N e w H a m p s h ir e . N e w J e r s e y ............ 4 w eek s. N ew M e x ico . 2 w eek s. N e w Y o r k .......... N o r th D a k o t a .. O h i o ....................... 60 d a y s ........ U n li m i t e d .. ____ d o ............ O k l a h o m a ........ 60 d a y s ......... O r e g o n ................ U n lim it e d .. P e n n s y lv a n ia . 30 d a y s ......... M a x im u m a m o u n t a n d o t h e r q u a lif ic a t io n s . L o n g e r a t o p t i o n o f e m p l o y e r ; m a x i m u m $ 100. O n l y in d e a t h c a se s i n v o l v i n g n o d e p e n d e n t s ; m a x i m u m $150 fo r m e d i c a l e x p e n s e s b e t w e e n i n ju r y a n d d e a t h . R e a s o n a b l e m e d i c a l a n d b u r i a l e x p e n s e s o n l y i n d e a t h c a s e s in v o lv in g n o d e p e n d e n ts . S u c h s e r v i c e a s r e a s o n a b ly r e q u ir e d . M a x im u m $200 u n le s s t h e r e is a h o s p it a l f u n d . S p e c ia l o p e r a t in g fe e o f $50 in ca s e o f h e r n ia ; a ls o a d d i t io n a l fo r d e n t a l s e r v ic e , m a x i m u m $100. S u c h s e r v ic e a s d e e m e d r e a s o n a b le b y a t t e n d in g p h y s ic ia n . S p e c ia l p r o v is i o n fo r s e a m e n o n U n it e d S ta te s v e s s e ls . I f re q u e ste d b y e m p lo y e e or ord e re d b y b o a rd ; m a x im u m $ 75 / M a x im u m $150. R e a s o n a b l e s e r v ic e fo r r e a s o n a b le p e r io d . H o s p i t a l b e n e fit fu n d p e r m it t e d i n li e u o f s t a t u t o r y p r o v is i o n . M a x im u m $200; f u l l h o s p it a l s e r v i c e w h il e c o m p e n s a t io n is p a y a b le ; a d d i t io n a l m e d i c a l a n d s u r g ic a l a id a s l o n g a s h o s p it a l t r e a t m e n t is re q u ir e d . S u c h s e r v ic e a s d e e m e d n e c e s s a r y b y a t t e n d in g p h y s ic i a n o r b o a r d , lo n g e r a t o p t i o n o f e m p l o y e r . E m p l o y e e m u s t a c c e p t u n le s s o t h e r w is e o r d e r e d b y b o a r d ; 30 d a y s ’ a d d i t io n a l t r e a t m e n t i f n e c e s s a r y i n o p i n io n o f b o a r d . I f r e q u e s t e d b y e m p l o y e e , c o u r t , o r c o m m is s io n e r ; m a x i m u m $100 $100 a d d i t io n a l i n e x c e p t i o n a l ca s e s . I f d e m a n d e d b y e m p l o y e e ; m a x i m u m $150. U n le s s b o a r d fix e s o t h e r p e r io d . M a x im u m $100, o r $200 fo r h e r n ia o p e r a t io n s . R e a s o n a b le s e r v ic e s u n le s s e m p l o y e e re fu se s t o a c c e p t ; m a x i m u m $150. M a x im u m $100; a d d i t io n a l s e r v ic e i f n a t u r e o f i n ju r y r e q u ir e s . S u c h s e r v ic e a s m a y b e r e q u ir e d b y c o m m is s io n ; m a x i m u m $150. L o n g e r in u n u s u a l c a se s a t d i s c r e t io n o f b o a r d . M a x im u m $100; u p o n r e q u e s t o f e m p l o y e e c o u r t m a y a l l o w a d d i t i o n a l t r e a t m e n t , i f n e e d is s h o w n . M a x im u m $200. U n le s s e m p l o y e e r e fu s e s ; m a x i m u m $50 u n le s s t h e r e is a h o s p it a l fu n d ; s p e c i a l o p e r a t in g fe e o f $50 i n c a s e o f h e r n ia . U n le s s e m p l o y e e r e fu s e s ; m a x i m u m $200; e m p l o y e r n o t li a b l e fo r a g g r a v a t io n o f i n ju r y i f e m p l o y e e re fu s e s t o a c c e p t . T i m e m a y b e e x t e n d e d t o 1 y e a r b y c o m m i s s i o n ; t r a n s p o r t a t io n fu r n is h e d . M e d ic a l s e r v ic e a n d b u r i a l e x p e n s e s o n l y in d e a t h c a se s i n v o l v i n g n o d e p e n d e n t s ; m a x i m u m $ 100. U n le s s e m p l o y e e re fu se s s u c h t r e a t m e n t ; m a x i m u m $50; i n ca s e s r e q u ir in g u n u s u a l t r e a t m e n t b u r e a u m a y e x t e n d p e r io d t o 17 w e e k s , b u t n o t o v e r $200; s p e c i a l o p e r a t in g fe e o f $150 i n c a s e o h e r n ia . M a x im u m $50, u n le s s t h e r e is a h o s p it a l fu n d ; s p e c i a l o p e r a t in g fe e o f $75 i n c a s e o f h e r n ia . S u c h s e r v ic e a s n a t u r e o f in ju r y r e q u ir e s , lo n g e r i f n e c e s s a r y . S u c h s e r v i c e a s n a t u r e o f in ju r y m a y r e q u ir e . S u c h s e r v ic e a s c o m m i s s i o n d e e m s p r o p e r ; m a x i m u m $200 e x c e p t i n u n u s u a l ca se s . M a x im u m $100. P e r io d a n d a m o u n t m a y b e in c r e a s e d in d is c r e t io n , o f t h e c o m m is s io n . I n c lu d e s t r a n s p o r t a t io n ; m a x i m u m $250; c o m m i s s i o n m a y a ll o w a d d i t io n a l s e r v ic e . U n le s s e m p l o y e e re fu se s, i n w h ic h c a s e e m p l o y e r n o t l i a b l e fo r a g g r a v a t io n o f i n j u r y ; m a x i m u m $ 100, e x c e p t in .h o s p i t a l ca ses. 94 COMPARISON OF COMPENSATION law s of u n it e d states. -T a b l e 2 8 . — A M O U N T O F A N D C O N D I T I O N S F O R M E D I C A L S E R V I C E U N D E R C O M P E N S A T I O N L A W S I N T H E U N I T E D S T A T E S — C o n c lu d e d . M e d ic a l a n d s u r g i c a l a id . S ta te . P e rio d . R h o d e I s l a n d ............ S o u t h D a k o t a ............ T e n n e s s e e ..................... M a x im u m a m o u n t a n d o t h e r q u a l if ic a t i o n s . U n l i m i t e d ____ N e c e s s a r y m e d i c a l s e r v i c e a n d s u s t e n a n c e a s p r e s c r ib e d b y c o m m is s io n . 12 w e e k s ............ 30 d a y s ................ M a x i m u m $150. L o n g e r a t o p tio n o f e m p lo y e r; e m p lo y e e m u st a cce p t; m a x im u m $ 100. T w o w e e k s a d d i t i o n a l i n h o s p i t a l ca s e s . M a x im u m 1500; h o s p it a l b e n e fit fu n d p e r m it t e d in li e u o f s t a t u t o r y p r o v is i o n . M a x i m u m $100. S u c h s e r v i c e a s d e e m e d n e c e s s a r y b y a t t e n d in g p h y s ic i a n o r c o m m is s io n ; lo n g e r a t o p t i o n o f e m p l o y e r . E m p l o y e e m u s t a c c e p t u n le s s o t h e r w is e o r d e r e d b y c o m m is s io n . T r a n s p o r t a t i o n in c l u d e d ; e m p l o y e e s m u s t c o n t r ib u t e o n e -h a lf m e d ic a l cos t. M a x im u m $150; $300 i n s e v e r e c a s e s ; $600 i n p e r m a n e n t d i s a b i li t y ca s e s -w here d i s a b i li t y c a n b e m a t e r ia ll y re d u c e d . L o n g e r i f d i s a b i li t y p e r io d c a n b e r e d u c e d ; C h r is t ia n S c ie n c e t r e a t ’ m e n t p e r m it t e d u n le s s e m p l o y e r r e fu se s b y f ilin g w r i t t e n n o t ic e . M a x im u m $100 u n le s s t h e r e is a h o s p it a l fu n d . C o m m i s s i o n s h a l l fu r n is h n e c e s s a r y m e d i c a l s e r v ic e fo r r e a s o n a b le p e r io d u n le s s e m p l o y e e r e fu s e s ; t r a n s p o r t a t io n fu r n is h e d i f n ecessa ry . T e x a s .. U t a h ................................ 2 w e e k s .............. V e r m o n t ..................... V i r g in i a ......................... 14 d a y s ................ 30 d a y s ................ W a s h i n g t o n ................ U n l i m i t e d ......... U n l i m i t e d ......... . d o .................. W e s t V ir g in ia .. . . . W i s c o n s in ................ 90 d a y s _____ W y o m i n g ..................... U n it e d S t a t e s ............ U n l i m i t e d ____ KIND OF SERVICE. Most of the States provide that “ reasonable or necessary medical, surgical, and hospital service’ ’ must be furnished, leaving the ques tion of reasonableness or adequacy to the commissions or courts to determine.7 Twenty-six States include medicines within this pro vision; 4 8 include artificial members; 14 9 include crutches or other appliances; 1210 include nursing; while Nevada, Oregon, Washington, and the Federal Government include transportation. The medical .service provisions of the California law are probably the most com prehensive of all the State compensation acts in this respect. For example, the provision, ‘ ‘such medical, surgical, and hospital treat ment, including nursing, medicines, medical and surgical supplies, crutches and apparatus, including artificial members, as may reason ably be required to cure and relieve from the effects of the in ju ry/’ is about as inclusive as it is possible to make it. The inclusiveness of a particular medical provision is dependent also upon the expressed purpose of this provision. Where the law provides for such medi cal, surgical, and hospital treatment as may reasonably be required “ to cure and relieve from the effects of the injury” this has the effect of increasing the scope of the medical service. Five States11 have this particular provision. 7 F o r a d e t a il e d d i s c u s s i o n o f t h i s s u b j e c t s e e a r t i c l e , <fW h a t t h e t e r m 'm e d i c a l s e r v i c e ’ i n w o r k m e n ’ s c o m p e n s a t io n la w s in c l u d e s , ” b y M . C . F r i n k e , j r . , in M o n t h l y L a b o r R e v i e w fo r J u l y , 1919, p p . 187 t o 205. 8 C a lifo r n ia , N e v a d a , O r e g o n , a n d W i s c o n s i n . 9 A la b a m a ^ C a lifo r n ia , C o l o r a d o , I d a h o , K a n s a s , K e n t u c k y , M a r y la n d , M in n e s o t a , N e v a d a , N e w J e r s e y , N e w Y o r k , O k la h o m a , T e n n e s s e e , a n d W is c o n s in , 10 C a lifo r n ia , I d a h o , I n d i a n a , K a n s a s , K e n t u c k y , M a r y l a n d , M is s o u r i, N e v a d a , N e w Y o r k , O h io , O k l a h o m a , a n d U ta h . 11 C a lifo r n ia , C o lo r a d o , I ll in o i s , M is s o u r i, a n d W i s c o n s i n MEDICAL AKD SURGICAL SERVICE. 95 It must not be understood, however, that the specific services just mentioned are not furnished in the States which do not specifically mention them in the law. The inclusiveness of the term depends upon the liberality of the administering body. Furthermore, em ployers and insurance carriers as a matter of policy often furnish additional service, including artificial limbs and other surgical appli ances, in order to restore the earning capacity of the employees and thereby reduce their compensation costs. ADEQUACY OF MEDICAL SERVICE. Although adequate medical treatment is absolutely essential to complete rehabilitation and restoration of an injured employee’s earn ing capacity, only six laws, as already noted, require the employer to furnish unlimited medical service. Several States make no pro vision whatever for medical treatment, while in others the low maxi mum limits make adequate treatment impossible. Reference to the preceding table shows that in 14 States providing medical service the employer is ordinarily not required to furnish such service beyond 30 days. Quite a number of States, in addition to the time limits, also place a limitation upon the amount or cost of service to be pro vided, thus increasing the inadequacy of the laws still further. Some idea of the inadequacy of the medical service provisions may be obtained from a study of the severity of industrial accidents. In what percentage of accident cases does the period of disability extend beyond the statutory medical periods of the workmen’s compensation acts? Though the disability period is not necessarily coterminous with the medical period, the length of the disability periods will nevertheless throw considerable light upon the adequacy of the medical service furnished. Table 29 shows, for certain States, the percentage distribution of nonfatal industrial accidents causing disability of more than one week, classified by periods of disability. Accidents which resulted in an incapacity of one week or less were eliminated for two reasons: First, the number of minor accidents reported varies enormously among the several States, thus impairing the comparability of the accident data. For example, in California the disability in more than one-half of the total accidents reported terminated within one week, whereas in Washington less than one-fourth of the cases terminated within this period. Second, the adequacy of the medical provisions of com pensation laws can best be determined from the number or percentage of the serious accidents affected by the statutory limitations placed upon the medical service to be furnished. In other words, the adequacy of medical treatment provided is determined not by the percentage of total accidents covered but rather by the percentage of serious accidents adequately treated. An investigation made by the 96 COMPARISON OF COMPENSATION LAWS OF UNITED STATES. Ohio Industrial Commission in 1914 showed that of 8,277 ca;ses of minor accident (less than 1 week’s disability), the medical expense in 82 per cent was under $5 and in 97 per cent under $10. T able 2 9 .— P E R C E N T A G E D IS T R IB U T IO N O F N O N F A T A L IN D U S T R IA L A C C ID E N T S O V E R O N E W E E K 'S D I S A B I L I T Y I N C E R T A I N S T A T E S , C L A S S IF IE D B Y P E R IO D OF OF D IS A B IL IT Y . W ash in g t o n , P e r i o d o f d i s a b i li t y . O regon , 1915 1917 N evada, (13,941 1913-1916 (1,808 te m p o (1,730 tem p o ra ry to ta l c a s e s ). n o n fa t a l e a s e s ). ra ry to ta l c a s e s ). C a li fo r n ia , 1917 (27,775 tem po ra ry tota l c a s e s ). W is c o n s in , tota l c a s e s ). .7 38.8 16.3 11.4 8.8 6.3 4.4 3.0 2.3 1.6 1.1 1.1 .8 *3.3 8 .8 37.4 22.7 12.9 8.6 5.1 3.1 2.4 1.6 1.1 .8 .7 .5 2.3 .8 100.0 100.0 100.0 O v e r 1 t o 2 w e e k s ............. O v e r 2 t o 3 w e e k s ............. O v e r 3 t o 4 w e e k s ............. O v e r 4 t o 5 w e e k s ............. O v e r 5 t o 6 w e e k s ............. O v e r 6 t o 7 w e e k s ............. O v e r 7 t o 8 w e e k s ............. O v e r 8 t o 9 w e e k s ............. O v e r 9 t o 10 w e e k s ........... O v e r 10 t o 11 w e e k s ........ O v e r 11 t o 12 w e e k s ......... O v e r 12 t o 13 w e e k s ......... O v e r 13 t o 26 w e e k s O v e r 26 w e e k s ..................... 32.3 19.6 11.7 8.8 5.2 4.2 2.9 2.8 1.4 1.3 29.9 19.8 14.7 9.4 5.5 4.0 2.5 4.0 2.1 1.0 37.8 20.4 12.7 10.0 4.6 3.4 1.8 2.0 1.1 .9 .9 1.4 5.1 2.5 .4 3.6 2.1 .6 1.3 2.8 T o t a l ........................... 100.0 100.0 .9 S ta n d a rd M a ss a 1916-17 c h u s e t t s , A c c i d c n t T a b le ( R u 1917 (15,915 b in o w ) (47,190 tem po (56,968 te m ra ry n o n fa t a l c a s e s ). p ora ry to ta l c a s e s ). \ > QO ou. A \j 30.1 ] I / \ r 42.2 21.3 12.3 7.8 OQ 7 J ) 47 3.1 1 2.1 i.6 1.0 J \ I J r 8.7 4.6 2.8 100.0 \ I -8 A m e r ic a n T a b le (50,462 tem po ra ry to ta l c a s e s ) .1 35.1 21.6 12.4 8.6 5.3 3.8 2.6 2.0 1.6 1.0 .6 .5 1.6 .4 2 3.1 3 1.2 100.0 100.0 9 .7 1 T h is is a r e v i s io n o f t h e R u b i n o w S t a n d a r d T a b l e a s c o m p u t e d b y t h e N a t i o n a l C o u n c il o n W o r k m e n ’ s C o m p e n s a ti o n I n s u r a n c e , a O v e r 13 t o 25 w e e k s . 3 O v e r 25 w e e k s . It will be noted that Nevada and Massachusetts include all nonfatal accidents of over one week’s disability while the other States and the Standard Accident Table cover only temporary disabilities. This explains in part at least the smaller percentages of less serious acci dents in Nevada and Massachusetts. The percentages are possibly affected also by the differences in the completeness with which acci dents are reported in the several States. There is a close similarity between Washington, Nevada, and Massachusetts and also between Oregon, California, and Wisconsin, the former group having relatively fewer minor accidents and a greater number of long-term disabilities. It will be observed also that Dr. Rubinow’s Standard Accident Table has a relatively greater number of accidents causing disability of 1 to 2 weeks and fewer causing disability of over 13 weeks. The new American Table formulated by the National Council on Workmen’s Compensation Insurance parallels closely the Wisconsin and Oregon distribution. The following tabulation of the above data shows the percentages of accidents in which disability did not terminate within certain specified periods: M ED ICAL AND SURGICAL SERVICE. T able ONE 3 0«— P E R CENT OF IN D U S T R IA L W E E K ’S D IS A B IL IT Y C E R T A IN S P E C IF IE D D is a b il it y d i d n o t t e r m in a t e i n — 2 w e e k s ............................... 3 w e e k s ............................... 4 w e e k s ............................... 8 w e e k s ............................... 9 w e e k s ............................... 13 w e e k s ............................ IN A C C ID E N T S , IN W H IC H D IS A B IL IT Y 97 C E R T A IN D ID NOT STATES, OF OVER T E R M IN A T E W IT H IN P E R IO D S . W ash in g t o n . N evada. 6 7 .7 4 S. 1 3 6 .4 1 5 .3 12. 5 7 .5 C a li fo r n ia . O re g o n . ■70.1 50. 3 3 5 .6 1 4 .2 5 .8 11 .0 62. 6 39. 9 2 7 .0 7 .8 8 .7 4 .1 3 .1 6 1 .2 44. 9 3 3 .5 6 2 .2 41. 8 2 9 .1 1 0 .3 8 .3 4 .4 10.2 W is c o n s in . M a ssa ch u se tts. S t a n d a r d A m e r ic a n T a b le . T a b le . 3 9 .9 1 6.2 5 7 .8 35. 5 2 4 .2 6.5 6 4 .9 4 3 .3 3 0 .9 7 .5 2.0 4 .3 6 9 .9 10 .6 8 .6 6.2 Using the Washington statistics as the criterion, it will be seen that in those States which limit the medical service to two weeks about 68 per cent of the accidents are inadequately provided for; in those States having a four weeks' limit this inadequacy covers 36 per cent of the accidents; even in the 90-day States 7 per cent are insuffi ciently provided for. The relative inadequacy of the other limits may be obtained from the preceding tables. The inadequacy of medical service due to the statutory time limits is still further increased in some States by limitations upon the amount or cost of treatment which employers are required to furnish. These maximum limitations range from $50 in Montana and New Mexico to $600 in West Virginia. The effect of such limitations may be seen from the following table which shows the medical costs of accidents in Ohio. T able 3 1 .— N U M B E R A N D P E R C E N T O F IN D U S T R IA L A C C ID E N T C A S E S IN O H IO F R O M M A R . 1 , 1912, T O D E C . 31, 1913, C L A S S I F I E D BY AM OUNT O F M E D IC A L N u m b er. A m o u n t o f m e d ica l a w a rd . F a t a l. U r e’ e r $25......... ................................. $25 t o $ 5 0 . . . . . .................................. $50 J o $100.......................................... $100 t o $150........................................ $350 t o $200........................................ $200 a n d o v e r ................................... 14 * T o t a l ........................................ 30 8 4 1 1 2 P erm a n e n t d is a b i li t y . 161 50 32 29 7 27 266 A W A R D .* P er cen t. T em po rary d i s a b i li t y of over 1 w eek. T o ta l. F a t a l. 4 4,033 302 103 24 18 13 4 6 .7 2 6 .7 1 3 .3 3 .3 3 .3 6 .7 4 ,1 9 7 4 ,493 100. 0 3 ,8 5 8 244 67 14 10 1 O h io I n d u s t r ia I C o m m is s io n , D e p a r t m e n t o f I n v e s t ig a t i o n a n d S t a tis t ic s . 2 O n e p e r m a n e n t t o t a l ca s e . P erm a n e n t d is a b i li t y . T em po ra ry d isa b ilitj^ of over 1 w eek. T o ta l. 6 0 .5 1 8 .8 9 1 .9 5 .8 12.0 1 .6 3 .4 2 .6 2.6 .3 .2 !i 8 9 .8 6 .7 2 .3 .5 .4 .3 100.0 100.0 100.0 R e p o r t N o . 2 ,1 9 1 4 , p p . 2 3 -3 0 . It will be noted that a low maximum limitation upon the amount of medical service affects adversely cases of permanent disability in particular. In 40 per cent of such cases the medical costs were $25 or more; in 21 per cent the costs were $50 or more; and in 2.6 per cent the costs wrere $200 or over. In 10 per cent of the total accident cases 172308°— 20—Bull. 275------ 7 98 COMPARISON* OF COMPENSATION LAW S OF UNITED STATES. the medical costs were $25 or more. In several of the States the maximum limit is high enough to cover practically all except the more serious injuries, but it is in severe injury cases that the workmans needs are greatest. It must be admitted, however, that in many cases employers and insurance companies furnish medical service in excess of the statu tory requirements, especially if by so doing the period of disability ean be materially shortened. Furthermore, it is a common practice of many of the larger employers, who have an organized establish ment medical service and hospital, to provide full medical treatment irrespective of the statutory provisions of the compensation acts. SELECTION OF PHYSICIANS. Should the employer or the employee have the right to select the physician in industrial accident cases? And should this right or privilege be exclusive or restricted? These mooted questions have in recent years received a great deal of attention in the workmen’s compensation field. The subject is particularly important because it directly affects the employee, the physician, and the employer. The employee is interested in his own speedy recovery and in having a physician in whom he has confidence; the employer is interested in reducing his compensation and medical costs; and the physician is interested both financially and professionally. The interplay of these various and sometimes conflicting interests constantly causes friction and creates innumerable difficulties. The statutory provisions and actual practices as regards selection of physicians are as follows: Selection by employee at employer’s expense.—In eight States 12 an injured employee is granted the right to select his own physician at the employer’s expense. In Massachusetts, Nebraska, Rhode Island, and Washington this right is granted specifically in the act, although in Nebraska the right is limited to cases of dismemberment or major surgical operations, In Nevada, Ohio, Oregon, and Ver mont the employee is granted this privilege by virtue of rules or inter pretations of the administrative commission. In addition, the Texas act allows the employee to select the physician if the employer, having engaged a contract physician, fails or refuses to file the contract agree ment with the industrial accident board; and in Colorado an “ em ployee may, upon the proper showing to the commission, procure its permission at any time to have a physician of his own selection attend him.” Selection by employee at epnployee’s expense.— The laws in five States (California, Connecticut, Illinois, Missouri, and South Dakota) i2 M a s s a c h u s e t t s , N e b r a s k a ( d is m e m b e r m e n t s a n d m a jo r s u r g i c a l o p e r a t i o n s o n l y ) , N e v a d a , O h io , O r e g o n , R h o d e I s la n d , V e r m o n t, a n d W a s h in g to n , MEDICAL AND SURGICAL SERVICE. 99 grant the employee the right to select his own physician— at the employee’s expense, however. Selection by employee i f employer neglects or refuses io provide ade quate service.—If the employer neglects or refuses to furnish com petent medical service, or in case of an emergency, the employee is given the right to select the physician at the employer’s expense in 20 States.13 Authority io order change of physicians.—If the physician furnished is incompetent or the medical service inimical to the injured em ployee, the laws of nine States 14 provide that a change of physicians shall be made if requested by the administrative commission or by the employee. In Washington, also, the State medical aid board, by rule, reserves the right to transfer the treatment of an injured workman to a surgeon whenever it becomes evident that the man is not receiving the service that he should at the hands of the physi cian of his choice. Selection of physician by employer.—In all of the other Stat es which provide for medical service in case of injury the employer or his representative, the insurance carrier, has the right to select the phy sician. Most of these laws, however, make no specific provisions as to the selection of physicians, but the courts and commissions gen erally hold that the obligation of the employer to “ furnish” or “ provide” medical service carries with it the privilege of choosing the physician. This practice has been based on two theories: First, that the employer is more competent to judge of the efficiency of the doctor employed and to provide efficient medical and hospital treat ment; and, second, that it is to the interest of the employer to fur nish the very best medical and surgical treatment, so as to minimize the result of the injury and to secure as early a recovery as possible. As a matter of practice, however, in quite a large percentage of cases the employee is allowed to choose his own physician, but the ex tent of this practice depends upon the policy of the employers and insurance carriers. The large employers, especially those having an organized medical service within their establishments, generally in sist upon their legal right to select the physician. Panel system.— N o State compensation law makes specific provision for a panel of physicians from which a choice is to be made. Cali fornia, however, has an incipient panel system, as shown in the fol lowing statutory provision: “ If the employee so requests, the em ployer shall tender him one change of physicians and shall nominate at least three practicing physicians competent to treat the particular ** C o lo r a d o , C o n n e c t ic u t , H a w a i i, I d a h o , I llin o is , I n d i a n a , K a n s a s , K e n t u c k y , M a in e , M a r y la n d , M in n e s o t a , N e v a d a , N e w Y o r k , O k la h o m a , P e n n s y lv a n ia , S o u t h D a k o t a , T e n n e s s e e , T e x a s , V ir g in ia , a n d W is c o n s in . 14 C a lifo r n ia , C o n n e c t ic u t , I n d ia n a * K e n t u c k y , M is s o u r i, N e v a d a , O k la h o m a , T e x a s , a n d V ir g in ia . 100 COMPARISON OF COMPENSATION LAW S OF UNITED STATES. case, or as many as may be available if three can not be reasonably named, from which the employee may choose; the employee shall also be entitled, in any serious case, upon request, to the services of a consulting physician to be provided by the employer; all of said treatment to be at the expense of the employer. If the employee so requests, the employer must secure certification by the commission or a commissioner of the competency for the particular case of the consulting or additional physicians/’ The foregoing provision does not apply, however, to employers’ establishment hospital funds ap proved by the commission. A majority of the medical profession thus far seem to be opposed or at least apathetic toward the panel system. Quite a number of State commissioners and members of the medical profession, espe cially those who have been in close touch with the administration of compensation laws, have come to the conclusion that some check upon free choice, exercised either by the employee or employer, is necessary. In a paper prepared for the 1918 meeting of the International Association of Industrial Accident Boards and Commissions, Dr. Raphael Lewy, chief medical adviser of the New York Industrial Commission, stated that the ideal plan would be to leave the choice to the medical department of the industrial commission. A t the same conference Dr. Charles H. Lemon, of Milwaukee, Wis., stated that no man is justified in doing major surgical work who has not been trained under a competent surgeon; while Dr. J. W. Mowell, chairman of the Washington Medical Aid Board, believed that there should be free choice in ordinary cases, but that in serious cases it would be better for the employee to take the advice of an expert. In a letter to the Bureau, Dr. F. W. Sears, chairman of the committee on legislation of the Vermont State Medical Society, stated that physicians should be selected by mutual agreement; the employer might allow the employee a choice from a list of physicians.1 One of the recommendations of Mr. J. F. Connor, commissioned b y the governor of New York to investigate the management of the State industrial commission, provided that “ a panel of phj^sicians be desig nated by the commission, utilizing the advice of recognized medical societies, among whom injured workmen may have free choice, with power conferred on the commission to add to, or to remove from, such panel at their discretion.” & The California Industrial Accident Commission found “ by bitter experience that all physicians qualified by the laws of the State to practice surgery are not necessarily surgeons.” The commission ad vocated a traveling medical inspector who wTill “ be able greatly to diminish tjie abuse, now frequent, of overstay in hospitals, with the consequent overcharge against the State compensation insurance MEDICAL AND SURGICAL SERVICE. 101 fund.” 15 According to the commission unfit practitioners should be excluded either through the enforcement' of the medical practice act or by the commission. The Boston Medical and Surgical Journal of September 21, 1916, speaks editorially as follows: “ It may be also that absolute free choice will eliminate competition between the present 27 insurance companies and bring about the concentration of all the compensation business under one insurance company, with whom all would be re quired to transact business under direct State supervision. There is a probability that the problem may be solved by the combination of free choice under a supervising consultant, agreeable to and appointed by the insurance companies.” Dr. William L. Estes, chairman of the committee on workmen’s compensation of the Pennsylvania State Medical Society, in a paper read before a conference of industrial physicians in Pennsylvania,16 said: Again, for injuries a surgeon should be called; few family practi tioners have the requisite skill and experience to meet in the most modern way the emergencies of a serious surgical condition. The sufferings and disability of the injured man may be increased and greatly prolonged by the injudicious selection of a surgeon, * * * Most of the best modern hospitals have a definite organized staff of surgeons to can y on the work of the institutions, and the management of the hospital not only expects but requires them to treat the cases sent to the institution. Many injured men must go to hospitals. It would therefore result in serious confusion and disorganization were it permitted the injured workman to demand that his family phy sician shall treat him in the hospital. Besides, as stated above, it ifiight result in placing an inexperienced man in charge of him instead of a man wiiose qualifications had been proved before he was given the place on the hospital staff. Furthermore, under the present system of selection by the em ployer, it is not an uncommon practice in some States to allow" em ployees to choose a physician from a panel nominated by the employer or insurance carrier. REASONS WHY EMPLOYER SHOULD SELECT PHYSICIAN. Inasmuch as the burden of paying the medical costs rests upon the employer, it seems reasonable that he should have a voice in the selection of the physician. He is naturally interested in reducing his compensation costs. This reduction depends to some extent upon the speedy restoration of the injured employee’s earning capacity, which in turn is dependent largely upon the adequacy of the medical and surgical treatment furnished. Competent medical treatment, however, is not always possible if the selection of the 35 R e p o r t o f C a lifo r n ia I n d u s t r ia l A c c i d e n t C o m m is s io n , 1 914-15, p p . 25, 26. M o n t h l y B u l le t i n o f P e n n s y lv a n ia D e p a r t m e n t o f L a b o r a n d I n d u s t r y fo r F e b r u a r y , 1917, p p . 51, 52. 102 COMPARISON* OF COMPENSATION" L A W S OF UNITED STATES. physician is beyond the control of the employerr who is, as a rule, far more competent than the injured employee to judge of the effi ciency of the physician. The foreign, non-English speaking, and not infrequently illiterate workman naturally chooses a physician of his own nationality, who is often incompetent and sometimes disreputable. Some physicians attempt to mulct the employ ers by prolonging treatment, making unnecessary calls, padding their bills, and overcharging generally, and because of their in competency are an actual menace to the patients themselves. Numerous cases are on record in which injuries which should have had the attention of highly skilled surgeons were treated by physicians without surgical practice and wholly incompetent. Such treatment is always costly to the employer and frequently harmful to the injured workman. As stated by Dr. J. W. Mowell, of the Wash ington Medical Aid Board, before the meeting of the International Association of Industrial Accident Boards and Commissions pre viously mentioned: a While this plan [selection by employee] seems quite equitable and it appears to be the natural thing to do, it has a good many short comings. For instance, to the isolated workman who is employed in a locality where there are only one or two physicians, free choice means little, and the injured workman has to accept the services of the first physician he can obtain. However, in the larger cities where there is a great number of physicians we find that some of the workmen make a wise choice, while quite a large per cent of them, for some reason or other, select a physician who is not very well equipped for the work at hand. We often find that a workman who has received a serious fracture will select a physician who knows very little about fractures; also a man who receives an injury to his eygs may go to an ordinary practitioner for treatment until the serious nature of the case makes it necessary to transfer him to an eye specialist, whom he should have consulted in the first instance. This occurs more or less with reference to all kinds of injuries. * * * To my mind the principal thing that can be said in favor of free choice of physician by the injured workman is the effect it has on his mind—that is, the feeling that he is getting what he wants. Because of these conditions many employers and insurance car riers have insisted upon their legal right to select the physician. Most of the large manufacturing establishments, and even some of the insurance companies, hare established hospitals in connection with their plants. It is maintained that more efficient medical service ean thus be rendered at much less cost. Furthermore, it allows closer medical supervision. A common complaint made by employers is that workmen will not report minor injuries, many of which become septic and develop into serious cases. The prompt attention given to injuries and the close personal supervision made possible through a S eo B u l l e t i n 264 o f t li e B u r e a u o f L a b o r S t a t i s t i c s , p p . 1 9 7 ,1 9 8 . MEDICAL AND SURGICAL SERVICE. 108 an establishment hospital minimize the danger of blood poisoning and result in earlier recoveries. It is also maintained that malin gering can be better controlled and prevented when the employer has supervision over the medical service furnished. R E A S O N S W H Y E M P L O Y E E S H O U L D S E L E C T P H Y S IC IA N . On the other hand, during the last two or three years, there has been a widespread reaction against the present system of selection by employers, and it may well be asked, Why this reaction if the system is as beneficial as is maintained by its advocates? Three reasons are generally advanced in favor of free choice of physicians by employees. In the first place, the free and unhampered choice of one’s own physician has generally been considered as one of the inalienable rights of mankind. The relationship existing between a patient and his physician is private and personal. Furthermore, the thera peutic value of confidence and faith in one’s physician is well recog nized by the medical profession, and this confidence naturally is assured when the injured workman selects his own physician. More over, the injured man has most at stake. It is he, and not the employer or physician, who suffers; it is his life which hangs in the balance. A man desires a doctor whom he knows, with whom he can freely and unreservedly discuss his ailment, and in whom he has confidence. Another factor which has influenced the movement for free choice has been the dissatisfaction with the kind of medical service fre quently furnished by employers and insurance carriers. While it is true that many employers maintain excellent hospitals with highly skilled surgeons and trained nurses in charge and provide medical treatment even in excess of statutory requirements, this is by no means the general practice. The kind of service furnished by many employers, and particularly b y insurance companies, is entirely inadequate. There has been a tendency to employ contract doctors (and this tendency is increasing), many of whom have not been especially competent. Furthermore, physicians employed on a con tract basis frequently have more cases than they can take care of properly and in addition are not inclined to give them the same personal attention as would be given by physicians engaged directly by the employee. The evils and abuses of this contract system have been repeatedly pointed out and condemned by compensation com missions and the medical profession. Another important problem is to determine when the injured work man has sufficiently recovered to be able to return to work. Obvi ously it is to the employer’s interest to reduce the disability period as much as possible, and frequently this fact influences unduly the 104 COMPARISON OF COMPENSATION LAW S OF UNITED STATES. decision of the employer’s physician, especially if employed on a contract basis. The third factor in the movement for free choice has been the oppo sition of the medical profession to the medical practices of the employ ers, and particularly of the insurance companies, which have devel oped under the compensation laws. Physicians have demanded their regular rates—those which they had charged before the advent of workmen’s compensation laws. Insurance companies, on the other hand, have insisted that the increased security of payments under compensation and the economic and financial status of the injured employee should be taken into consideration in determining the reasonableness of fees for medical and hospital services. There has also been a tendency on the part of some physicians to pad their bills and to raise their rates. As might be expected, such a condition imme diately resulted in numerous and acrimonious disputes, between the medical profession on the one hand and the employers and insurance carriers on the other, as to medical fees. The compensation com missioners were usually able to effect a working compromise, but such compromises have on the whole been unsatisfactory. Insurance com panies have refused to pay medical bills unless they were satisfactory, and physicians in retaliation have threatened to refuse to treat indus trial cases unless guaranteed their regular rates. As a counter meas ure employers and insurance carriers have begun to furnish their own medical service, establishing dispensaries and hospitals and engaging surgeons and trained nurses. Obviously a continued extension of the system of establishment hospitals and contract doctors would ulti mately exclude a large majority of the medical profession from the field of industrial surgery. It is the evident extension of this practice that causes apprehension in the ranks of the profession and is the motive power behind their movement for free choice of physicians. CONTRACT DOCTORS AND ESTABLISHMENT HOSPITALS. When State compensation laws were first enacted many of the larger employers had in operation benefit schemes for the protec tion of their employees in case of accident or sickness. The com pensation laws in about one-half of the States permitted these substitute schemes to continue, provided the benefits furnished equaled those provided in the compensation acts. Thus, many, if not most, of the larger employers in the United States at present, have their own organized medical service and establishment hospitals with surgeons and nurses in charge. This is especially true of the far western States w^here the contract hospital system predominates. In fact, the compensation laws of M ED ICAL A ^ D SURGICAL SERVICE. 105 seven western States17 specifically authorize employers to make con tracts with their employees for medical and hospital service. One criticism against the contract system is that the cost of the medical benefits under the compensation law— a burden it was intended for the employer to assume—is shifted to the employees. Another criticism is the commercialization of the medical service by nonmedical men. In Washington, for example, the contract plan has given the State medical aid board considerable trouble because of such commercialization. These nonmedical men form a hospital association and then secure the services of a surgeon, pay a small part of the proceeds to him for the work and keep the remainder. This has brought about a lot of dissatisfaction among the workmen and physicians of the State, causing some agitation toward State hospitals for the care of workmen under the compensation act. The most potent criticism against contract practice is that through it injured employees receive inferior service. As already stated, many employers furnish medical and surgical treatment of the highest character, but that is not the general custom and is especially not true in case of many insurance companies. The California Industrial Accident Commission in its 1916-17 annual report made the following observation regarding the contract system:18 Many poorly equipped medical men are not above accepting indus trial cases which they can not handle. The commission feels keenly its responsibility in this matter, and, of course, desires that the very best services shall be accorded the injured workingman. There has been noted in the last fiscal year an ever-increasing tendency toward “ contract practice” among the insurance companies. This is a most deplorable condition, since the contracts are fre quently made with men of poor judgment and some whose only equipment appears to be a willingness to work for little money. One great failing in this contract work is that treatment and results of treatment are seldom subject to comparison or supervision. There is a tendency toward surgical ‘ ‘ inbreeding, y’ in that a man, secure in his exclusive care of the cases for an insurance company, may do pretty much as he pleases as long as he is acceptable to the company. The result is poor work. Very often has contract practice brought to this office cases for inspection by our medical department. These injured men present themselves for the purpose of satisfying their doubts as to the results or character of treatment which they have received. These examinations frequently result in change of doctors or ex actions of satisfactory treatment by the insurance companies. * * * Whether the control of the medical practice and the exclusion from the industrial accident field of the unfit practitioners shall come through an enforcement of the medical practice act, or whether through regulations of the industrial accident board specifying the character of physicians eligible for industrial work is not yet known. 17 C o l o r a d o , I d a h o , M o n t a n a , N e v a d a , N e w M e x i c o , U t a h , a n d W a s h i n g t o n . R e p o r t o f C a lifo r n ia I n d u s t r i a l A c c i d e n t C o m m i s s i o n , 1916-17, p p . 2 1 ,2 2 . 106 COMPARISON OF COMPENSATION LAW S OF UNITED STATES. The situation constitutes a distinct menace at the present time, an suggests possible failure of the good effects of a most excellent law. “ There are a great many good men,” said Dr. B. P. Magnuson, medical director of the Illinois Industrial Commission, before the fifth I. A. I. A. B. C. conference,19 “ who have started as contract sur geons, simply as a stepping stone to work up, but those men leave it, because they can’t get adequate compensation for their work from the corporation. The contract surgeon, therefore^ has fallen into disre pute, because, on the average, he doesn't measure up to men in civil practice who are doing the best kind of surgery. * * * The con tract surgeon is often careless; he gets a biased view. The claim agent bothers the life out of him to get a man back to work.” MEDICAL AND HOSPITAL FEES, Probably no one phase of workmen’s compensation has caused more vexation to commissions or created more ill feeling among the medical profession than the question of medical and hospital fees. Basis for ?nedieal fees ,—Prior to the enactment of workmen’s compensation laws there had been little distinction in the treatment of injuries which arose out of the employment and those which arose outside of the employment. In either case the person sustaining the injury was financially responsible for the medical and hospital treatment furnished, but since a large proportion of such persons were unable to pay for the treatment received the hospitals and physicians accepted them as charity patients, usually charging low rates and collecting fees only in eases where the patient could afford to pay. The compensation laws, however, definitely placed upon the employer the burden of furnishing medical services in industrial accident cases; but no provision was made as to medical fees, except that they should be reasonable, and, in 18 States,20 that they should be limited to such charges as prevail in the same community for simi lar treatment of injured persons of a like standard of living when treatment is paid for by the injured persons. In view of these facts the medical profession as a whole maintained that medical services in industrial cases should be remunerated at full value and that such cut rates and charity as had been granted the sufferers by hospitals and doctors should be discontinued. They also believed it to be an injustice to expect the medical profession to adopt a sliding scale of fees, governed by their clients’ ability to pay, when other institu tions and businesses, including the very same employers and insur ance companies, are not subjected to the same principles and prac tices. 13 B u l le t i n N o . 264, P r o c e e d in g s o f t h e f i f t h a n n u a l m e e t i n g o f t h e I n t e r n a t io n a l A s s o c i a t i o n o f I n d u s t r ia l A c c i d e n t B o a r d s a n d C o m m is s io n s , h e l d a t M a d is o n , W i s . , S e p t . 2 4 -2 7 ,1 9 1 8 , p p . 142, 143. 20 A l a b a m a , C o n n e c t ic u t , H a w a i i, I d a h o , I n d i a n a , K e n t u c k y ^ L o u is ia n a , M a r y l a n d , M in n e s o t a , M is s o u r i, N e v a d a , N e w Y o r k , O k l a h o m a , P e n n s y lv a n ia , T e n n e s s e e , T e x a s , V e r m o n t , a n d V ir g in i a . MEDICAL AND SURGICAL SERVICE. 107 Obviously, the medical profession, in common with other profes sions and vocations, should receive a just and adequate remunera tion for its services. The ordinary fee rates of physicians are prob ably determined in a general way with reference to the paying ability of the moderately well-to-do classes of society. Undoubtedly they are also influenced by the fact that much of the medical services ren dered the poorer classes will never be paid for. In view of these facts what would be a just basis for determining reasonable and equitable fees for medical services? As already stated, 18 laws provide that the standards prevailing in the community for treatment of persons having the same standard of living should be taken into consideration. Three States (Idaho, Kentucky, and Texas) further provide that the increased security of payment guaranteed by a workmen’s compen sation law should also be taken into account. Practically all of the State commissions do consider these factors in determining the rea sonableness of medical fees. Fee schedules.—The ultimate determination of the reasonableness of medical fees in workmen’s compensation cases lies with the admin istrative commissions and courts. In 28 States 21 the compensation commissions or courts are specifi cally authorized to approve, regulate, or fix the amount of medical and hospital fees. The laws of two States (Colorado and Washington) authorize the commission to issue a table or schedule of fees which shall serve as a basis for compensating medical services rendered. Moreover, medical fee schedules have been put into effect, under general authority to regulate or approve medical fees, by the com pensation commissions of the following States: California, Maryland, Nevada, Oh^o, Oregon, Washington, aiid Wes t Virginia. In passing, it may be noted that all of these States have either exclusive or com petitive State insurance funds. Also, the Massachusetts and New York compensation commissions, in approving medical fees, have been governed by a medical and a hospital fee schedule formulated in cooperation with the medical profession, hospitals, and insurance companies of the State. In New York, however, the State medical society later repudiated the fee bill because the insurance companies interpreted it as “ a maximum fee bill, not as a minimum fee bill.” 22 In addition to the foregoing official schedules promulgated by the State compensation commissions, medical fee schedules have been adopted quite extensively by insurance companies, by many county medical societies, and by a few State medical societies. There is a fundamental difference, however, between the schedules adopted by 21 C a lifo r n ia , C o l o r a d o , C o n n e c t ic u t , D e la w a r e , H a w a i i, K a n s a s , I d a h o , I ll in o i s , I n d i a n a , K e n t u c k y , L o u is ia n a , M a in e , M a r y l a n d , M a s s a c h u s e t t s , M ic h ig a n , M i n n e s o t a , M is s o u r i, N e v a d a , N e w Y o r k , O h io , O k l a h o m a , R h o d e I s l a n d , S o u t h D a k o t a , T e n n e s s e e , T e x a s , U t a h , V i r g in i a , a n d W is c o n s in . 22 Q u o t e d f r o m A m e r ic a n M e d ic a l A s s o c i a t i o n B u l le t i n o f M a y 1 5 ,1 9 1 5 , p . 388, b y D r . I . M . R u b i u o w i n J u ly , 1917, is s u e o f t h e J o u r n a l o f P o l i t i c a l E c o n o m y , p . 717. 108 COMPARISON OF COMPENSATION LAWS OF UNITED STATES. the medical societies and those adopted by the insurance companies. The former are generally minimum fee schedules, whereas the latter are maximum schedules. Moreover, the medical societies have difficulty in maintaining strict adherence to their schedules on the part of the members of the profession; on the other hand, relatively few of the experienced physicians and surgeons will sign the schedules of the insurance companies. The rates contained in the fee schedules adopted by the several States enumerated above are somewhat lower than the regular rates of the profession. In many of the States the rates approved vary between different communities, depending upon the prevailing rates in the locality. In Massachusetts, for example, the guideposts by which the industrial accident board determined the reason ableness of fees were (1) the locality in which the doctor practices, (2) the nature of the complaint, (3) the ability of the man to pay, and (4) the standing of the practitioner in his profession.23 In Ohio, however, the amount of medical fees was determined with a view to impartiality and uniformity. Said the Ohio Industrial Com mission in this connection: We can not consider and maintain this impartiality and uniformity, of which we speak, if, as has been suggested by some physicians, we consider that the same services demand different fees from different localities, in industrial accident work. It is to be remembered that this act contemplates the considering of this whole subject on an industrial accident basis. This is an industrial accident law, based on industrial conditions, and the lack of appreciation of this very fact is the one great reason why there is difficulty regarding the medical aid feature. The medical aid compensation is charged to the employer on an industrial accident basis. The act contemplates the payment of reasonable compensation to the injured and reason able compensation for medical attention.24 Because of the great variations in kind and amount of treatment required even for similar and apparently identical injuries, it is impossible to determine in advance what would be a reasonable fee for a particular injury. Consequently a medical fee schedule is commonly used merely as a guide or as a minimum fee table. Because of the medical fee question, workmen's compensation laws have been the subject of considerable objection and adverse criticism by a part of the medical profession. Usually this criticism is of two kinds: (1) That directed against the law and its administration, and (2) that directed against the unfair and unreasonable practices of certain employers and insurance carriers. The first kind is heard most when a compensation law is first put into effect and is due 28 F ir s t a n im a l r e p o r t o f M a s s a c h u s e t t s I n d u s t r ia l A c c i d e n t B o a r d , 1 912-13, p . 56. 24 O h io I n d u s t r ia l C o m m is s io n B u l le t i n , O c t . 1 ,1 9 1 4 , p p . 1 4 , 15. MEDICAL AND SURGICAL SERVICE. 109 primarily to the physicians’ unfamiliarity with the law and with the duties and functions of the compensation commission. The loudest criticisms, too, generally come from those 'physicians who do not stand highest in the profession. The large majority of the profession have cheerfully cooperated with the commissions in the adminis tration of the laws in the interest of the working classes for whose benefit such laws were enacted, and it is seldom, indeed, that a compensation commission has had difficulty with the higher class physician and surgeon. The second criticism is usually the result of certain practices on the part of employers and insurance carriers which are considered unfair to the medical profession and inimical to the best interest of the injured workmen. The following extracts from a report made by the Massachusetts medical advisory committee to the physicians of the State probably epitomize the general experience under compensation laws in the United States: A small proportion of these [insurance] companies have adjusters and other subordinates who are at times inclined to play cheaper games than proper. There has been a tendency on the part of some physicians, not many of them members of our societies, but still physicians ostensibly respectable, to pad their bills and raise their rates; in other words, to treat this law as an opportunity for medical graft. In many of these matters the medical advisory board has been able to help the industrial board toward a solution. * * * * It seems to us that the whole intent of the law is not charity, but rather to lift the injured workmen out of the pauper class and, at least for the fortnight following the injury, to furnish them with the best care, to give them the best possible chance for complete and early recovery and return to working power. Some of the insur ance men regard the whole matter, seemingly, as a partially charitable service, and argue that as cut rates and charity were granted the sufferers by doctors and hospitals before this act went into effect, therefore this sort of thing should continue. * * * Here and there insurance companies, usually the unimportant ones, have shown a desire to press the advantage given them by the phrase of the current law. In the main, however, the better companies * * * have shown themselves decent and reasonable, not inclined to overwork a technical advantage.25 Hospital fees .—The problem of determining the reasonableness of medical fees is further complicated when the injured man is sent to the hospital. The added difficulty arises from the fact that hos pitals are in part charitable institutions and supported by donations of public-spirited citizens. Hospitals usually have three classes of service—public wards, semiprivate rooms, and private rooms. The public wards are maintained, at nominal prices, frequently less than actual cost, for patients who have limited means, among whom are in cluded most of the industrial workers. Moreover, in ease of public ward 26 Baston Medical and Surgical Journal, Sept. 18,1913, p. 444. 110 COMPARISON OF COMPENSATION LAW S OF CANADA. patients, no charge is made for the attending physician or surgeon. For the other classes of service the rates are not only much higher, but fees for attending physicians and surgeons must be paid in addi tion. The question immediately arises, Should injured employees be placed in public wards, as they probably would have been before the enactment of compensation laws, or should they be placed in semiprivate or private rooms ? If the former practice is followed the employers and insurance companies are benefited at the expense of the physicians and hospitals; whereas, if the latter plan is adopted, the remuneration received b y the medical profession would not be in accord with the compensation acts, which provide that medical fees should “ be limited to such charges as prevail in the same com munity for similar treatment of injured persons of a like standard of living when such treatment is paid for by the injured persons” ; and consequently employers and insurance carriers would be required to pay more than was intended by the law. The insurance companies maintain that were the injured workman to pay for his own medical and hospital bills he would in most cases be sent to a public ward, and physicians would graduate their charges according to the patient’s income and ability to pay. On the other hand, the hospitals maintain that they should not be asked to treat compensation cases at a loss. The practice among hospitals varies. Some place compensation cases in public wards, some in semiprivate rooms, and others maintain a “ compensation ward” at intermediate rates. The practice of doctors in sending patients to hospitals also varies. The majority, howTever, recom mend that patients be placed in semiprivate wards, thus entitling them, according to the rules of the profession, to charge for their services in hospital cases. EFFECT OF COMPENSATION LAWS UPON INCOME OF PHYSICIANS. i t is the consensus of compensation commissions and many physi cians who have investigated the matter that workmen’s compensation laws have increased rather than diminished the income of the medical profession, and this despite the fact that the rates in industrial acci dent cases have been somewhat reduced. Certainly the effect has not been detrimental in a pecuniary way. The lower schedule of fees has been counterbalanced by certainty of payments. “ It is of great interest to physicians to remember,” says the Ohio Industrial Commission, “ that in the past, in from 50 to 75 per cent of the cases taken in aggregate, no pay was received for medical service ren dered.” 26 Several investigations of the effect of compensation laws upon the income of physicians have been made by members of the profession. Dr. F. T. Rogers, former editor of the Providence 26 B u l l e t i n o f O h io I n d u s t r ia l C o m m i s s i o n , O c t . 1 ,1 9 1 4 , p . 4. MEDICAL AND SURGICAL SERVICE. I ll Medical Journal, as a result of a questionnaire sent to the doctors of the State of Rhode Island, found that in about one-half of the cases in which replies were received there was no appreciable change in income; in about one-quarter there was an increase in the income; while in the other quarter there was a decrease in income. Summing up, Dr. Rogers said: “ An act which affects but 13 per cent of the profession27 unfavorably can not be a serious menace to our inter ests.” 28 Dr. William L. Estes, as a result of a questionnaire sent to the physicians of Pennsylvania, said: “ It is evident, therefore, that a majority of the physicians of the State believe the law a good one> and is working efficiently for the good of the workingman, and not to the detriment of the physicians.” 29 Dr. Sears in a letter to the Bureau of Labor Statistics stated that in his judgment the Vermont compensation law has somewiiat increased the remuneration of the medical profession. “ It is probable/7 says the Wisconsin Industrial Commission,30 ‘ ‘that the compensation act has very greatly increased the income of the medical profession as a whole.” The medical advisory committee of Massachusetts stated as its opinion that the compensation law “ has worked out well so far—for a new law— and that on the whole the medical profession has lost nothing by it.” 31 ADMINISTRATION—MEDICAL ADVISERS. All except l l 32 of the 45 workmen’s compensation States have in dustrial accident boards or commissions to administer the compensa tion acts. The numerous technical medical questions involved and the constant need for medical advice have led to the appointment of medical advisers or directors in 13 States 33 and the Federal Govern ment to assist the commissions in administering the medical pro visions of the acts. The recent Missouri lav/ also provides for the appointment of a medical adviser. The duties and functions of these medical advisers generally include the following: (1) To examine claimants; (2) to be witness or give counsel at hearings; (3) to make medical reports on cases; (4) to be present at conferences of physicians examining claimants; (5) to make arrangements for specialists’ examinations; (6) to select impartial physicians for examinations of claimants; (7) to pass upon the reason ableness of medical and hospital fees; and (8) to rate permanent disabilities. 27 T h a t Is , 13 p e r c e n t o f t h o s e t o w h o m t h e q u e s t io n n a i r e w a s s e n t . 28 P r o v id e n c e M e d ic a l J o u r n a l fo r M a r c h , 1915. 29 M o n t h l y B u l le t i n o f P e n n s y lv a n ia D e p a r t m e n t o f L a b o r a n d I n d u s t r y fo r F e b r u a r y , 1917, p . 48. 30 F o u r t h a n n u a l r e p o r t o f t h e W i s c o n s i n I n d u s t r ia l C o m m i s s i o n , 1 914-15, p . 4. si B o s t o n M e d ic a l a n d S u r g ic a l J o u r n a l, S e p t . 1 8 ,1 9 1 3 , p . 444. s2 A l a b a m a , A la s k a , A r iz o n a , K a n s a s , L o u is ia n a , M in n e s o t a , N e v / H a m p s h ir e , N e w M e x i c o , R h o d e Is la n d , T e n n e sse e , a n d W y o m in g . 33 C a lifo r n ia , I ll in o i s , I o w a , K e n t u c k y , M a r y la n d , M a s s a c h u s e t t s , N e v a d a , N e v / Y o r k , O h io , O k la h o m a , O r e g o n , W a s h i n g t o n , a n d W e s t V ir g in ia . 112 CO M PARISON OF CO M P E N SA TIO N L A W S OF U N IT E D STATES. ADMINISTRATION BY LOCAL BOARDS IN WASHINGTON. A notable experiment in the field of medical administration was put into effect in the State of Washington in 1917. The Washington act provides for a State medical aid board composed of the medical adviser of the industrial commission and one representative each of the employers and employees. This board is authorized to divide the industries of the State into five classes, according to hazard. Employers subject to the act are assessed from 1 to 3 cents for. each working day of each employee, to be paid to the State medical fund once a month. Deductions from the employees’ wages of one-half of the assessments are authorized by law. The State board is also authorized to promulgate rules, issue a maximum medical fee bill, approve physicians’ and hospital bills, and approve contracts be tween employers and employees as to hospital benefit funds. The act also provides for the establishment of local medical aid boards for the actual administration of the medical service. Each of these boards, composed of one representative each of the employers and employees, must provide care and treatment for the injured, ’ report the beginning and termination of disability and the cause of the injury, and also certify the medical bills. In case of disagreement the local boards shall appeal to the State medical board. One of the most difficult problems the State board was called upon to solve concerned the appointment and functioning of the local med ical aid boards.34 The framers of the law evidently intended that there should be a local board at each plant. Such local boards were workable in the larger plants but were utterly impracticable in the case of the smaller employers. The board, therefore, divided the State into districts and established a local board in each locality w^here a physician resides. The larger cities were divided on an industrial basis, six such districts being established in Seattle, and five each in Tacoma and Spokane. The State board experienced great difficulty in having the local boards appointed. The employers as a rule refused to serve on the board because they could not spare the time from their business and since the law allowed only $3 a day the workmen did not want to give up good-paying jobs to attend to local board work. This situation was remedied by a 1919 amendment (ch. 130) to the workmen’s compensation law. The act now provides for the creation of three local aid districts (one each in Seattle, Tacoma, and Spokane). In each district there shall be a local aid board to consist of two mem bers who are to be appointed by the newly created State safety board. Each member of a local aid board shall receive a salary of $300 a month. Their duties are enlarged to include accident prevention work. M R e p o r t o f W a s h i n g t o n S t a t e I n d u s t r ia l I n s u r a n c e D e p a r t m e n t fo r 1917, p p . 5 4 -5 6 . TIM E FOR NOTICE AND CLAIM . 113 TIME FOR NOTICE AND CLAIM. Limitations are placed on the time for giving notice and for mak ing claims under the acts, notice usually being required within from 5 to 30 da^s, and a claim within from 3 months to 2 years. A num ber of laws contain the provision that no notice is necessary where the employer has other knowledge of the fact or where the accident was a fatal one. The time set may also be extended if it is shown that th« employer was not prejudiced, but if prejudiced the liability will be reduced only to the extent of such prejudice. Many laws also provide that no defect in the notice shall be a bar to proceedings or recovery. As a matter of practice, the commissions construe this provision quite liberally; nor is the strict adherence to the technicality of the law always insisted upon by the employers and in surers if the injury actually occurred and their liability therefor is unquestioned. On the other hand, it is necessary to protect the em ployer from false claims made by employees a considerable period of time subsequent to the alleged injury. It would be difficult for an employer to disprove several weeks or months after the occurrence of an injury that it arose out of the employment if he had no knowledge of its occurrence and no report of it had been made. Then, too, the employer should have immediate knowledge of the injury in order that he may furnish competent medical and surgical treat ment so as to minimize the result of the injury and to secure as early a recovery as possible. Several States have recently amended their compensation acts, requiring employees to report immediately all injuries to their employers. Claims for compensation, as already noted, must be made within 3 months to 2 years. In 6 States 35 claims must be made within 3 months; in 12 States 36 within 6 months; in 20 States37 and the Federal Government within 1 year; and in 4 States 38 within 2 years. The Wyoming law makes no provision in this respect, while in Utah the time is fixed by the commission. In New Mexico claim must be made within 2 months after the refusal of the employer to pay compensation except that in fatal cases the limit is 1 year. A short time limit for the presentation of claims works an injustice where the disability does not develop until a considerable period after the date of the accident. H a w a i i, I o w a , M a r y la n d , N e v a d a (1 y e a r i n ca se o f d e a t h ) , O r e g o n (1 y e a r i n ca se o f d e a t h ) , a n d P o r t o R ico . 36 C a lifo r n ia (1 y e a r i n ca se o f d e a t h ) , I ll in o i s , K a n s a s , M a s s a c h u s e t t s , M ic h i g a n , M is s o u r i, M o n t a n a , N e w H a m p s h ir e , N o r t h D a k o t a (1 y e a r i f r e a s o n a b le c a u s e is s h o w n ) , T e x a s , V e r m o n t , a n d W e s t V i r g in i a . 37 A l a b a m a , A r iz o n a , C o lo r a d o , C o n n e c t ic u t , D e la w a r e , I d a h o , K e n t u c k y , L o u is ia n a , M a in e , M in n e s o t a , N e b r a s k a , N e w J e r s e y , N e w Y o r k , O k l a h o m a , P e n n s y lv a n ia , R h o d e I s l a n d , S o u t h D a k o t a , V i r g in i a , T e n n essee, a n d W a s h in g to n . 38 A la s k a , I n d i a n a , O h io , a n d W i s c o n s in . 172308°—20—Bull. 275------ 8 114 COMPARISON OF COMPENSATION LAW S OF UNITED STATES. ADMINISTRATIVE SYSTEMS. The three most important factors in a compensation act are its scope, compensation benefits, and administrative system—in other words, who should receive compensation, how much should he receive, and does he actually receive it, and if b o , when. The first two are fixed by law, subject, of course, to the interpretation of commission and court; but some responsible administrative body is necessary to insure to the injured workman his rights under the law, and to see that he receives the full amount of his compensation immediately and regularly. As to administration, there are two general types of compensation acts— the commission or board type, of which there are 34,30 and the self-administrative or court type, of which there are ll . 40 In the commission type, a special board, usually of three or five members,41 is appointed to enforce the law, including usually the administration of the State insurance fund, if such a fund is created. The commission is granted extensive powers and quasi-judicial func tions. It receives accident reports, investigates claims, settles dis putes, hears cases, grants awards, issues decrees, and, in case of a State fund, classifies industries, fixes and collects premiums, and pays compensation. In some States it has the additional function of accident prevention, while in a few States 42 it administers the entire body of labor laws. There seems to be a tendency among States to consolidate the separate agencies authorized to enforce the various labor laws into one body called an industrial commission. Several States43 in recent years have created such commissions, thereby abolishing all existing agencies. In the court type of law the amount of compensation and other questions at issue are settled directly by the employer or insurer and the injured employee. In cases of dispute the matter may be referred to an arbitration committee, and eventually taken to the courts. In some of these States, however, there exists a certain amount of loose supervision by one or more State agencies. For example, in Ala bama the director of the department of archives and history, who is ex officio compensation commissioner, shall receive accident reports and settlements, prepare blank forms, and compile statistics on the 30 C a lifo r n ia , C o l o r a d o , C o n n e c t ic u t , D e la w a r e , H a w a i i, I d a h o , I ll in o i s , I n d i a n a , I o w a , K e n t u c k y , M a in e , M a r y l a n d , M a s s a c h u s e t t s , M i c h i g a n , M is s o u r i, M o n t a n a , N e b r a s k a , N e v a d a , N e w J e r s e y , N e w Y o r k , N o r t h D a k o t a , O h io , O k l a h o m a , O r e g o n , P e n n s y lv a n ia , P o r t o R i c o , S o u t h D a k o t a , T e x a s , U t a h , V e r m o n t , V ir g in i a , W a s h i n g t o n , W e s t V i r g in i a , a n d W i s c o n s in . A l a b a m a A l a s k a , A r iz o n a , K a n s a s , L o u is ia n a , M i n n e s o t a , N e w H a m p s h ir e , N e w M e x i c o , R h o d e I s la n d , T e n n e s s e e , a n d W y o m in g . « A s in g le c o m m i s s i o n e r i n I o w a , N e b r a s k a , S o u t h D a k o t a , V e r m o n t , a n d W e s t V i r g in i a . 42 I n d i a n a , N e w Y o r k , O h io , U t a h , V e r m o n t , a n d W i s c o n s in . 43 I n d i a n a , N e w Y o r k , O h io , U t a h , a n d W is c o n s in . A l s o o f s i m il a r t y p e a re C a lifo r n ia , C o l o r a d o , a n d M on ta n a . A D M IN IST R A TIV E SY STEM S. 115 operation of the act; in Alaska, rejections of the act are filed with the United States commissioner; in Arizona, in case the parties do not agree, reference may be had to the attorney general; in Kansas, dis putes are settled by local committees or arbitrators selected either by the parties in interest or by the court; in Minnesota, notices and settle ments are filed with the commissioner of labor, who shall advise the employee of his rights and assist in adjusting disputes; in New Hampshire, acceptances and proof of financial solvency are filed with the commissioner of labor; in Rhode Island, acceptances, accident reports, and proof of financial solvency are filed with the commis sioner of industrial statistics; in Tennessee the bureau of work shops and factory inspection receives notices of rejection of the act, accident reports, settlements, and releases; w^hile in Wyoming, the State treasurer supervises the State fund and county assessors are required to report lists of extrahazardous employments to the treasurer, who shall compile accident statistics. Two variations from the standard compensation commission type of administration are (1) the system in Hawaii, which provides for an industrial accident board in each county, and (2) the district system of Connecticut. In the latter State the administration of the act is vested, not in a central board, but in five separate commis sioners, each supreme in his own district, which coincides with a congressional district of the State. Each commissioner maintains an office at some central point, generally the largest industrial city in the district. The five commissioners, acting as a board, make rules, pre scribe forms, issue bulletins, etc.; but as regards the interpretation and administration of the act, each commissioner is supreme and independent in his own district. Although conflicting decisions have been made, a satisfactory uniformity in rulings and practices seems to be maintained by means of frequent conferences and the use of each other's awards. This district system is defended on the ground that it permits closer supervision of compensation cases and expe dites settlements, and that the close personal relationship between the commissioner and the parties in interest makes possible a feeling of mutual confidence. On the other hand, it is maintained that a single commissioner is more easily subject to undue influences and affected by personal considerations. The great predominance of the commission type of law seems abun dantly warranted from the experience that has developed under the various methods. The need of authoritative agencies to administer compensation laws is sufficiently demonstrated in those States which do not possess them. The average non-English-speaking foreign workman is generally unfamiliar with his rights under the law and does not know what action to take in case of injury. Complaint, too, 116 COMPARISON OF COMPENSATION LAW S OF UNITED STATES. is frequent that the fear of discharge acts as an effective deterrent in demanding compensation. The experience of New Jersey under court administration proved conclusively that thousands of compensable accidents are insuffi ciently compensated or not compensated at all. A comparison of accident statistics of New Jersey with those of Massachusetts is very illuminating. Both States require all employers to report their acci dents. In Massachusetts during the year 1916 there were reported 28,060 accidents resulting in death or in disability of two weeks or longer, whereas in New Jersey, which has 78 per cent as many em ployees as Massachusetts, only 8,611 such accidents were reported. Inasmuch as the industries of New Jersey are fully as hazardous as those of Massachusetts they should produce proportionately the same number of accidents. The probable number of accidents in New Jersey in 1916, therefore, was 21,887, not 8,611, as reported. In other words, 13,276, or over 60 per cent, of New Jersey’s compensable accidents were not reported and presumably were not compensated. SETTLEMENT OF COMPENSATION CASES. The settlement of disputes is one of the principal administrative functions of a compensation commission or board, and consumes most of its time and energy. The speedy settlement of cases and the im mediate and regular payment of benefits depend in a great measure upon the efficiency of the commission, which in turn is affected by the method of organization. It is important, therefore, to examine the methods provided in the various laws for hearing and settling com pensation cases and disputes. Much of the administrative routine, such as examining accident reports, investigating claims, and checking up voluntary agreements and settlements, may be delegated to subor dinates. On the other hand, a large proportion of the work, such as hearing and deciding cases and granting commutations, is quasi judicial in character and can not ordinarily be so delegated; in fact, the hearing of cases by the commissioners, either individually or collectively, frequently takes up so much time that little opportunity is afforded for constructive work, such as accident prevention, restor ing the maximum earning capacity of injured workmen, and fitting them to their new and changed economic environment. In fact, in many cases, compensation commissioners are merely highly paid claim agents. The settlement of compensation cases, in the first instance, therefore, by methods which insure both justice and expe dition in the settlement of claims is of utmost importance. The most common system devised for this purpose is the settlement of cases directly by the parties in interest through the medium of direct settlements or voluntary agreements. These voluntary agree SETTLEM ENT OF COMPENSATION CASES. 117 ments are later reviewed by the commission and if found to conform with the provisions of the act are approved. Approximately 75 to 95 per cent of industrial accidents are settled in this way. In other States, especially those having State funds, the injured workman files a claim with the commission. This claim is examined and if found legitimate is approved and payment ordered. The principal argu ment in favor of direct settlements is that it expedites procedure and insures more prompt payments. It is held that a majority of in juries involve no dispute and substantial justice is insured through the direct settlement plan. The argument against direct settlements is predicated upon the claim that injured employees are not always familiar with their compensation rights, that they can not cope suc cessfully with a trained insurance adjuster, and that in demanding compensation from their employer they are laboring under constraint. The fear of antagonizing their employer, it is held, effectively inhibits injured workers from insisting upon their rights. The recent inves tigation of the operation of the direct settlement system in New Y o r k 44 made by Mr. J. F. Connor showed that of 1,000 unselected cases 114 were underpaid. This underpayment amounted to $52,279.84, or $459 per case. The total underpayments, on the basis of the 1,000 cases, would amount to $1,400,000 annually. In case the parties can not agree the compensation claim may be settled in one or more of several ways. In the 11 noncommission States, disputed cases usually go to the inferior courts for adjudica tion, although Arizona and Kansas provide for arbitration committees appointed either by the interested parties or by the court; Arizona also provides for reference to the attorney general; and Minnesota authorizes the department of labor to attempt to settle the matter. In the 34 commission States disputed cases may go either directly to the commission for adjudication or they may be first heard before a subordinate tribunal, usually appointed, in part at least, by the com mission. These preliminary tribunals may be either arbitration committees, referees, or individual members of the commission. The findings of fact and decisions of all such preliminary tribunals Right of appeal from the commission’s rulings to the courts is generally pro vided for, but a number of States limit this right to questions of law only. Another method of settling disputes, not originally provided for in law but developed through experience, is the informal con ference. The parties in interest are requested to appear before a member or representative of the commission. The points in dis are, of course, subject to review by the full commission. 44 R e p o r t o f in v e s t i g a t i o n b y J e r e m ia h F . C o n n o r , a s c o m m i s s i o n e r u n d e r s e c t io n 8 o f t h e e x e c u t i v e l a w , k n o w n a s t h e M o r e la n d A c t , i n r e la t io n t o t h e m a n a g e m e n t a n d a ffa ir s o f t h e S t a t e I n d u s t r ia l c o m m is s io n . S u b m it t e d t o t h e g o v e r n o r , N o v . 1 7 ,1 9 1 9 . 118 CO M PARISON OF C O M P E N SA TIO N L A W S OF U N IT E D STATES. pute are considered and in a large proportion of cases the matter is satisfactorily settled. This method not only expedites procedure by eliminating the time and expense of formal hearings, but also pro motes amicable relationships between the parties and helps to estab lish a feeling of confidence. REVISION OF BENEFITS. ^ It frequently happens, after an agreement has been drawn up or an award has been made, that the incapacity of the injured workman or the measure of dependency has been changed, necessitating a modi fication of benefits in conformity with changed conditions. Prac tically all of the States provide for revision of benefits under certain circumstances if conditions warrant. As a rule a review may be had upon application of either party or upon the commission’s own motion. Usually a time limit is set after which no review will be allowed, although a number of States provide that an award may be modified at any time if circumstances justify a change. In some States, however, lump-sum settlements, when once made, are final and not subject to review or modification. NONRESIDENT ALIEN DEPENDENTS. One of the matters of regret, and perhaps the only one, in chang ing from the old liability system, is the reopening of the question of the status of nonresident beneficiaries of aliens who lose their lives in employment in this country. After a long series of adjudi cations and legislative action the position had been reached of equal treatment before the law of the dependents and personal repre sentatives of all persons employed, without reference to their citizen ship status. Comparatively recent legislation in Pennsylvania and Wisconsin has made the liability acts of these States available for the benefit of nonresident alien claimants, thus reversing the adverse rulings of the courts on this subject in these two States, which were the principal remaining strongholds of the harsh doc trine excluding them. The question of the rights of aliens to accident compensation be came of especial importance when the United States declared war against Austria-Hungary and particularly after the enactment of the Trading with the Enemy Act. A large proportion of the workers in some of our basic industries, especially coal mining and iron and steel manufacturing, were subjects of Austria-Hungary, and there fore enemy aliens. The provisions as to the status of nonresident alien beneficiaries in the 45 compensation laws can be seen from the following table: 119 NONRESIDENT ALIEN DEPENDENTS. T a b le 3 2 .— P R O V IS IO N S OF C O M P E N S A T IO N LAW S AS TO N O N R E S ID E N T A L IE N DEPENDEN TS. N o p r o v is i o n . ( 6) E x c lu d e d . ( 5) In clu d e d . (3 !) L i m i t a t i o n s : O n l y e n u m e r a t e d d e p e n d e n t s in c lu d e d . A l a b a m a ............ A l a s k a 1 .............. C a li fo r n ia 1 ____ C o l o r a d o ............ C o n n e c t ic u t ... D e la w a r e ........ : O n e -t h ir d b e n e fit s , n o t o v e r $1,041.66. O n e -h a ll r a t e s e x c e p t a s t o r e s id e n t s c f C a n a d a o r U n i t e d S t a te s d e p e n d e n c ie s . O n e -h a lf b e n e fit s t o d e p e n d e n t w i d o w s a n d c h i ld r e n . H a w a i i . . . ......... I d a h o .................. I l l i n o i s 1.............. I n d i a n a 1 ........... I o w a .................... K a n s a s , ,. „ .... K e n t u c k y ......... O n e -h a lf b e n e fit s ; o t h e r h a lf p a i d i n t o in d u s t r ia l a d m in is t r a t io n fu n d . $750 m a x i m u m e x c e p t t o r e s id e n t s o f C a n a d a . H a l f b e n e fit s t o w i d o w o r c h i ld r e n u n d e r 16. L o u i s i a n a ____ M a in e .................. M a r v l a n d .......... H a lf r a t e s e x c e p t t o r e s id e n t s o f Cam ada. D e p e n d e n t w i d o w s , c h i ld r e n , a n d p a r e n t s . A f t e r o n e y e a r c o m m is s io n m a y c o m m u t e p a y m e n ts t o th reefo u r t h s v a l u e , m a x i m u m $2,400. M a s s a c h u s e tts 1 M ic h ig a n ........... M in n e s o t a ......... M is s o u r i........... M o n t a n a ............ N e b r a s k a ........... N e v a d a .............. H a lf b e n e fit s t o w i d o w o r c h i ld r e n u n d e r 16, u n le s s t r e a t y p r o v id e s o t h e r w is e . W i d o w , c h i ld r e n , a n d p a r e n t s . W i t h i n o n e y e a r e m p l o y e r m a y c o m m u t e p a y m e n t s t o t w o -t h ir d s v a lu e . 60 p e r c e n t o f b e n e fit s . N ew H am p s h ir e . N e w Jersey N e w M e x ico N e w Y o r k ____ W i f e , c h i ld r e n , a n d d e p e n d a n t a s c e n d a n t s . C o m m i s s i o n m a y c o m m u t e p a y m e n t s t o o n e -h a lf p r e s e n t v a lu e . N o r th D ak ota O h i o ..................... O k la h o m a 2 O r e g o n ............ P e n n s y lv a n ia . W i d o w , w id o w e r , c h ild r e n , a n d p a r e n ts . T w o -t la ir d s b e n e fit s t o w i d o w a n d c h ild r e n . P o rto R ico R h o d e Is la n d 1 S ou th D a k o t a 1 T e n n e s s e e .......... T e x a s .................. U t a h i ................. V e r m o n t 1......... V i r g i n i a . ............ : M a x im u m , $1,00% e x c e p t ta r e s id e n t s o f C a n a d a . W a s h i n g t o n . . . P a r e n t s o n l y , u n le s s t r e a t y p r o v id e s o t h e r w is e . W e s t V i r g i n i a . W i d o w , i n v a l i d w id o w e r , c h i ld r e n u n d e r 15, o r o v e r i f in c a p a c it a t e d . W i s c o n s in ......... W y o m i n g ......... O n e -t h i r d b e n e fit s t o w i d o w a n d c h i ld r e n u n d e r 16. 1 N o t s p e c i fic a l ly m e n t io n e d i n la w , b u t i n c l u d e d b y c o u r t o r c o m m i s s i o n . 2 F a t a l a c c id e n t s n o t c o v e r e d . It will be noted that 6 States make no statutory provision for non resident alien dependents, while in same of the States in the “ included” column also such alien dependents are not specifically mentioned in the law but have been included by virtue of the rulings of the courts or commissions; 5 States exclude them from the benefits of the act; 1645 include all beneficiaries and provide for full com pensation; while 18 States46 recognize them but establish limitations 42 A la s k a , C a lifo r n ia , I ll in o i s , I n d i a n a , I o w a , M a s s a c h u s e t t s , M ic h ig a n , M in n e s o t a , O h io , R h o d e I s l a n d , S o u t h D a k o t a , T e n n e s s e e , T e x a s , U t a h , V e r m o n t , a n d W i s c o n s in . 45 C o lo r a d o , C o n n e c t ic u t , D e la w a r e , I d a h o , K a n s a s , K e n t u c k y , M a in e , M a r y la n d , M o n t a n a , N e b r a s k a , N e v a d a , N e w Y o r k , O r e g o n , P e n n s y lv a n ia , V i r g in i a , W a s h i n g t o n , W e s t V i r g in i a , a n d W y o m i n g . 120 COMPARISON OF COMPENSATION LAW S OF UNITED STATES. either by reducing the amount of benefits payable in cases where the beneficiaries are nonresidents or by limiting the classes of benefi ciaries to whom payment may be made, or by doing both. There may be a plausible justification for a proportionate reduction of benefits corresponding to the lower cost of living in foreign countries and possibly for a restriction of the groups of beneficiaries to imme diate members of the injured employee’s family; but even these re strictions open the door for injurious discriminations against American citizens by reason of the fact that injuries to aliens whose possible beneficiaries are nonresident entail less expense on the employer of such labor than do injuries to Americans. Several European coun tries have entered into reciprocal agreements guaranteeing mutual benefits to each other’s nationals, but such a measure would be with out practical benefit in this country. Because of its unfairness to citizen employees the discriminatory treatment of aliens, on the whole, lacks justification, even though the danger of burdening the State or municipality with dependent charges is absent. LUMP-SUM SETTLEMENTS. Compensation payments are supposed to be a substitute for wages, and accordingly every State except three47 provides that such pay ments shall be made in weekly or monthly installments. The purpose of small regular payments is to prevent unwise and unnecessary ex penditures which lump-sum settlements might facilitate. Injured workmen and especially dependent widows all too frequently squan der the entire amount of compensation, and in a short time are left penniless and a burden upon the community. On the other hand, under certain circumstances the commutation of weekly payments into a lump sum would be beneficial and desirable. Especially is this true in case of a permanently disabled workman who wishes to start a small independent business or who desires to return to his native country, where cost of living is much cheaper. The practice of granting commutations, however, unless properly restricted, opens the way for abuses and injustices. A lump sum looks large to a workman or his dependents, who are usually willing to compromise upon an amount much less than that to which they are legally entitled. Frequently the attorney receives a large por tion of the lump-sum settlement. And, furthermore, the commis sions, harassed by their many administrative duties, are at times inclined to grant lump sums without proper investigation in order that the case may be settled and closed. The laws of most States there fore provide that lump-sum payments must be approved by the com mission or court and must be in the interest of the beneficiary or of 47 A la s k a , P o r t o R i c o , a n d W y o m i n g . \ 121 LUMP-SUM SETTLEMENTS. both parties, leaving the question of necessity or justice to the dis cretion of the administrative body. Some States require that a cer tain time elapse, usually six months, before commutations may be granted at all, and in most cases the application for a lump sum must be made by either or both of the interested parties, although in a number of States the commission is authorized to grant such commu tations on its own motion. Table 33 shows when and under what conditions commutations may be granted in the several States: T able 3 3 .— C O N D IT IO N S U N D E R W H IC H UNDER L U M P -S U M C O M P E N S A T IO N SETTLEM EN TS A R E P E R M IT T E D LAW S. C o n d it io n s u n d e r w h ic h c o m m u t a t io n s m a y b e m a d e . S t a te . A p p l ic a t io n m a d e b y - A l a b a m a ......... L a p s e o f t im e b e fo r e c o m m u t a tio n ca n b e g ra n te d . M u t u a l a g r e e m e n t ............. C o u rt a p p r o v a l n ecessa ry in d e a th a n d sev e re in ju r y cases. A l a s k a .................. A r i z o n a ................ C a li fo r n ia ............ M o t i o n o f c o u r t .................... E ith e r p a r ty or c o m m is s i o n ’ s m o t io n . C o l o r a d o .............. M o t i o n o f c o m m i s s i o n . . . C o n n e c t ic u t ____ M o t i o n o f c o m m i s s i o n e r . E i t h e r p a r t y ......................... D e la w a r e ......... d o ......................................... H a w a ii ......... d o ......................................... Id a h o B e s t in t e r e s t o f w o r k m a n . B e s t i n t e r e s t o f p a r t ie s . 6 m o n t h s .................... ......... d o ......................................... 6 m o n th s in to ta l I n d i a n a ................ E ith e r p a r ty o r b o a r d ’s 6 m o n t h s ; any I o w a ____ m a n e n t d i s a b i li t y o f m in o r s . E i t h e r p a r t y ......................... I ll in o i s d i s a b i l i t y ca s e s . M in n e s o t a .. E m p lo y e e , i f s e c u r i t y is 6 m o n t h s .. d o u b tfu l. E i t h e r p a r t y ......................... .........d o ......... M u t u a l a g r e e m e n t ............. E i t h e r p a r t y ......................... 6 m o n t h s . . M o tio n o f c o m m is s io n . . . M u tu a l a g re e m e n t; or 6 m o n t h s ; any t i m e i n ca s e o f board’s m o t io n , in ca se o f p e r m a n e n t d i s m in o r s . a b i l i t y o f m in o r s . M u t u a l a g r e e m e n t ; 6 m o n t h s .................... b o a r d m a y g ra n t c o m m u ta tio n . M u t u a l a g r e e m e n t ............. M i s s o u r i... M on ta n a .. N e b r a s k a .. E i t h e r p a r t y .............. B e n e f ic i a r y ................. M u t u a l a g r e e m e n t ., K a n s a s .. K e n t u c k y ......... L o u i s i a n a ......... M a in e .................. M a r y l a n d .......... M a ssa ch u setts. M ic h ig a n . N e v a d a .......... M o t io n o f c o m m i s s i o n . N e w H a m p s h ir e N e w J e r s e y ____ N e w M e x i c o ___ E m p l o y e r .............. E i t h e r p a r t y -----M o t i o n o f c o u r t .. N ew Y o r k .. N o r th D a k o t a .. M o tio n o f c o m m is s io n . C o m m is s io n ’ s m o t io n .. O h io . M o tio n o f c o m m is s io n .. O t h e r c o n d it io n s . Ju st or n ecessa ry. B e s t in t e r e s t o f p a r t ie s . D o. B e s t in t e r e s t o f p a r t ie s a t b o a r d ’ s d is c r e t io n . I n t e r e s t o f b o t h p a r t ie s ; e it h e r p a r t y m a y r e je c t b o a r d ’ s a w a rd , e x c e p t in d e a th o r d i s m e m b e r m e n t ca s e s . I n u n u s u a l cases. W h e n p e r io d o f c o m p e n s a t io n c a n b e d e f in i t e ly d e t e r m in e d . G ra n ted b y c o u r t u p o n a p p r o v a l o f co m m is s io n e r. E m p l o y e r m a y r e d e e m l i a b i l i t y a ft e r 9 m o n th s’ p a y m en t. B e s t in t e r e s t o f p a r t ie s . B e s t in t e r e s t o f b e n e fic ia r y . I n e v e r y ca s e e x c e p t t e m p o r a r y d i s a b i li t y . I n u n u s u a l ca se s . B o a r d m a y g r a n t c o m m u t a t io n s a t a n y t i m e i f s p e c ia l c ir c u m s t a n c e s r e q u ir e . A n y ca s e e x c e p t d e a t h o r p e r m a n e n t d is a b ility . B e s t in t e r e s t o f b e n e fic ia r ie s . B e s t in t e r e s t o f b e n e fic ia r y . I n d e a t h a n d p e r m a n e n t d i s a b i li t y ca s e s c o n sen t o f co u r t n ecessa ry . N o c o m m u t a t io n s t o w h o l l y d e p e n d e n t b e n e fic ia r ie s . I n u n u s u a l ca se s . C o u r t m a y a u t h o r iz e o r a p p r o v e c o m p r o m is e o r s e t t l e m e n t s o f c la im s fo r l u m p su m . I n in t e r e s t o f ju s t ic e . D e a t h a n d p e r m a n e n t d i s a b i li t y ca se s o n l y ; b e s t in t e r e s t o f b e n e fic ia r y . L u m p s u m t o w i d o w li m i t e d t o 416 w e e k s ’ c o m p e n s a t io n . U n d e r s p e c ia l c ir c u m s t a n c e s . 122 T able COMPARISON OF COMPENSATION LAW S OF UNITED STATES, 3 3 .— C O N D I T I O N S U N D E R W H I C H L U M P - S U M S E T T L E M E N T S A R E UNDER C O M P E N S A T IO N P E R M IT T E D L A W S — C o n c lu d e d . C o n d it io n s u n d e r w h ic h c o m m u t a t io n s m a y b e m a d e . S t a te . A p p lic a t io n m a d e b y — O k l a h o m a ........... P e n n s y lv a n ia . . P o rto R ico R h o d e Is la n d .. L a p se o f tim e b e fo r e c o m m u ta tio n ca n be g ra n ted . O t h e r c o n d it i o n s . E i t h e r p a r t y ......................... I n in t e r e s t o f ju s t ic e . C o m m i s s i o n m a y i n a n y ca se c o m m u t e o n e -f o u r t h o f v a lu e a n d t h e r e a ft e r re d u c e p a y m e n t s p r o p o r t io n a t e ly . B e s t in t e r e s t o f p a r t ie s . E i t h e r p a r t y ......................... 6 m o n t h s ..................... B e s t in t e r e s t o f b e n e fic ia r y o r h a r d s h ip M o t i o n o i c o m m i s s i o n . .. ......... d o ......................................... 6 m on th s in tota l u p o n e m p lo y e r. B e s t in t e r e s t o f p a r t ie s . d i s a b i l i t y ca se s . T e n n e s s e e ............ M u t u a l a g r e e m e n t .............. ..........d o ......................................... T exas U t a h ...................... M o t i o n o f c o m m i s s i o n . . . W a s h i n g t o n -----W e s t V ir g in ia .. E i t h e r p a r t y ......................... M u tu a l a g re e m e n t; or c o m m i s s i o n ’ s m o t io n i n ca se o f p e r m a n e n t l y d i s a b l e d m in o r s . B e n e f ic i a r y ............................. M o tio n o f co m m issio n e r. W i s c o n s i n ........... M o tio n o f c o m m is s io n V erm ont V i r g in i a ................ 6 m o n t h s . . . .............. 6 m o n t h s .................... A p p r o v a l o f co u rt n ecessa ry. I n d e a t h o r p e r m a n e n t d i s a b i li t y ca ses. U n d e r s p e c i a l c ir c u m s t a n c e s i f d e e m e d a d v is a b le . B e s t in t e r e s t o f p a r tie s . I n u n u s u a l c a s e s a n d b e s t in t e r e s t s o f p a r t ie s . I n d e a t h o r p e r m a n e n t d i s a b i li t y ca se s . U n d e r s p e c i a l c ir c u m s t a n c e s a n d i f a d v is a b le . B e s t in t e r e s t o f p a r t ie s . C o n s e n t o f a ll p a r t ie s i n p e r m a n e n t t o t a l d i s a b i li t y ca ses . W y o m i n g ......... ACCIDENT REPORTING AND ACCIDENT PREVENTION, Coordinate with the movement for the enactment of workmen's compensation laws has been the growth of the movement for accident prevention. In fact, our workmen's compensation laws have been enacted in the vague belief that industrial accidents are inevitable and constitute a permanent and integral part of our industrial life. For a number o f years prior to the enactment of the first compensa tion laws in 1911, a considerable amount of safety legislation had been on the statute books of many of the more advanced industrial States, but the extent and effectiveness of these laws as regards ac cident prevention were unsatisfactory. The methods of prevention were practically limited to the mechanical guarding of danger points, and as there appeared to be no diminution in the number of accidents it came to be felt that perhaps accidents, like the poor, were always to be with us, The enactment of workmen's compensation legislation, however, in which the financial burden placed upon the employer was in direct proportion to his accident rate, gave a fresh impetus to accident-prevention work. Better and more comprehensive safety laws were passed. Moreover, the casualty insurance companies en tered upon a new era of active accident prevention, which was shared by many of the larger manufacturing establishments throughout the country. ACCIDENT REPORTING AND ACCIDENT PREVENTION. 123 Reports of accidents, also, liave been incomplete and lacking in uniformity, so that little material of a reliable nature has been avail able. Here, too, the influence of compensation enactments has been felt, even in the brief period covered by their existence. Accurate re porting and analysis of accidents as to causes, nature of injury, and length of disability, are absolutely essential, not only for effective accident prevention work, but for the establishment of just and ade quate insurance rates. Although considerable improvement has been accomplished since the enactment of compensation laws the problem of accident reporting and prevention has by no means been solved. Just what the quantitative effect of workmen’s compensation laws upon accident reduction has been is still problematical, due to the absence of uniform and reliable statistics and the lack of a proper method of measuring industrial hazards. The committee on statis tics and compensation insurance cost of the International Association of Industrial Accident Boards and Commissions has recently issued a report48 in which it has formulated standard accident tables and recommended the adoption of a schedule of severity ratings to measure industrial hazards. Statistical reports issued by certain manufacturing establishments and State industrial accident commis sions have shown marked decreases in accident frequency rates, espe cially after the adoption of safety organization methods, but a criti cal analysis of these reports shows that this reduction was limited largely to minor or short-time disability accidents. That the increased safety activities have resulted in accident reduc tion would seem probable, but the extent and nature of reduction can only be surmised. There are relatively more accidents reported to-day than there were five years ago, but this does not mean necessarily that accident rates have increased. It may be simply that more accidents are reported than formerly. The principal requirements of each State as to accident reporting and prevention are shown in the chart following page 130. Five of the compensation acts 49 make no provision for accident reporting and nearly all make no provision for accident-prevention work. ACCIDENT REPORTING. It will be noted that the provisions as to accident reporting lack uniformity. Only 20 States50 require all accidents to be reported, while nine States51 require only those of one day’s disability or more ; 48 P u b l is h e d i n t h e M o n t h l y R e v i e w , U . S . B u r e a u o f L a b o r S t a t i s t i c s , fo r O c t o b e r , 1917, p p . 123-143. « A la s k a , A r iz o n a , L o u is ia n a , N e w M e x i c o , a n d T e n n e s s e e . so C a lifo r n ia ( i n v o l v i n g t i m e lo s s o r m e d i c a l a i d ) , C o lo r a d o , D e la w a r e , M a in e , M a r y la n d , M a s s a c h u s e t t s , M ic h ig a n , M o n t a n a , N e v a d a , N e w Y o r k , N o r t h D a k o t a , O h io , O k l a h o m a , O r e g o n , P o r t o R i c o , S o u t h D a k o ta , U ta h , W a s h in g to n , W is c o n s in , a n d W y o m in g . 61 O n e d a y ’ s d i s a b i li t y , C o n n e c t ic u t , H a w a i i, I d a h o , M in n e s o t a , a n d V e r m o n t (a ls o in ju r ie s r e q u i r in g m e d i c a l a i d ) ; m o r e t h a n o n e d a y , I n d i a n a , I o w a , K e n tu c k y , a n d T e x a s . 124 COMPARISON OF COMPENSATION LAWS OF UNITED STATES. one52 requires those of more than two days of disability; three53 require those of more than one week; three54 require those of over two weeks; and four55 provide that such accidents be reported as are required by the commissioner or inspector. Five States,56 as already noted, make no provision for accident reporting in the compensation act, but have such laws outside the act. Of these States, Alaska provides for the reporting of such mining accidents as the governor may require; Arizona requires only serious or fatal accidents in mines to be reported; Louisiana requires the reporting of accidents of two weeks’ disability or more in establishments where women and children are employed; New Mexico requires the reporting of all fatal accidents in mines; and Tennessee requires all mine accidents to be reported Immediately to the chief mine inspector and all serious accidents in mills and factories to the bureau of workshops and factory inspection. Of the 40 States providing for accident reporting in the compen sation law, in 2557 all employers are required to report accidents; in 1258 employers subject to the compensation act; in Wisconsin only employers having four or more employees; in Wyoming only those engaged in extrahazardous employments; while in Nebraska such reports of accidents shall be made as directed by the compensa tion commissioner. In the 34 States having administrative commissions, accidents are required to be reported to such commissions, except in Pennsylvania, where the compensation act is administered jointly by the workmen’s compensation board and the department of labor and industry,, Several States have more than one accident-reporting law, due in some instances to the failure to repeal the existing law when the compensation act was passed. In such cases the old law is usually not enforced. Then again in those States in which the compensation act requires only employers subject to the act to report accidents there usually exist other accident-reporting laws providing that such employers as are included within its scope must report their accidents to other State departments. Such laws, in most States, however, are not enforced at all, or at least are enforced ineffectively. 62 P e n n s y lv a n ia . m I ll i n o i s , M is s o u r i (a ls o t h o s e r e q u i r in g m e d i c a l a i d ) , a n d V i r g in i a . m A la b a m a , N e w J e rse y , a n d R h o d e Is la n d . es K a n s a s , N e b r a s k a , N e w H a m p s h ir e , a n d W e s t V i r g in ia . ee A l a s k a , A r iz o n a , L o u is ia n a , N e w M e x i c o , a n d T e n n e s s e e . m C a lifo r n ia , C o lo r a d o , H a w a i i, I d a h o , I n d i a n a , I o w a , M a r y la n d , M a s s a c h u s e t t s , M ic h ig a n , M in n e s o t a (e m p lo y e r s e n g a g e d i n i n d u s t r ia l p u r s u i t s ) , M is s o u r i, M o n t a n a , N e w J e r s e y , N e w Y o r k , N o r t h D a k o t a , O h io , O k l a h o m a , O r e g o n , P e n n s y lv a n ia ( e x c e p t c a s u a l e m p l o y m e n t s ) , P o r t o R i c o , T e x a s , U t a h , V i r g in i a , W a s h i n g t o n , a n d W e s t V ir g in ia . 68 A l a b a m a , C o n n e c t ic u t , D e la w a r e , I l l i n o i s , K a n s a s , K e n t u c k y , M a in e , N e v a d a , N e w R h o d e I s la n d (e x c e p t p u b lic u t ilit ie s ), S o u th D a k o ta , a n d V e r m o n t. H a m p s h ir e , ACCIDENT REPORTING AND ACCIDENT PREVENTION. 125 ACCIDENT PREVENTION. Accident reporting and accident prevention are closely related. In fact, effective prevention of accidents depends largely upon a knowledge of their causes, frequency, and nature. A compensation commission, in the very nature of things, must receive reports of all compensable injuries, and that it is the only agency which does receive them is shown by experience. Furthermore, the problem of accident prevention is intimately connected with the whole theory and system of compensation. It would seem, therefore, that this important work might logically be undertaken b y the same agency that administers the compensation provisions. As a matter of fact, however, the practice of a large majority of the States has been in the opposite direction, as is shown by an examination of the chart. It will be noted that of the 34 States having the commission type of administration, 18 59 make no provision for accident-prevention work by the compensation commission. In 6 States 60 the commis sion is authorized to perform some safety work, but, with the excep tion of Colorado and Idaho, this power is very slight. In Colorado the commission has jurisdiction over all places of employment for the purpose of enforcing the safety statutes, but thus far the accident prevention work has been carried on by other agencies. This leaves only 10 States 61 in which all the safety work is done by the industrial commission. In fact, in all but three of these States 62 the entire body of labor laws is enforced by this one agency. SUMMARY COMPARISON. Thus far the principal features of the various compensation laws have been treated as individual units. In order to obtain a concise but comprehensive view of the relative importance or adequacy of the entire law in each of the several States it has been deemed advis able to bring together briefly in tabular form a summary of the most important features. These principal provisions include the per centage of employees covered, money benefits received, medical service, waiting period, percentage of wages, and weekly maximum and minimum compensation. It is impossible for the purpose of this study to work out an absolutely accurate comparison of the rela tive compensation benefits of the several States. However, as a fair indication of all of the compensation benefits, four typical items or injuries have been taken: (1) Death, (2) loss of major hand at the 69 C o n n e c t ic u t , D e la w a r e , H a w a i i, I o w a , K e n t u c k y , I ll in o i s , M a in e , M a r y la n d , M a s s a c h u s e t t s , M ic h ig a n , M is s o u r i, N e v a d a , O k l a h o m a , P o r t o R i c o , S o u t h D a k o t a , T e x a s , V i r g in i a , a n d W a s h i n g t o n . 60 C o lo r a d o , I d a h o , I o w a , O r e g o n , P e n n s y lv a n ia , a n d W e s t V ir g in i a . 61 C a lifo r n ia , I n d i a n a , M o n t a n a ( e x c e p t m in e s a n d b o i l e r s ) , N e w J e r s e y , N e w Y o r k , N o r t h D a k o t a , O h i 6 , U t a h , V e r m o n t , a n d W i s c o n s in . 62 C a lifo r n ia , M o n t a n a , a n d N o r t h D a k o t a . 126 COMPARISON OF COMPENSATION LAW S OF UNITED STATES. wrist; (3) total disability for a period of 4 weeks, and (4) total dis ability for a period of 13 weeks. The waiting period was deducted in computing the benefits for both of the disability items and for the loss of the hand in case compensation for temporary total disability was provided by law. The example taken was that of a married man, 35 years of age, receiving $21 a week, and having a dependent wife, 30 years of age, and three normal dependent children, 3, 6, and 9 years of age. In computing the life expectancy of the injured man or his widow the American experience table of mortality was used. The maximum benefits in each case have been given. The amounts computed for death include burial expenses where such are provided by law. It has been assumed that the loss of the hand resulted in a total disability of 26 weeks and a subsequent partial disability of 50 per cent for life. Several States have no schedules of specified injuries, and in such States the compensation for loss of the hand has be§.n based upon the given percentage of wages for the given number of weeks limited by the maximum amounts. In such States, together with those States which provide for a continuing partial disability in addition to the specified scale, both compensations have been given; i. e., compensation for total disability only and compensation for total plus partial disability. Compensation for total disability during the healing period has been included in the amounts given for those States which provide for such benefits. For the totaldisability accidents, as already noted, the waiting period in each case has been taken into consideration and deducted from the amount of the compensation. It has been the purpose to take an example which would be most typical of all States and conditions. It is admittedly true that the spe cific example and the four items taken will result in a higher scale for some of the States than would have resulted had a different example been taken or had the whole scale of compensation benefits been con sidered. For example, compensation for the death of a married man with three children would result favorably for such States as Nevada, North Dakota, Oregon, Washington, New York, and West Virginia, which pay compensation until the death or remarriage of the widow. The medical benefits were not taken into consideration in computing the money benefits for the cases cited. This provision is considered separately. For Oregon 10 per cent has been deducted from each of the compensation amounts. This 10 per cent represents the em ployees* contributions, each employee being required by law to con tribute 1 cent for each working day to the accident fund. As a matter of fact the employees’ contributions have amounted to some what less than 10 per cent. Perhaps it would seem unfair to Oregon to deduct this 10 per cent, because for individual injuries the whole S U M M A R Y CO M PARISO N . 127 amount of compensation is received. Rutr 011 the other hand, the employees must regularly contribute their share, and the resultant effect will be the same. In computing the money benefits no account has been taken of the present value of such benefits. A fixed lump sum paid outright at the time of the injury of course exceeds the present worth of the same amount paid in weekly installments over a period of years. In com paring the computed benefits, therefore, it is necessary to take this fact into consideration. In estimating the “ per cent of employees subject to act” as given in the table, all employees in employments covered by the compen sation law are included, assuming that all employers who may elect to come under the act have made such election. The figures, there fore, show the maximum possible inclusions under existing law* 3 4 .—COMPARISON OF BENEFITS PAID UNDER THE W O RK M EN ’S COMPENSATION LAW S OF THE SE VER A L STATES. M e d ic a l s e r v ic e . M o n e y b e n e fit s i n t y p i c a l ca ses. 3 3 .6 3 1 .2 D ea th . $3,250 4,800 3 .2 7 6 3 ,1 2 5 3 ,3 7 6 4,9 9 4 5 ,1 0 0 7,3 4 5 4 .0 0 0 3 .5 6 5 3 .8 8 0 3 .2 7 6 4,0 7 5 3 .5 6 5 M a in e ...................... 7 2 .9 3 ,5 0 0 M a r y l a n d .............. 4 5 .9 4,3 2 5 M a s s a c h u s e t t s ... 8 7 .8 4.0 0 0 M ic h ig a n ................ M in n e s o t a ............. M is s o u r i................. M o n t a n a ................ N e b r a s k a .............. N e v a d a .................. 83.1 7 9 .0 5 0 .9 7 0 .4 7 6 .2 3 ,7 8 0 3 .8 8 0 4 ,3 0 0 4 ,2 7 5 5 ,0 5 0 1 5,672 N e w H a m p s h ir e 5 6 .0 3 .0 0 0 N e w J e r s e y .......... N e w M e x i c o ____ N e w Y o r k ............ N o r th D a k o t a ... O h i o ....... ................. O k l a h o m a ............ O r e g o n .................... P e n n s y l v a n i a . .. 9 9 .8 3 0 .7 8 0 .1 4 6 .8 7 6 .3 3 5 .9 4 8 .7 3 ,2 5 0 3 ,5 4 0 1 5,647 17,582 5,1 5 9 (5) . 613,837 5 ,4 0 6 66.1 88.8 2,021 2 ,4 0 2 2 ,3 1 0 1 .8 9 0 1 .5 7 5 1 ,8 0 0 1 ,7 3 3 1 .5 7 5 2 2 ,6 7 8 1 .5 7 5 844 2 4 ,8 4 4 1 .8 9 0 2,100 2 ,6 7 4 1 .5 7 5 2 ,4 5 0 2 ,6 0 6 240 2 1 ,6 7 9 2 ,0 9 5 1,1 5 5 3 ,4 1 6 3 ,6 4 0 2 ,1 5 0 2,100 6 2 ,0 0 5 2,100 $163.80 136.50 21.00 $100 60 d a y s .. P e r io d a b o lis h e d i f d i s a b i li t y la sts . 5er c e n t f w ages. W e e k ly m a x im u m . 2 w eeks.. . . . d o .......... 4 w e e k s .............. 8 w e e k s .............. 25-60 50 $ 1 2 .0 0 -$ 1 5 .00 $ 5 .0 0 ...do....... O v e r 2 w e e k s .. 50 1 w eek. 10 d a y s . 1 w eek — 2 w eeks. . . 1 w eek — 2 0.8 3 O v e r 4 w e e k s .......... 4 w e e k s ...................... P a r t ia ll y d is a b le d . 4 .1 7 5 .0 0 5 .0 0 5 .0 0 3 .0 0 4 2.00 136.50 4 0.95 25.71 3 1.50 4 2.00 37.8 0 34.65 54.60 3 4.65 2 5.20 37.80 36.00 34.65 163.80 115.71 136.50 136.50 151.20 138.60 177.45 138.60 138.60 151.20 144.00 150.15 ........ d o ......... 8 w e e k s 3. . . 30 d a y s s . . . 4 w eeks — 50 d a y s ........ 90 d a y s ........ U n li m i t e d .. U n lim it e d , 32.40 145.80 30 d a y s 3 . . . a $100 21.00 115.50 U n li m i t e d .. $150 2 w e e k s ... 36.00. 162.00 2 w e e k s s .. . U n li m i t e d . 10 d a y s . . . . 3 7.80 42.00 4 2.00 90 d a y s ........ 42.00 5 9.63 163.80 168.00 182.00 115.50 182.00 193.80 20.00 110.00 3 0.86 138.86 115.50 182.00 182.00 168.00 1 36.50 6 1 4 7.4 2 138.86 21.00 21.00 2 8.00 5 6.00 4 2.0 0 4 2.00 6 4 5.36 30.8 6 U n lim it e d . 60 d a y s ........ U n lim it e d . 2 w eeks— U n lim it e d . U n li m i t e d . $200 U n lim it e d . $75 $150 U n lim it e d . . . . d o ............ 3 $200 . . . d o ............ a $100 $150 $100 $150 4 w e e k s ...................... . . . d o ............ 2 w eeks. . . 1 w eek — . . . d o ............ . . . d o ............ 10 d a y s . ____ do. 3 .... 8 w eeks — 2 w eeks — $100 U n li m i t e d .. 90 d a y s 3 .. . . $200 . . . d o ............ $200 .. . d o ............ $50 U n li m i t e d . 2 w eeks. . . 1 w eek — . . d o ............ O v e r 6 w e e k s .. 6 w eek s. 2 w eek s. , 3 $50 10 d a y s . . . . 2 w eeks. . . $50 U n li m i t e d . .. . d o ............ ____d o .............. 1 w e e k — 3 $200 .. . d o ............ 3 $100 .. - d o ............ 3 $250 N o n e ........... 3 $100 10 d a y s . . . . 3 w eek s. 6.00 $ 7 .0 0 -1 0 .0 0 5 .5 0 12.00 5 .0 0 3 .0 0 6.00 6.00 1 8.00 15.00 6.00 12.00 5 .0 0 66$ 10 . 00- 16.0 0 4 .0 0 - 7 .0 0 60 30-66§ 66§ 30-50 66 | 1 5 -6 6 i 14.0 0 15.0 0 15.0 0 1 2.5 0 1 5.0 0 9 .2 3 - 1 8 .4 6 7 .0 0 6 .5 0 50 O v e r 7 w e e k s .. O ver 1 w e e k . . 12.00 1 2 .0 0 - 1 5.0 0 1 3 .2 0 1 5 .0 0 15.0 0 50 2 w eeks. . . 4 w eek s 3 ... 2 w eeks — 60 d a y s s . . . . U n lim it e d .. ____ d o .......... 60 d a y s 3 .... U n li m i t e d .. 30 d a y s ........ 10.00 1 4 .0 0 - 18.0 0 1 5 .0 0 - 1 8.0 0 12 . 00- 2 1 .6 0 60 0)........ 1 w e e k ____ 6 w e e k s . ____d o . 65 50 50 15-60 25-60 20-55 50-65 55 60 60 65 25-55 W e e k ly m in im u m . 35-66§ 15-60 15-66§ 20- 66f 66| 50 (0 15-60 6.00 6.00 6.00 6 .9 2 10.00 12.00 6.00 6.00 12 . 00- 1 8.0 0 1 5 .0 0 - 2 0 .0 0 5 .0 0 20.00 6.00 1 2 .0 0 - 15.0 0 18.00 ( 7) 5 .0 0 12.00 8.00 ( 7) 6.00 STATES. 4.000 7 6 .2 6 3.1 8 1 .9 6 2 .9 9 2 .6 6 8 .7 5 5 .4 7 9 .4 6 2 .7 3 6 .9 6 0 .2 3 5 .2 $50.40 D u r a t io n . OF UNITED 5 2 .4 13 w e e k s . M a x im u m am ou n t. LAWS A r iz o n a .................. C a lifo r n ia .............. C o l o r a d o ................ C o n n e c t ic u t ......... D e la w a r e .............. H a w a i i ................... I d a h o ...................... I l l i n o i s .................... I n d i a n a .................. I o w a ......................... K a n s a s .................... K e n t u c k y ............. L o u is ia n a .............. S I, 890 2,4 0 0 273 2 4 ,0 0 0 2,8 5 3 1,0 4 0 1,911 1,6 5 9 2 ,5 6 2 4 w eeks. M a x im u m p e r io d . R a t e o f m o n e y b e n e fit s . OF COMPENSATION A la b a m a ................ A l a s k a .................... T o t a l d is a b ilit y a c c id e n t . L oss of hand.1 W a it i n g p e r io d . COMPAEISON S ta te . P er cen t of em p lo y e e s s u b je c t t o a ct. 128 T able 2 0 .5 R h o d e Is la n d . 8 2 .9 3 .0 0 0 S ou th D a k ota . T e n n e s s e e ......... T e x a s ................. U t a h ................... V e r m o n t ........... V ir g in ia ............. W a s h i n g t o n ... W e s t V irg in ia . W i s c o n s in ........ W y o m i n g _____ 5 8 .0 3 7 .2 4 7 .9 7 4 .4 5 5 .2 4 5 .6 5 1 .5 8 0 .1 7 5 .4 4 6 .3 3 .0 0 0 4 ,3 0 0 4 ,5 3 6 4>094 2 ,5 5 7 14,8 69 10,2 49 4 ,4 6 8 3 ,0 5 0 U n it e d S ta te s . 100.0 17,582 3,100 f \ 773\ 773’ 2 ,3 4 8 / 2 2,348 2,033 1,575 1,890 2,212 1,859 1,500 1,9 1 5 2,100 3 ,2 7 6 1,3 4 8 358 } 11,954 28.00 91.00 21.00 136.50 29.70 150.15 136.50 151. 20 158.40 126.00 U n lim it e d .. 4 >3eks — 3 6.3 5 3 1 .5 0 40.95 3 8.88 12 w e e k s . . . 30 d a y s ____ 2 w e e k s 3 ... U n li m i t e d .. 2 w e e k s ____ 110.00 30 d a y s ......... J57. 50 U n li m i t e d 8. 126. 00 ......... d o ........... 177.45 90 d a y s s . . . . 174.00 U n l i m i t e d . . 50.00 176 .00 21.00 3 7.8 0 4 5.0 0 3 1 .5 0 20.00 ......... d o ........... U n li m i t e d . N o n e ___ 50 7 .0 0 3 .0 0 ____ d o .............. 2 w eeks. O v e r 4 w e e k s .. 50 10 . 00- 14.0 0 4 .0 0 - 7 .0 0 10 d a y s . . 2 w eek s. 1 w eek .. 6 w e e k s .............. .........d o ................. 55 2 0-50 60 60 15-50 50 ( 7) 50 65 ( 9) 12.00 11.0 0 6 .5 0 5 .0 0 5 .0 0 7 .0 0 3 .0 0 5 .0 0 SI 50 $100 U n li m i t e d . $500 $100 U n li m i t e d . 8 U n li m i t e d . 3 d a y s ... 1 w eek .. 2 w eeks. 1 w eek.. O v e r 30 d a y s . $600 . . . d o ____ U n li m i t e d . $100 . . - d o -----10 d a y s . . U n li m i t e d . 3 d a y s ... O v e r 4 w e e k s .. O v e r 30 d a y s . . 10- 66| 15.0 0 16. 00 10 . 00- 1 2 .5 0 10.00 ( 7) 12.00 ( 9) 5 .0 0 6 .8 3 ( 9) 1 5.38 1 I t is a s s u m e d t h a t lo s s o f h a n d ca u se s d e c re a se o f 50 p e r c e n t in e a r n in g c a p a c i t y . 2 I n c l u d e s c o m p e n s a t io n fo r p a r t i a l d i s a b i li t y . 3 A d d i t i o n a l s e r v i c e i n s p e c i a l ca s e s o r i n d is c r e t io n o f c o m m is s io n . 4 O n e w e e k i n c a s e o f p e r m a n e n t t o t a l d is a b ilit y . 5 F a t a l a c c id e n t s n o t c o v e r e d . 7 .6 9 COM PARISON. 6 1 0 p e r c e n t d e d u c t e d t o c o v e r e m p l o y e e ’s c o n t r ib u t io n s . 7 M o n t h l y p e n s io n ; m a x i m u m , $50; m in i m u m , $10 t o $30. M a x im u m in c r e a s e d t o 60 p e r c e n t o f w a g e s fo r first 6 m o n t h s i n c a s e o f t e m p o r a r y t o t a l d i s a b i li t y . 8 E m p lo y e e s m u s t p a y o n e -h a l f o f m e d i c a l c o s t . * 9 M o n t h l y p e n s io n in ca s e o f t e m p o r a r y d is a b ilit y ; m a x i m u m , $60; m i n i m u m , $35. F i x e d a m o u n t s in o t h e r ca s e s . 129 (0 1 4 .6 3 StfMMARY 1 7 2 3 0 8 °— 2 0 — Bull. 275- P orto E ic o — 130 COMPARISON OF COMPENSATION -LAWS OF UNITED STATES. Table 35 shows the most advantageous and the least advantageous compensation provisions, from the viewpoint of the employee, in the various States: T able 3 5 . — E X T R E M E S O F L I B E R A L I T Y I N T H E C O M P E N S A T I O N P R O V I S I O N S O F T H E V A R IO U S S T A T E S . M o s t a d v a n t a g e o u s p r o v is i o n s . L e a s t a d v a n t a g e o u s p r o v is i o n s . N a t u r e o f p r o v is i o n . S t a te . P e r c e n ta g e o f e m p l o y e e s c o v e r e d . . . C o m p e n s a t i o n fo r d e a t h .......................... C o m p e n s a t i o n fo r lo s s o f h a n d ............ C o m p e n s a t i o n fo r 4 w e e k s ’ d is a b ilit y . C o m p e n s a t io n fo r 13 w e e k s ’ d is a b ilit y . M e d ic a l s e r v i c e ............................................. W a it i n g p e r i o d ............................................. W e e k l y m a x i m u m c o m p e n s a t i o n ... W e e k l y m in i m u m c o m p e n s a t i o n . ... A m o u n t or p ercen ta g e. N e w J e r s e y .......... 9 9 .3 p e r c e n t . N o r th D a k o t a ... j$ 1 7 ,5 8 2 . U n it e d S t a t e s ... N o r t h D a k o t a . . . S 3 ,6#0. N e v a d a .................. $ 5 9 .6 3 . N e v a d a . ................ 0) $193. SO. S t a te . P o r t o R i c o ............ O k l a h o m a , .......... V e r m o n t ................ C o l o r a d o ................ N e w H a m p s h ir e . V i r g in i a .................. P o r t o R i c o ............ N e w H a m p s h ir e . V i r g i n i a .................. A m o u n t or p ercen ta g e. 20.5 p e r c e n t . N on e. $ 2 ,5 5 7 . S I , 040. >$20. #91. j - l l 10 . U n lim ite d . O r e g o n .................... j-N o n e . P o r t o R i c o ........... C a lifo r n ia ............... $ 2 0 .8 3 . N o r t h D a k o t a . . . $ 20 . I l l i n o i s ................ S7-S1T). O k l a h o m a ............ 18. A r iz o n a ................... j N o n e . N e w H a m p s h ir e . ( 2) 2 w eek s. P o r t o R i o o ............ %7. H a w a i i .................... L o u i s i a n a .............. P o r t o R i c o ............ V e r m o n t ................ 33. 1 C a lifo r n ia , C o n n e c t ic u t , I d a h o , N o r t h D a k o t a , P o r t o R i c o , a n d t h e F e d e r a l G o v e r n m e n t . 2 A l a b a m a , A la s k a , A r iz o n a , D e la w a r e , I o w a , M a r y l a n d , M o n t a n a , N e w H a m p s h ir e , N e w N e w Y o r k , R h o d e I s l a n d , T e n n e s s e e , a n d V i r g in i a . M e x ico , It is obvious that no fixed form of analysis or summary presenta tion can give in complete detail the provisions of the laws under consideration. They relate not only to the compensation of ac cidents, but to accident reporting, safety provisions, the enforce ment of safety laws, the establishment of insurance systems, pre mium rates, investments, the scale of payments in cases of certain forms of negligence or their increase under certain conditions, procedure in arbitration, forms of appeal, and a great variety of subjects on which it would be impossible to generalize, and which can be discovered only by a reading of the individual statutes, though the use of the index to the laws will aid in this. The adop tion by a few States of laws generally similar can be clearly recog nized, but it is obvious that at the present time it can not be said that any one type of law is predominantly approved. Admitting that the question of State insurance is open to discussion, it can not be denied that some form of security of payments is desirable; and while constitutional limitations may appear to stand in the way of compulsory compensation systems, it is none the less certain that the welfare of both employer and employee, as well as the public interest generally, would be served by the general adoption of laws, just and certain in their operations, and not dependent for their acceptance on the personal views or interests of individuals or groups o f individuals. PRINCIPAL FEATURES OF LAWS OF THE UNITED STATES RELATING TO WORKMEN’S COMPENSATION AND INSURANCE. [C h a r t R e v is e d J a n . 1 , 1920.] Employm ents covered. IIow election is made. State. Insurance. Private. Public. B y employer. By employee. Presumed in absence of written notice filed w ith court and posted in establish ment. Presumed in absence of written notice to employer and filed w ith court. Compensation benefits. Suits for damages. Defenses abrogated if employer does not elect. If both employer and employee come un deract. Special contracts. Injuries covored. (6) All electing employers must re (a) N o provision. Chief mine inspector.2 port all accidents of over 2 weeks’ disability to compensation com missioner w ithin 15 days; sup plementary report after 60 days or upon termination of disability. Only in fatal cases involving no dependents; maximum, $150 for expenses between injury and death. N otice in 120 days; claim in 2 years. Courts. Voluntary agreement; disputed cases settled by courts. N o provision. Reasonable medical and burial expenses only in fatal cases in volving no dependents. N otice in 2 weeks; none required in case of death or in competence; action on claim w ithin 1 year. Courts. Voluntary agreement; disputed N o provision. cases settled by arbitration, refer ence to attorney general, and eventually by courts. If permanent, 65 per cent of wage Reasonable medical, surgical, and loss for fixed periods propor hospital treatment. tionate to disability: if tempo rary, 65 per cent of wage loss during disability; not over 240 weeks nor over 3 tim es annual earnings. Disfigurement com pensable. (a) 50 per cent of wages for 6 years; (a) (b) 50 per cent of wages during If permanent, 50 per cent of wages Reasonable medical, surgical, and m ultiplied by percentage of total hospital treatment for GO days; disability; weekly maximum, weekly maxim um $10, m ini disability, but not over $2,600; if maximum, $200; special operat $10; minimum, $5, or actual m um $5; total not over $3,125. temporary, 50 per cent ot wage ing fee of $50 in case of hernia; wages if less than $5. (b) Reasonable burial expenses; loss during disability; weekly also additional for dental serv maxim um, $75. maxim um, $10; total not over ice; maxim um, $100. $1,300. Specified injuries, 50 per cent of wages for fixed periods; weekly m axim um, $10. Facial disfigurement, maximum, $500. (a) Burial expenses, $100; 50 per (a) (6) 50 per cent of wages during 50 per cent of wage loss during dis Such medical, surgical, or hospital ability, not over 520 weeks; disability, not over 520 weeks; cent of wages for 312 weeks; treatment as deemed reasonable weekly maxim um, $14; m ini weekly maxim um, $18. Speci weekly maximum, $18; mini by attending physician; charges mum, $5. mum, $5. (6) Burial expenses, fied injuries, 50 per cent of lim ited to those prevailing in wages for fixed periods; weekly $100. the community. Special provi maxim um, $18; minimum, $5. sion for seamen on U nited States Notice in 30 days; claim in 6 months for disability, 1 year for death. Industrial accident commission. Voluntary agreement approved by commission; disputed cases re ferred to one or more referees appointed by commission and reviewed by commission; re hearing in certain cases; appeal to courts upon questions of law. All employers, attending physi cians. and insurers must report all injuries involving tim e loss or medical aid to industrial acci dent commission. Fatal in juries must be reported im m e diately. (a) Industrial accident commission. (6) Bu reau of labor statistics.2 Notice in 2 days; claim in 1 year; 18 months in case of minors or persons m entally incompe tent. Industrial sion. commis Voluntary agreement approved by commission; disputed cases de termined by commission, after hearing, upon application of either party; petition for rehear ing; appeal to courts upon ques tions of law . A ll employers must report all acci dents w ithin 10 days to indus trial commission. (a) Industrial commission. (6) Department of labor and factory inspection;2 inspectors of coal mines;2 bureau of m ines.2 Notice at once; claim in 1 year. Board of 5 compensa tion commissioners, each supreme in his own district. Voluntary agreement approved by commissioner; disputed cases settled by commissioner after hearing upon application of either party; appeals to courts. Assenting employers must report (a) No provision. (6) De all injuries of 1 day’s disability partment of labor and weekly to compensation commis factory inspection.2 sioner. 81.9 Connecticut. Death, 300 weeks. Per manent total disability, 550 weeks. Others, 300 weeks. (a) Expenses of last sickncss and burial, maximum, $100; 25 to 60 per cent of wages for not over 300 weeks; weekly m axim um , $12 to $15; minimum, $5, or ac tual wages if less than $5; total not over $5,000. (6) Expenses of last sickness and burial, m ax im um , $100. 2 weeks. None if dis ability continues for 8 weeks or more. 50 per cent for tempo rary total disability. Fixed lump sums m other cases. No provision. Temporary total disabil ity , 6 months. (a) $3,000 to widow or minor or phan; $600 to each child under 16 and to dependent parents; maxim um, $6,000. If single, $1,200 to each dependent parent. (6) $150 maxim um for burial ex penses; $150 for other expenses between accident and death. Personal injuries by accident aris ing out of and in the course of employment duo wholly or partly to a necessary risk of the employment or to failure of em ployer or any employee to exer cise due care or to comply w ith any law. Waivers forbidden----- Personal injuries arising out of and in the course of employment unless due to intoxication or in tentionally self-inflicted; in cludes injuries to artificiallimbs. Occupational diseases specifical ly included. 2 weeks. None if dis ability continues longer than 2 weeks. 50 per cent. No provision. D eath, 200 weeks’ earn ings, payable as court m ay order. Disability, during its continuance. (a) 2,400 tim es one-half average daily wages; maximum, $4,000. (6) Reasonable m edical and burial expenses. 1 w eek. 65 p ercen t. Maximum, $20.83. Mini mum, $4.17. D eath, 240 weeks. Per manent total disability, life. Temporary disabil ity , 240 weeks. (a) 3 years’ annual earnings; m ax im um , $5,000; minimum, $1,000. (b) Reasonable burial expenses; maximum, $100; and $350 to be paid into industrial rehabilita tion fund. Waivers fo r b id d e n , but approved hos pital fund m ay be maintained. 10 days.. 50 p ercen t. Maximum, $10. Mini mum: Death, $5; disa bility, $5, or actual wages if less than $5. D eath, 312 weeks. Per manent total disability, life. Temporary total and partial disability, during its continuance. 1 week. None if dis ability continues longer than 4 weeks. 50 per cen t. Maximum: Death and partial disability, $18; total disability, $14. Minimum, $5. Death, 312 weeks. Disa bility, 520 weeks. 2 weeks. None if dis ability continues for 4 weeks or more. Death, 15 to GO per cent. Disability, 50 per cent. Death: Weekly basic wage, Permanent total disabil ity , 475 weeks. Others, maximum, $30; mini 285 weeks. mum, $10. Disability: Maximum, $15; mini mum, $5, or actual wages if less than $5. (a) Expenses of burial and last sickness, maximum, $100; 25 to 60 per cent of wages to widow or de pendent widower for 285 weeks; weekly basic wage, maxim um, $30; minimum, $10. (b) Expen ses of burial and last sickness, m aximum, $100. (a) (5) 50 per ccnt of wages during disability, not over 475 weeks; weekly maximum, $15; mini mum, $5, or actual wages if less than $5; total not over $1,000. 50 per ccnt of wage loss for not over 285 weeks; weekly maxim um, $15. Specified injuries, 50 per cent of wages for fixed periods; weekly maximum, $15; mini mum, $5, or actual wages if less than $5. Reasonable medical, surgical, and hospital treatment for 2 weeks, if requested by employee or orderod by board; maxim um, $75. N otice in 14 days; if in 30 days, not barred except as to extent employer was prejudiced; bar absolute after 90 days. Claim in 1 year. Industrial board. accident Voluntary agreement approved by board; disputed cases settled by board after hearing; appeal to court. All assenting employers m ust re port all accidents to industrial accident board w ithin 10 days; supplementary report upon ter mination of disability. (a) No provision, provision. (6) No 62.! Delaware. 1 week. None in case of partial disability. D eath, 25 to 60 per cent. Total disa bility, GO per cent. Partial disability, 50 per cent. Death: Basic wage, m axi mum, $36; m inimum , $5. Total d is a b il it y : Maximum, $18; mini mum, $3, or actual wages if less than $3 in case of temporary disa bility. Partial disa bility: Maximum, $12. (a) Burial expenses, $100; 25 to 60 per cent of wages for 312 weeks; basic w eekly wage, maxim um, $36; minimum, $5; total, not over $5,000. (6) Burial ex penses, $100. (a) (6) 60 per cent of wages during disability, not over 312 weeks; weekly maxim um, $18: mini mum, $3, or actual wages if less than $3 in case of temporary dis ability; total not over $5,000. 50 per cent of wage loss during disability, not over 312 weeks; weekly m axim um, $12; total not over $5,000. Specified injuries. 50 per cent of wages for fixed periods. Facial or head dis figurement, maxim um, $5,000. Reasonable medical, surgical, and hospital service; m axim um $150; charges lim ited to those prevailing in the com m unity. Notice as soon as prac ticable; claim in 3 months. Industrial accident board for each county. V oluntary agreement approved b y board; disputed cases settled b y board or by arbitration com m ittee of 3 persons composed of representatives of each party and a member of board; review b y full board; appeal to courts. All employers m ust report all in juries of 1 day's disability or moro as soon as practicable to industrial accident board; sup plementary report at termina tion of disability or after 60 days; final report w ithin 60 days after term ination of dis ability. (a) No provision. provision. (6) N o 92.6 Hawaii. Elective, as to mining operations having 5 or moro employees. N o provision. N ot required. Arizona. Ch. 14 (extra ses sion). Approved June 8, 1912. In effect Sept. 1, 1912. New act, ch. 7,1913, amended, 1919. Compulsory, as to “ especially hazardous” employments enu merated . Voluntary, as to other employments. No provision. N ot required. California. Ch. 399. Ap proved Apr. 8, 1911. In effect Sept. 1, 1911. New act, ch. 176,1913. Amend ed, 1915. New act, ch. 586, 1917. In effect Jan. 1,1918. Amended, 1919. Compulsory, as to all employments except farm labor, domestic service, and casual employees not in usual course of employer’s business. Voluntary, as to ex cepted employments. Compulsory, as to all employees e x c e p t deputy clerks, dep uty sheriffs, and deputy constables serving without re muneration. Employers must in sure in the State fund or private com panies, or provide self-insurance. Colorado. Ch. 179. Ap proved Apr. 10, 1915. In effect Aug. 1,1915. Amend ed, 1917. N ew act, 1919. Elective, as to all employments ex cept those having regularly less than 4 employees, farm labor, domestic service, casual employ ees not in usual course of em ployer’s business. Voluntary, as to excepted employments. Compulsory, as to all employees e x c e p t elective officials and members of National Guard. Electing employers must insure in State f u n d or private companies, or pro vide self-insurance. Presumed in absence of written notice to commission; notice of acceptance or re jection to be posted. Presumed in absence of written notice to employer. Assumed risk due to employer’s negli gence, fellow service, and contributory negligence u n l e s s willful. Not permitted. Defenses remain, in cluding assumed risk. Connecticut. Ch. 13S. Ap proved May 29, 1913. In effect Jan. 1,1914. Amend ed, 1915,1917, 1919. Elective, as to all employments ex cept those having regularly less than 5 employees, outworkers, and casual employees. Volun tary, as to excepted employ ments. Elective, as to the State and all public cor porations h a v i n g regularly 5 or more employees. Volun tary, as to others. Electing employers must insure in pri vate companies, or provide self-insur ance. Presumed in absence of written notice. Presumed in absence of written notice. Assumed risk, fellow sorvice, and con tributory negligence. Permitted if employer fails to insure risk. Delaware. Ch. 233. Ap Elective, as to all employments ex proved Apr. 2, 1917. In cept those having less than 5 em effect Jan. 1,1918. Amend ployees, farm labor, domestic ed, 1919 service, outworkers, and casual employees not in usual course of employer’s business. E xcluded. Electing employers must insure in pri vate companies, or provide self-insur ance. Presumed in absence of printed notice to employees and filed w ith board. Presumed in absence of written notice to employer and filed w ith board. Assumed risk, fellow service, and con tributory negligence. Permitted if employer fails to insure risk. Defenses abrogated. Hawaii. No. 221. Ap Compulsory, as to all industrial proved. Apr. 28, 1915. In employments carried on for effect July 1,1915. Amend gain, except casual employees, those not in usual course of ed, 1917. employer’s business, and those receiving more than $36 a week from any one employer. Compulsory, as to all employees except elective officials or employees receiving more than $1,800 a year. Employers must in sure in private com panies, or provide self-insurance. Defenses remain........... Approved schemes Personal injuries arising out of and m ay be substituted in course of employment unless if benefits e q u a l due to willful and serious mis conduct or intoxication. Oc those of act. Physi cupational diseases specifically cally defective em ployees m ay waive included. right to compensa tion. Defenses r e m a i n . Approved substitute Personal injuries by accident aris ing out of and in course of em Suits not permitted schemes permitted ployment unless due to willful if injury due to will if benefits equal intention to injure self or an ful intention to in those of act. W aiv other, intoxication, failure to jure self or another, ers forbidden. use safeguards, violation of law, intoxication, willful reckless indifference to danger, failure to use safe or caused by third party for guards, violation of personal reasons. Occupational law, or reckless in diseases specifically excluded. difference to danger. Waivers forbidden___ Personal injuries by accident arising out of and in course of employm ent unless duo to w ill ful intention to injure self or another or to intoxication. Occupational diseases specifi cally included. Direct settlements between par ties if in “ substantial” con formity w ith law; court m ay ap prove a lesser amount if in in terest of employee. Disputed cases settled by courts. State. Maximum, $12 to $15. Minimum, $5, or actual wages if less tnan $5. Defenses remain......... Approved substitute schemes permitted. Agreements for re duction of compen sation benefits per m itted If approved by court. Assumed risk, fellow service, and contrib utory negligence un less willful or due to intoxication. Defenses remain, ex cept assumed risk growing out of em ployer’s violation of safety laws. Waivers forbidden— Personal injuries by accident aris ing out of and in course of em ployment unless due to intoxi cation, willful misconduct, in tention to injure self or another, inflicted by third party for per sonal reasons, or willful failure to use safety appliances, or obey safety laws or rules. Occupa tional diseases specifically ex cluded. Personal injuries by accident aris ing out ot and in the course of employment unless directly due to intoxication or willful inten tion to injure self or another. Permitted if benefits equal those of act. 1Including all employees in employments covered by the compensation law, whether or not the employers in elective States have accepted the act. N otice to employer Courts. Lim ited su w ithin 5 days; no pervision by com compensation if after pensation commis 90 days. Claim in 1 sioner. year. Total disability. (a) Permanent. (b) Temporary. Death, 25 to GO per cent. Disability, 50 to 00 per cent. Alaska. Ch. 71. Approved Apr. 29, 1915. In effect July 28, 1915. Amended 1917. 172308—20. (To face page 130.) No. 1. Reasonable medical, surgical, and hospital service for 60 days; longer at option of employer; maxim um, $100; charges lim ited to those prevailing in the com m unity. Death. (a) Dependents. (b) No dependents. Accident reports required. 2 weeks. None if dis ability continues for 4 weeks or more. Assumed risk, fellow N ot perm itted. service, and contrib utory negligence, un less employee is guilty of willful m is conduct as defined. N ot perm itted. How compensation claims are settled. Maximum period. Elective, as to employ N ot required. ees of State. Volun tary, as to employ ees of county, city, town, village, or school district. After injury, employee has option of accept ing compensation or suing for damages; if he sues, employer retains defense of contributory negli gence. Permitted if employer fails to insure risk. Defenses abrogated. Time for notice and Administrative system. claim. Maximum and minimum weekly compensation paym ents. Elective, as to all employments ex cept those having less than 16 employees, farm labor, domes tic service, casual employments not in usual course of employ er’s business. Voluntary, as to employments having less than 16 employees. N ot permitted. Per Accident-prevention work cent by—(a) Compensation of em commission. (6) Other ployees agencies. subject to act.1 Medical and surgical aid. Per cent of wages. If employer elects but employee rejects. Alabama. No. 2*15. Ap proved Aug. 23, 1919. In effect Jan. 1, 1920. Presumed in absence Presumed in absence of written notice of written notice served on employer filed w ith United and f i l e d w i t h States commissioner. U nited States com missioner. Waiting period. Personal injuries accidentally sus tained arising out of and in the course of employment unless intentionally inflicted by self or another. 312 weeks. Partial disability. (a) 50 to 60 per cent of wages for 50 to 60 per ccnt of wage loss during 400 weeks; weekly maxim um, disability for not over 300 weeks; weekly maximum, $12 to $15. $12 to $15; minimum, $5, or act Specified injuries, 50 to 60 per tual wages if less than $5; not cent of wages for fixed periods; over $5 thereafter for 150 weeks weekly maxim um, $12 to $15; in certain cases only; total not minimum, $5, or actual wages if over $5,000. (b) 50 to 60 per less than $5. cent of wages during disability; maxim um, 300 weeks; weekly m axim um, $12 to $15; minimum , $5, or actua 1wages i f less than $5. (a) $3,600; $1,200 additional if wife Lump sums based upon schedule of paym ents for permanent total and $600 for each child under 16. If single, $600 for each dependent disability proportioned to loss parent; m axim um , $6,000. (b) of earning capacity; maximum. 50 per cent of wages during disa $4,800. Specified injuries, fixed lum p sums, varying w ith conju bility; m axim um , 6 months. gal condition and number of children; disfigurement, $240 for loss of ear, $480 for loss of nose. (a) (b) 50 per cent of wages during 50 per cent of wage loss during disability; m axim um, $4,000. disability; m axim um . $4,000. (a) 65 per cent of wages for 240 weeks, then 40 per cent for life. (6) 65 per cent of wages during disability; not over 210 weeks nor over 3 tim es annual earnings. 2 Not provided for in compensation law. Alabama. (a) No commission. (6) Mine inspector (who is also ex officio labor com missioner).2 31.2 Alaska. (a) No commission. Mine inspector.2 52.4 Arizona. 76.2 California. (6) Colorado. How election is made. Employments covered. Insurance. State. Compensation benefits. Suits for damages. Defenses abrogated if employer does not elect. If both employer and employee come un der act. Special contracts. Injuries covered. If employer elects but employee rejects. Waiting period. Maximum and minimum weekly compensation paym ents. Maximum period. Death. (а) Dependents. (б) N o dependents. Total disability. (а) Permanent. (б) Temporary. Medical and surgical aid. Time for notice and Administrative system. claim. Public. Idaho. Ch. 81. Approved Mar. 16, 1917. In effect Jan. 1,1918. Compulsory, as to all em ploy ments conducted for gain except farm labor, domestic service, out-workers, casual employ m ent, charitable institutions, and employees receiving over $2,400 a year. Voluntary, as to excepted employm ents. Compulsory, as to all employees except officials, and those receiving a salary over $2,400. Employers must in sure in State fund or provide self-in surance. N ot permitted. Approved substitute schemes permitted if bjnefits e q u a l those of act; waivers forbidden. Personal injuries b y accident aris ing out of and in course of em ploym ent, unless due to w illful intention to injure self or an other, or intoxication. Occupa tional diseases specifically ex cluded. 1 week. D eath, 20 to 55 per cent. D isability, 55 per cent. D eath and temporary to ta l disability: Maxi m um $12. m inimum $6, or actual wages if.le ss than $8; others, m axi m um $12, minimum $6. Death, 400 weeks. Per manent to ta l disability, life. Temporary to ta l disability, 400 weeks. Partial disability, 150 weeks. (a) Burial expenses, m axim um, (a) 55 per cent of wages for 400 weeks; w eekly m axim um $12; $100: 45 to 55 per cent of wages minimum $6; thereafter $6 a to widow or dependent widower week for life, (b) 55 per cent of for 400 w eeks; w eekly m axi wages during disability; m axi mum $12; m inimum $6, or ac m um , 400 weeks; w eekly m axi tu a l wages if less than $6. (6) mum $12; minim um $6, or ac B urial expenses, m axim um tu al wages if less than $6. $100; also $1,000 to be paid into industrial administration fund. 55 per cent of wage loss, m axi mum 150 w’eeks; benefits and wages to be not less than $6 a week. Specified injuries, 55 per cent of wages for fixed periods; w eekly m axim um , $12. Dis figurement compensable if re sulting in decreased ability to obtain employm ent. Reasonable medical, surgical, and hospital service; hospital bene fit funds permitted in lieu of above. Charges lim ited to those prevailing in th e community. Notice as soon as prac Industrial board. ticable; claim in 1 year. accident Illinois. P. 3If. Approved June 10, 1911. In effect May 1, 1912. N ew act, p. 335, 1913. Amended, 1915, 1917,1919. Compulsory. as to “ extrahazard ous ” employm ents enumerated; farm labor, and persons not in usual course of employer's busi ness excepted. Voluntary, as to excepted employm ents. Compulsory, as to all employees except officials. Employers m ust in sure in private com panies, or provide self-insurance. Permitted if employer fails to insure risk. Defenses abrogated. A p p r o v e d sch em es permitted if benefits equal those of act. No waiver of pro visions of act as to amount of compen sation w ithout ap proval of board. Accidental injuries arising out of and in course of employm ent. 1 week. None if disa bility continues for 4 weeks or more. D isability, 50 to Go per cent. Maximum, $12 to $15. Minimum, $7 to $10. D eath, 416 weeks. Per m anent total disability, life. Permanent partial disability, 8 years. Tem porary disability, dur ing its continuance. (a) 4 years' earnings; maxim um, (a) 50 to 65 per cent of earnings for 8 years; weekly maxim um $12 $4,000; minim um , $1,850. (6) to $15; minim um $7 to $10; Burial expenses, maxim um, thereafter 8 per cent of death $150. benefits for life, minim um $10 a month. (&) 50 to 65 per cent of earnings during disability; w eekly m axim um , $12 to $15; m inimum , $7 to $10; total not over $4,000. 50 to 65 per cent of wage loss dur ing disability, not over 8 years; w eekly maxim um $12 to $15. Specified injuries, 50 to 65 per cent of wages for fixed periods; w eek ly m aximum, $12 to $15; m inimum , $7 to $10; disfigure m ent of hand, head, or face, maxim um one-fourth death benefits. First aid, medical, surgical, and hospital service fo r 8 weeks; maxim um, $200; full hospital service while compensation is payable; additiona 1medical and surgical aid as long as hospital treatment is required. Notice as soon as prac ticable, not later than 30 days; claim in 0 months. Industrial sion. commis Indiana. Ch. 106. Approved Mar. 8, 1915. In effect Sept. 1, 1915. Amended, 1917,1919. Compulsory, as to mining. Elec tive, as to a ll employm ents ex cept farm labor, domestic service, casual employees not in usual course of employer’s busi ness, and railroad employees engagedintrainservice. Volun tary, as to excepted employ ments. Compulsory, as to all employees. Electing employers m ust insure in pri vate companies, or provide self-insur ance. Presumed in absence of w ritten notice, posted or served, and filed w ith in dustrial board. Presumed in absence of written notice served on employer and filed w ith in dustrial board. Assumed risk, fellow Permitted if employer service, and con fails to insure risk. tributory negligence. Defenses remain........... A p p r o v e d sch em es permitted if benefits eaual those of act. A ll other waivers forbidden. 1 w eek___ D eath, total disabil it y , and specified injuries, 55 per cent. Partial disability, 50 per cent. Basic wage, m axim um, $24; m inimum , $10. Death and partial disabil ity , 300 weeks. T otal disability, 500 weeks. (a) Burial expenses, m axim um, $100; 55 per cent of wages for 300 weeks; weekly basic w a g em a x i mum $24; minim um $10; total not to exceed $5,000. (b) Burial expenses, m axim um $100. (a) (b) 55 per cent of wages during disability, not over 500 weeks; w eekly basic wage, m axim um $24; minim um $10; total not over $5,000. 50 per cent of wage loss during disability; not over 300 weeks; basic wage, maxim um $24; mini m um SI 0. Specifiedinjuries, 55 per cent wages for fixed periods; basic wage, m axim um $24; mini m um $10; permanent disfigure m ent, not over 200 weeks. Necessary medical, surgical, and hospital service for SO days; longer at option of employer; employee m ust accept unless otherwise ordered by board; 30 days’ additional treatm ent if necessary in opinion of board; charges lim ited to those pre vailing in th e community. Notice in 30 days; claim in 2 years. Industrial board... Iowa. Ch. 147. Approved Mar. 18, 1913. In effect July 1, 1914. Amended, 1917,1919. Elective, as to all employments except farm labor, domestic service, casual employees, those not in course of employer's busi ness, and clerks not subject to hazard of the industry. E lecting employers m ust insure in pri vate companies, or provide self-insur ance. Presumed in absence of notice posted in establishment and filed w ith industrial commissioner. Presumed in absence of written notice to employer and in d u str ia l com m issioner. Assumed risk, fellow service, and con tributory negligence unless willful and w ith inten t to cause injury, or due to intoxication. D eath: Maximum, $15; m inimum , $6. Disa bility: Maximum, $15; minimum $6, or actual wages if less than $6. Death and temporary to ta l disability, 300 weeks. Permanent to ta l disability, 400 weeks. (a) Burial expenses, m axim um, $100; 60 per cent of wages for 300 weeks; weekly maxim um $15; minimum $6. (6) Last sickness and burial expenses, m axim um $100. (a) 60 per cent of wages for 400 weeks; w eekly maxim um $15; minimum $6, or actual wages if less than $6. (&) Same for not over 300 weeks. Compensation increased b y two-thirds for 5th, 6th, and 7th weeks of disability. Specified injuries, 60 per cent of wages for fixed periods; pro portionate for others; weekly m axim um $15; minimum $6, or actual wages if less than $6. Reasonable medical,surgical, and hospital service for 4 weeks, if requested by employee, court, or commissioner; maxim um $100; $100 additional in excep tional cases. Notice in 15 days; if in 30 days, not barred except as to e x t e n t e m p lo y e r was prejudiced; bar absolute after 90 days. Industrial sioner. Kansas. Ch. 218. A p proved Mar. 14, 1911. In effect Jan. 1,1912. Amend ed, 1913,1917,1919. Elective, as to “ especially danger ous” em ploym ents enumerated conducted for gain except those having less th an 5 employees, farm labor, and those not in usual course of employer’s busi ness ; all m ines covered. Volun tary, as to excepted em ploy m ents. Elective, as to all em ploym ents except those having less than 3 employees, farm labor and domestic service. Voluntary, as to excepted employm ents. Compulsory, as to all employees except firemen and police men in pension funds (city school teachers exem pted b y ruling of com missioner). Elective, as to work men on county and m unicipal work. Personal injuries b y accident aris ing out of and in course of em ploym ent unless due to willful misconduct, intentional selfinflicted injury, intoxication, and willful failure to use safety appliances or to obey safety law s, or commission of a crime. Occupational diseases specifi cally excepted. Personal injuries arising out of and in course of employm ent, unless due to willful intention to injure self or another, intoxi cation, or willful act of a third party. Occupational diseases specifically excluded. Not required. Presumed in absence of notice posted in establishment and filed w ith secretary of sta te. Presumed in absence of written notice filed w ith employer and secretary of state. Assumed risk, fellow N ot permitted. service, and con tributory negligence. 1 w e e k ... Disability, 60 per cent. Disability: Maximum, $15; D eath, 3 years' earnings, minimum , $6. payable as court m ay Specifiedinjuries, 50 order. D isability, 8 per cent. years. (o) 3 years’ earnings; m axim um, $3,800; minimum , $1,400. (6) B urial expenses, maxim um, $150. (a) (b) 60 per cent of earnings dur ing disability, not over 8 years: weekly maxim um $15; mini m um $6. 60 per cent of wage loss during Reasonable medical, surgical, and hospital service for 50 days, if disability, m axim um 8 years; demanded by employee; m axi specified injuries, 50 per cent of mum, $150. wages for fixed periods; weekly m axim um $12; TninimnTn $6. Elective, as to all m u nicipal corporations having 3 or more employees. Volun tary, as to others. Electing employers m ust insure in Ken tu ck y Em ployees’ Insurance Associa tion or other private companies, or pro vide self-insurance. B y writing filed with the commission and posted in the estab lishm ent. B y signed notice filed w ith employer. Assumed risk, fellow service, and con tributory negligence. Personal injuries b y accident aris ing out of and in course of em ploym ent except when going to and from work, unless due to in toxication, deliberate intention to cause injury, or willful failure to use safeguards provided by statute or furnished b y em ployer. Personal injuries b y accident aris ing out of and in course of em ploym ent, unless self-inflicted, due to willful misconduct or in toxication. Occupational dis eases or injuries due to preexist ing disease excluded. 1 w eek. 65 per cent Kentucky. Approved Mar. 23, 1916. In effect Aug. 1, 1916,191S. B y employee. Permitted if employei fails to insure risk. Perm itted if injury is due to deliberate in tention of employer, u n law ful e m p loy m ent of minors, or failure to file evi dence as to insur ance. Defenses remain ex cept assumed risk if employer violates safety statutes; no presumption of em ployer’s negligence. A p p r o v e d sch em es permitted, but no reduction of liability allowed. A ll other waivers forbidden. Defenses remain un less injurv is caused by willful negligence of employer. A p p ro v ed sch em es permitted if benefits equal those of act. B lind e m p lo y e e s m ay waive right to c o m p e n s a tio n or damages. Defenses remain.. A p p ro v ed sch em es permitted if benefits equal those of act. Louisiana. No. 20. A p proved June 18, 1914. In effect Jan. 1,1915. Amend ed, 1916,1918. Elective, as to “ hazardous ” em ploym ents enumerated, or as agreed upon or determined by court, except employm ents not conducted for purpose of em ployer’s business. Voluntary, as to other em ploym ents. Compulsory, as to all employees except officials. N ot required................. Presumed in absence of written notice to employee. Presumed in absence of w ritten notice to employer. Assumed risk, fellow N ot permitted. service, and con tributory negligence. Maine. Ch. 295. Approved Apr. 1, 1915. In effect Jan. 1, 1916. Amended, 1917,1919. Elective, as to a ll em ploym ents, except those having regularly less than 6 employees, farm labor, domestic service, logging operations, casual employees, and those not in usual course of employer’s business. Volun tary, as to exem pted employees. Compulsory, as to all employees of State, counties, and cities, except officials. Vol untary, as to towns. Electing employers m ust insure in pri vate companies or provide self-insur ance. Writing filed w ith c o m m is s io n a n d posted in establish ment. Presumed, if employer elects, in absence of w ritten notice to employer filed w ith commission. Assumed risk, fellow N ot perm itted.............. Defenses remain......... service, and con tributory negligence. Defenses rem ain... 1 Including all employees in employments covered by the compensation law, whether or not the employers in elective States have acccpted the act. 172308—20. (To face page 130.) No. 2. Per cent of wages. No contract m ay re lieve employer from liability. E xisting approved schemes m ay be continued; waivers forbidden. 2 weeks. Personal injuries b y accident aris 1 week. None if disa bility continues for ing out of and in course of em C weeks or more. ploym ent, unless due to willful intention to injure self or an other, intoxication, deliberate failure to use safeguards, or de liberate breach of safety laws. Occupational diseases specifi cally excluded. Personal injuries b y accident aris 10 days.. ing out of and in course of em ploym ent unless duo to willful inten tion to injure self or an other, or intoxication w ithout employer's knowledge. ) p ercen t............ Death, 25 to 55 per cent. D isability, 55 per cent. 60 per cent. Maximum, mum, $5. $12. Mini- D eath, 335 weeks. Total (a) Burial expenses, maxim um $75; 65 per cent of wages for 335 disability, 8 years. Par weeks; weekly maxim um $12; tial disability, 335 weeks. minimum $5; to ta l not over $4,000. (6) Burial expenses, maxim um $75; and $100 to representative of deceased. Maximum, $18. Mini mum $3, or actual wages if less than*$3. D eath, 300 weeks. Per manent total disability, 400 weeks. Temporary to ta l and partial disa bility, 300 weeks. (a) Expenses of burial and last sickness, maxim um $100; 25 to 55 per cent of wages for 300 w’eeks; weekly m axim um $18; minimum $3, or actual wages if le ss than $3. (6) Expenses of burial and la st sickness, m axi m um, $100. Maximum, $15. m um , $6. D eath, 300 weeks. Total disability, 500 weeks. Partia 1 disability, 300 weeks. (a) 60 per cent of wages for 300 weeks, but not over $3,500; weekly m axim um, $15; mini m um , $6. (6) Expenses of burial and last sickness, m axi m um , $200. Mini- If permanent. 65 per cent of wases m ultiplied by percentage of dis ability; if temporary, 65 per cent of wage loss; maximum period 335 weeks; w eekly m axi m um $12; to ta l not over $4,000. Specified injuries, 65 per cent of wages for fixed periods; weekly m axim um $12; minim um $5. Compensation for disfigurement if it impairs future usefulness or occupational opportunities. (a) 55 per cent of wages for 400 55 psr cent of wage loss during disability, not over 300 weeks; weeks; weekly m axim um , SIS; w eekly maxim um $18. Speci m inim um $3, or actual wages if less than $3. (6) 50 per cent fied inj uries, 55 per cent of wages of wages during disability, not for fixed maxim um periods; over 300 weeks; w eekly m axi w eekly m axim um $18, m ini mum $18; minim um $3, or ac m um $3, or a ctu al wages if less tu al wages if less than $3. than $3. Facial or head disfig urement, not over 100 weeks. (a) (b) 60 per cent of wages during 60 per cent of wa^e loss during disability, not over 500 weeks; disability, w eekly maxim um, weekly m axim um , $15; m ini $15 for not over 300 weeks. m um , $6; to ta l not over $4,200. Specified injuries, 60 per cent of wages for fixed periods; there after 60 per cent of wage loss for not over 300 weeks; weekly m axim um , $15; minimum , $6. (a) (b) 65 per cent of wages during disability, not over 8 years; w eekly maxim um $12; mini mum $5; to ta l not over $5,000. Accident reports required. Partial disability. Private. B y employer. now compensation claims are settled. Reasonable medical, surgical, and hospital service for 90 days, un less board fixes other period; maxim um $100; m axim um in case of operation for hernia, $200; charges lim ited to those pre vailing in the community. Per Accident-prevention work cent by—(a) Compensation of em commission. (6) Other ployees agencies. subject to a ct.1 V oluntary agreement approved A ll employers m ust report all ac (a) Industrial accident cidents of 1 day’s disability to by board; disputed cases m ay board. (6) Inspector of industrial accident board w ith m ines.2 be subm itted to arbitration in 48 hours; supplem entary committee of 3 persons, ap report after 60 days or upon pointed b y board, composed of termination of disability; final representatives of each party report w ithin 60 days after and member of board or dep termination of disability. uty; review b y full board; appeal to court upon questions of law . V oluntary agreement, 7 days after A ll employers w ithin provisions (a) No provision. (&) De partm ent of labor;2 of act m ust report a ll injuries injury; disputed cases settled mine inspector.2 of more than 1 week’s disability by arbitrator appointed b y com to industrial commission; fa ta l mission; in case of death or per manent disability, b y arbitra accidents at once; others once a m onth; supplem entary report tion committee of 3 persons composed of representatives of of permanent disability cases. each party and a commissioner, upon application of either party; review b y full commis sion; appeal to courts upon question of law. Voluntary agreement, 7 days after A ll employers m ust report all in- (a) Industrial board. (6) j uries of more than 1 day’s dis No provision. injury, approved b y board; dis ability w ithin 1 week to indus puted cases settled b y board or trial board; supplem entary re member thereof, after hearing port after 60 days or upon upon application of either party; termination of disability. review by full board; appeal to courts upon questions of law. State. 68.7 Idaho. 55.4 Illinois. 7 9 .4 Indiana. Voluntary agreement, 12 days after injury, approved b y com missioner; disputed cases settled by arbitration com m ittee of 3 persons composed of represent atives of each party and the commissioner; review b y com missioner. A ll employers must report all ac cidents of more than 1 day’s disability w ithin 48 hours to industrial commissioner; sup plementary report after 60 days or upon termination of disabil ity . (a) No provision, (b) B u reau of labor ^statistics;2 mine inspectors.2 6 2 .7 Iowa. Voluntary agreement; disputed cases settled by local arbitration committee representing each party or b y an arbitrator se lected b y committee; in case of failure, b y an arbitrator ap pointed b y court, or by court. A ll employers affected b y act m ust report annually to factory inspector “ such reasonable par ticulars as to accidents as State factory inspector m ay require.” (a) No commission; (5) department of labor and industry.2 36.9 Kansas. Notice as soon as prac Workmen’s compen V oluntary agreement approved by board; disputed cases settled ticable; claim in 1 sation board. year. by board, a member of sam e, A ll employers subject to act m ust report all injuries of more than 1 day’s disability to workmen’s compensation board w ithin 1 week; supplem entary report after 60 days or upon termina tion of disability. (a) No provision. (&) Mine inspectors;2 Kentucky Em ployees' Insurance Association. GO. 2 Kentucky. com m is Notice in 10 days; Courts. claim in 6 months. or referee appointed by it; re view by full board; appeal to courts. Reasonable medical, surgical, and Notice in 6 months; hospitalservice unless employee proceedings must be refuses to allowi t to be furnishbegun w ithin 1 year. edbyemployer; maximum,$150; charges governed by workman’s station. Courts. Voluntary agreement approved by court; disputed cases settled by court after hearing. N o provis (a) N o commission. (6) Now Orleans factory in spector.2 35.2 Louisiana. Reasonable medical and hospital service fo r SO days, m axim um , $100; additional service if na ture of injury requires. Industrial accident commission. Voluntary agreement approved by commission; disputed cases settled by commissioner after hearing upon application of either party; appeal to court upon questions of law. A ll assenting employers m ust re port a ll accidents promptly to industrial accident commission; insurers m ust furnish informa tion requested by commission or insurance commissioner. (a) No provision. (6) D e partment of labor and industry.2 7 2 .9 Maine. * Not provided for in compensation law. Notice in 30 days; claim in 1 year. How election is made. Employments covered. Insurance. State. Maryland. Ch. 800. Ap•proved Apr. 16, 1914. In effect N ov. 1,1914. A m end ed, 1916. Massachusetts. Ch. 751. Ap proved July 28, 1911. In effect July 1,1912. A m end ed, 1912, 1913. 1914, 1915, 1916,1917,1918,1919. Michigan. No. 10. Approved Mar. 20, 1912. In effect Sept. 1, 1912. Amended, 1913,1915,1917,1919. By employer. B y employee. Suits for damages. Defenses abrogated if employer does not elect. If both employer and employee come un der act. Private. Public. Compulsory, as to “ extrahazard o us” employm ents enumerated conducted for gain; act does not apply to farm labor, dom estic service, country blacksmiths, wheelwrights, or sim ilar rural em ploym ents, casual em ploy ees. and those receiving over $2,000 a year. Voluntary, as to nonhazardous employm ents. Elective, as to a 11employm ents, ex cept farm labor, dom estic serv ice, and persons not in usual course of employer’s business. Voluntary, as to excepted em ploym ents. Compulsory, as to all workmen employed for wages and en gaged in extrahaza r d o u s em ploy ments. Voluntary, as to other employ ments. Employers m ust in sure in State fund or private companies, or provide self-in surance. Compulsory, as to lab o r e r s , workmen, and mechanics of State. Elective, as to counties, cities, towns, or districts having power of tax ation. Elective, as to all employm ents, ex Compulsory, as to all employees, except cept farm labor, dom estic serv officials. ice, and employees not in usual course of employer’s business. E 1 e c ting employers m ust insure in Mas sachusetts Employ ees’ Insurance Asso ciation or other pri vate companies. B y subscrib i n g t o State association or insuring in o t h e r companies. Presumed in absence of written notice, if employer insures. Assumed risk, fellow service, and contrib utory negligence. N ot permitted.. Electing e m ^ lo y e r s m ust insure in State fund or p r i v a t e companies, or pro vide self-insurance. W riting filed w ith in dustrial a c c i d e n t board. Presumed in absence of written notice, if employer elects. Assumed risk, fellow service, and contrib utory negligence. Permitted if employer is in default on in surance premiums. Presumed in absence of written notice posted in establish m ent and filed w ith commissioner of la bor. Presumed in absence of w ritten notice to employer and filed w itn commissioner of labor. Assumed risk, fellow service, and contribu t o r y negligence unless willful. N ot perm itted. If employer elects but employee rejects. Compensation benefits. Special contracts. Injuries covered. W aiting.period. Per cent of wages. Maximum and m inimum weekly compensation paym ents. Maximum period. Total disability. (a) Permanent. (b) Temporary. Partial disability. 50 percent. Death: No weekly m axi m um . T otal disability: Maximum, $12; m ini mum, $5, oractual wages if less than $5. Perma nent partial disability: Maximum, $12. Death, 416 weeks. Per manent total disability, life. Temporary total disability, 312 weeks. (a) Burial expenses, m axim um , $75; 50 per cent, of wages for 8 years; m axim um , $4,250; m ini mum , $1,000. (b) Burial ex penses, m axim um , $75, unless estate sufficient to defray same. (a) 50 per cent of wages for life; weekly m axim um , $12; m ini mum, $5, or actual wages if less than $5; to ta l not over $5,000. (b) 50 per cent of wages during disability, not over 6 years; weekly m axim um , $12; mini mum, $5. or actual wages if less than $5; total not over $3,750. If permanent, 50 per cent of wage loss; w eekly m axim um , $12; to ta l not over $3,000. If tempo rary, 50 per cent of wage loss, total not over $3,500. Specified injuries, 50 per cent of wages for fixed periods; weekly m axim um, $12; to ta ln o t over $3,000. Such m edical, surgical, or hospi ta l service as m ay be required by commission: m axim um , $150. Charges lim itedto those prevail ing in the com m unity. Notice of accident in 10 days; of death in 30 days, unless suffi cient reason; claim in 30 days. Industrial a c c i d ent commission. Application by employee to com mission who render award in ac cordance w ith facts, or com m is sion m ay appoint arbitration com m ittee of 3 persons composed of representatives of each party and a commissioner or deputy; appeal from com m ittee to com mission; appeal to courts. All employers m ust report all acci dents to industrial accident com mission a t once. Commission m ay require additional reports. Defenses remain......... W a i v e r s forbidden; employers m ust in sure. Personal injuries arising out of and in course of em ploym ent, unless due to serious and willful m is conduct. (Occupational diseases included by decision of court.) 10 days.. 66§ p ercen t.................. D eath and specified in juries: M aximum, $10; m inim um , $4. Others: Maximum, $16; m ini mum, $7. Death and total disabil ity , 500 weeks; partial disability, none. (a) (b) 661 percent of wages during disability, not over 500 weeks; weekly m axim um , $16; m ini m um , $7; total not over $4,000. Notice as soon as prac ticable; claim in 6 months. Industrial a c c i d ent board. Voluntary agreement approved by board; disputed cases set tled by member of board; ap peal to full board; certain cases taken direct to board; appeal to court upon questions of law. E xisting schemes m ay be continued, but no reduction in lia bility a l l o w e d ; waivers forbidden. Personal injuries arising out of and in course of em ploym ent, unless due to intentional and willful misconduct. (Occupationaldis eases excluded by court.) 1 week. N one if dis ability continues 6 weeks or more. 60 p ercen t. M aximum, m um, $7. Mini Death, 300 weeks. D is ability, 500 weeks. 66? per cent of wage loss during disability; w eekly m axim um , $16; total not over $4,000. Speci fied injuries, 66$ per cent of wages for fixed penods in addi tion to all other compensation; weekly m axim um , $10; m ini m um, $4. 60 per cent of wage loss during disability, for not over 500 weeks; w eekly m axim um , $14. Specified injuries, COper cent of wages for fixed periods; weekly maxim um , $14; minim um , $7. Reasonable medical, surgical, and hospital service for % weeks, or longer in unusual cases, at dis cretion of board. Defenses remain.. (a) 66? per cent of wages for 500 weeks; weekly m axim um , $10; m inimum , $4; to ta l not over $4,000. (b) Expenses of burial and last sickness, m axim um , $100; and $100 additional to cre ate special fund for second in juries. (a) CO per cent of wages for 300 weeks; weekly m axim um , $14; minimum , $7. (b) Expenses of burial and last sickness, m axi mum, $200. Reasonable medical and hospital service, for 90 days. Notice in 3 months: claim in 6 months; 2 years if disability develops 6 months after date of injury. Industrial a c c i d ent board. All employers m ust report all in (a) N o p r o v i s i o n . (b) juries to industrial accident Board of labor and in Doard w ithin 48 hours; supple dustries:2 district po m entary report after 60 days or lice, M a s s a c h u s e t t s Employees’ In su ra n ce termination of disability: in surer m u st report compensa Association. tion paid w ithin 60 days after termination of disability. A ll employers m ust report a ll in (a) N o p r o v i s i o n . (b) juries to industrial accident Department of labor.* ooard on eighth day after occur rence; supplem ental report of deaths 'within 14 days. Employer m ay insure or m aintain fund, but m ay not reduce liability fixed by law . Personal injuries by accident aris ing out of and in course of em ploym ent, unless intentionally self-inflicted, duo to intoxica tion, or caused by fellow em ployee for personal reason. (Oc cupational diseases excluded by im plication.) 1 w eek. D eath, 30 to 6C§ per c e n t . D isability, 66§ per cent. Maximum, $15. Mini m um , $6.50, or actual wages if less than $6.50. D eath, 300 weeks. Per manent total disability, 550 weeks. Temporary total and partial disabil ity , 300 y eek s. (a) Burial expenses, m axim um , $100: 30 to 66$ per cent of wages for 300 weeks; weekly m axim um, $15; m inimum , $5.50, or actual wages if less than $6.50. (b) Expenses of burial and last sick ness, m axim um , $100; and $100 additional to create special fund for second injuries. 66? per cent of wage loss during disability, fornot over 300 weeks; weekly m axim um , $15. Speci- Reasonable m edical and surgical treatment for 90 days; m axim um, $100; upon request of employee, court m ay allow additional treatm ent, if need is shown. Charges lim ited to those pre vailing in the com m unity. Notice in 14 days; if in 30 days not barred except as to extent employer was preju diced; bar absolute after 90 days. Actionmust be brought w ithin 1 year. L im ited supervis i o n by commissioner of labor; disputed cases settled by courts. Death, 300 weeks. Per manent total disability, life. Temporary total and permanent partial disability, 400 weeks. Temporary partial dis ability, 200 weeks. (a) Burial expenses, m axim um , $100; 66$ per cent of wages for 300 weeks; weekly m axim um $15, m inim um $6. (b) Burial expenses, m axim um , $100, and expenses of last sickness, m axi m um , $200. (a) 66$ per cent of wages for 400 weeks; w eekly m axim um , $15; m inimum , $6.50, or actual wages if less than $6.50; not over $6.50 thereafter for 150 weeks. (b) 66$ per cent of wages during dis ability, for not over 300 weeks; weekly m axim um , $15; mini mum, $6.50, or actual wages if less than $6.50. (a) 66$ per cent of wages for 240 weeks; 40 per cent of wages thereafter for life; weekly m axi mum $15, minim um $6. (b) 66$ per cent of wages during dis ability for not over 400 weeks; weekly m axim um , $15; m ini mum, $6, or actual wages if less than $6. Voluntary agreement approved by board; disputed cases settled by arbitration com m ittee of 3 per sons composed of representa tives of each party and a m em ber or deputy of board; appeal from com m ittee to full board; certain cases taken direct to board; appeal to court upon questions oflaw . Voluntary agreement approved by A ll industrial employers m ust re port fatal and serious accidents, court; commissioner of labor, within 48 hours, other tabulatupon request, shall advise em able accidents w ithin 14 days to ployee and assist in adjusting commissioner of labor. differences; disputed cases set tled by court; appeal to supreme court upon questions of law. If temporary, 66$ percent of wage loss for not over 200 weeks; weekly m axim um $12. Speci fied injuries, 66$ per cent of wages for fixed periods; others proportionate, but not over 400 weeks; weekly m axim um , $15; minim um , $6. Disfigurement, TnnTiTnnm, $750. Reasonable medical, surgical, and hospital service for 8 weeks; m axim um $200; charges lim ited to those prevailing in the com m unity. N otice as soon as prac ticable; claim in 6 months. Workmen’s compen sation commission. Voluntary agreement after 7 days approved oy commission; dis puted cases settled by commis sion or any member or referee thereof; review by full commis sion; appeal to courts on ques tions of law. D eath, 400 weeks. Per m anent total disability, life. Temporary total disability, 300 weeks. Partial disability, 150 weeks. (a) Burial expenses, m axim um , $75; 30 to 50 per cent of wages for 400 weeks; weekly m axi m um , $12.50; minimum , $6, or actual wages if less than $6. (b) Burial expenses,m axim um , $75. (a) 50 per cent of wages for 400 weeks; weekly m axim um ,$12.50; minimum , $6, or actual wages if 1ess than $6; thereafter $5 a week for life. (6) 50 per cent of wages during disability, for not over 300 weeks; weekly m axim um , $12.50; m inim um , $6, oractual wases if less than $6. (a) (b) 66$ percent of wages for 300 weeks; w eekly m axim um , $15; minimum , $6, or actual wages if less than $6; thereafter 45 per cent of wages during disability; weekly m axim um , $12; m ini m um , S4.50, or actual wages if less than $4.50. 50 per cent of wage loss, m axi m um , 150 weeks if permanent, 50 weeks if temporary; weekly benefits not over $6.25. Speci fied injuries, 50 percent of wages for fixed periods; w eekly m axi m um , $12.50; minim um , $6, or actual wages if less than $6. Reasonable medical and hospital service for 2 weeks; m axim um . $50, unless there is a hospital fund; special operating fee of $50 in case of hernia. Notice in 60 days; claim in 6 months. Industrial a c c i dent board. Reasonable m edical and hospital 66$ per cent of wage loss for not service unless employee refuses over 300 weeks; weekly m axi such treatment; m axim um, $200; m um , $15. Specified injuries, employer not liable for aggra 66$ per cent of wages for fixed vation of injury for which he is periods; w eekly m axim um , $15; not allowed to furnish medical minimum , $6, or actual wages if service. less than $6. Disfigurement, 25 weeks for loss of ear, 50 weeks for loss of nose. Reasonable medical, surgical, or If permanent, 50 per cent of wages hospital treatm ent for 90 days, lor periods proportioned to disa which m ay be extended to 1 bility, m axim um , 100 months: year by commission. Trans m onthly m axim um , $60. If portation furnished. Charges temporary, 60 per cent of wage lim ited to those prevailing in loss, for n ot over 60 months; com m unity. monthly m axim um , $40. Speci fied injuries 50 per cent of wages for fixed periods; monthly m axi m um , $60; m inim um , $30. r a cial disfigurement, not over 12 months. * Not provided for in compensation law. N otice a s soon a s prac ticable; claim in 6 months; bar abso lute after 1 year. N otice of injury in 30 days; death in 60 days; claim in 90 days for disability; 1 year for death. $14. N ot required., Missouri. Approved Apr. 28, 1919. Elective, as to all employm ents ex cept those having regularly less than 5 employees, farm labor, domestic service, including fam ily chauffeurs, casual em ploy ments not incidental to em ployer’s business, outworkers, and employees receiving over S3,000 a year. Voluntary, as to excepted employm ents. Compulsory, as to State and political su b d iv isio n s a n d c o r p o r a tio n s , but elective as toem plovees thereof. Offi cials and employees earning over $3,000 a year excluded. Electing e m p 1 o yers m ust insure in pri vate companies or provide self-insur ance. Presumed in absence of written notice, filed w ith the com mission and posted in establishment. Presumed in absence of w ritten notice to commission and em ployer. Assumed risk, fellow service, and contrib utory negligence. N ot permitted unless employer fails to in sure risk. Defenses rem ain.. Approved s c h e m e s ' permitted if benefits equal those of act. Waivers forbidden. Personal injuries b y accident aris ing out of and in course of em ploym ent unless due to willful misconduct including self-in flicted injury, intoxication, and willful failure to use safety appli ances or to obey safety laws or rules. Occupational diseases specifically excluded. 1 week. N one if dis ability continues for more than 6 weeks. M o n t a n a . Ch. 96. Ap proved Mar. 8, 1915. In effect July 1,1915. Amend ed, 1919. Elective, as to “ inherently hazard ous” employments enumerated, except farin labor, domestic service, and casual employees (defined as not in usual course of of employer’s business.) Volun tary, as to nonhazardous em ploym ents, but insurance in State fund necessary. Elective, as to all employm ents ex cept farm labor, dom estic serv ice, outworkers, casual em ploy ees, and these not employed for employer’s business or profit. Voluntary, as to excepted em ploym ents. Compulsory, as to all employees, i n c luding those of public contractors. Electing e m p lo y e r s m ust insure in State f u n d o r p r iv a te companies, or pro vide self-insurance. W r i t i n g filed with board and posted in establishment. Presumed in absence of written notice to employer and filed witn board. Assumed risk, fellow service, and contribu t o r y negligence unless willful. Perm itted if employer in State fund is in default on insurance premiums. Defenses rem ain.. Waivers forbidden; hospital fund m ay be maintained. Injuries from fortuitous event aris ing out of and in course of em ploym ent. Occupational dis eases specifically excluded. 2 w eeks. Compulsory, as to all em ployees e x c ep t officials. Electing e m p 1o y ers m ust insure in pri vate companies, or provide self-insur ance. Presumed in absence of notice posted in establishment and filed w ith compens a t io n c o m m is sioner. Presumed in absence of notice to em ployer and filed with compensation com missioner. Assumed risk, fellow service, and contrib utory negligence un less willful or due to intoxication. Permitted if employer fails to insure risk. Defenses abrogated. Defenses remain.. Existing schemes m ay be continued if bene fits equal those of act. Waivers for bidden. Personal injuries by accident aris ing out of and in course of em ploym ent, unless duo to willful negligence (deliberate and reck less indifference to safety or in toxication). Occupational dis eases specifically excluded. 1 week. N one i f disa bility continues for 6 weeks or more. 6C§ p ercen t............ Maximum, $15. Mini m um , $6, or actual wages if less than $6. D eath, 350 weeks. Per manent total disability, life. Temporary total disability, during its continuance. P a r t i a l disability, 300 weeks. (a) Expenses of burial, m axim um , $150; 66$ per cent of wages for 350 weeks; weekly m axim um , $15; minimum, $6, or actual wages if less than $6. (b) Expenses of burial, m axim um , $150. Elective, as to all employments ex cept farm labor, domestic serv ice, and casual employees not in usualcourse of employer’s busi ness. Voluntary, as to exem pted employments. Compulsory, as to all employees, includ ing those of public contractors. E l e c t i n g employers m ust insure in State fund. W r i t i n g filed with commission; notice of rejection to be posted in establish ment. Presumedi n absence of notice to employ er and filed w ith commission. Assumed risk, fellow service, and contrib utory negligence un less willful or due to intoxication. Permitted if employer is in default on in surance premiums. Defenses remain ex cept assumed risk due to employer’s violation o f safety laws; no presump tion of employer’s negligence. Waivers fo r b id d e n . Hospital fund m ay be maintained. Personal injuries by accident aris ing out of and in course of em ploym ent, unless due to willful intention to injure self or an other, or sustained while intoxi cated. 1 week. None I f disa bility continues for 2 weeks or more. Death, 15 to 60$ per Death: Maximum basic cent. T otal and wage. $120 a month. temporary p a r t ia l Disability: M o n t h l y disability, 60 per m axim um , $40 to $72; m in im u m , $30. cent;permanent par tial and specified in juries, 50 per cent. Death, during life or until remarriage of widow or d e p e n dent widower. T otal disability, during its continuance. Partial disability, 100 months. (a) Burial expenses, m axim um , $125; widow or dependent w id ower, 30 per cent of wages until death or remarriage; 10 per cent additional for each child; total not over 6G$ per cent; m onthly maxim um basic wage, $120. Also burialcxpenses, maxim um $125, in case of death of depend ent. (b) Burial expenses, m axi mum, $125. Nevada. Ch. 183. Approved Mar. 24,1911. In effect July 1, 1911. N ew act, ch. I l l , 1913. Amended, 1915,1917, 1919. i Including all employees in employments covered by the compensation law, whether or not the employers in elective States have accepted the act. 172308— 20. (To face page 130.) No. 3. Accident reports required. Per Accident-prevention work cent by—(a) Compensation of em commission. (b) Other ployees agencies. subject toact.i 2 weeks; 1 week if dis ability is total and permanent. Elective, as to employ ees oi counties, cit ies, towns, villages, and school districts, except officials. Nebraska. Ch. 19S. Ap proved Apr. 21, 1913. In effect Dec. 1,1914. Amend ed, 1917,1919. How compensation claims are settled. Waivers forbidden___ Accidental personal injuries aris ing out o f and in course of em ploym ent, unless due to willful intention to injure self or an other, willful m isconduct, or in toxication as the solo cause. Oc cupational diseases excluded by implication. Permitted in lieu of compensation if ac cident caused by deliberate intention of employer or fail ure to insure risk. Defenses abrogated. Elective, as to all em ploym ents,ex cept farm labor, domestic serv ice, steam railroads, casual em ployees not in usual course of employer’s business. Minnesota. Ch. 467. Ap proved Apr. 24, 1913. In effect Oct. 1,1913. Amend ed, 1915,1917,1919. Medical and surgical aid. Death. (а) Dependents. (б) No dependents. Time for notice and Administrative system. claim. Death: M aximum, $15; minimum , $6. Tempo r a r y t o t a l disability: Maximum $15; m ini mum $6, oractual wages if less than $6. Perma nent tot a 1disability and specified ini dries: Maxi m um , $15; minimum , $6. Temporary partial dis ability: M aximum, $12. Death, 30 to 50 per M aximum, $12.50. Mini cent. D isability, 50 m um , $6, or actual per cent. wages if less than $6. GGJ p e r c e n t ... (a) (6) 60 per cent of wages during disability, for not over 500 weeks; weekly m axim um , $14; minimum , $7; total not over $6,000. (a) 60 per cent of wages for life; monthly m axim um , $60; m ini mum, $30. (b) 60 per cent of w a g e s during disability if no dependents in U nited States; m axim um , 100 months; totalnot over $7,200; monthly m axim um , $72; m inimum , $30; $10 addi tional per m onth if dependents in U nited States. mum , $15, minim um , $6.50, or actual wages if less than $6.50. (a) N o p r o vision. (b) Board of labor and sta tistics;* m ine inspector.2 State. 45.9 Maryland. 87.8 Massachusetts. 83.1 Michigan. (a) N o p r o v i s i o n , (b) Department of labor and industries;* county inspectors of mines.* 79.0 Minnesota. A ll employers m ust report all acci dents involving compensation or m edical aid w ithin 10 days to commission; supplementary re ports as required by commis sion. (a) N o p r o v i s i o n . (6) Bureau of mines;* de partment of factory in spection.* 66.1 Missouri. D isputed cases determined by board subject to rehearing on certain specified grounds; lim ited appeal to courts. A ll employers and insiders must report all accidents to industrial accident board; employers not in State fund m ust report monthly on compensation and medical aid paid. (a) Industrial a c c i d e n t board. (6) Department of labor and industries (m ines a n d b o i l e r s only).* Commissioner of labor who is also com pensation commis sioner. Voluntary agreement filed w ith commissioner; disputed cases settled by commissioner; ap peal to court. Reports of accidents shall be made as directed by compensation commissioner. (a) N o provision. (6) B u reau of labor. 70.4 Nebraska. Industrial c o m m is sion. B y commission under rules adopt ed by it. All electing employers and physi cians m ust report a ll accidents to industrial commission. (a) N o provision. (6) La bor commissioner;* in spectors of mines.* 76.2 Nevada. Montana. How election is made. Employments covered. Insurance. State. B y employer. B y employee. Suits for damages. Defenses abrogated if employer does not elect. If both employer and employee come un der act. Private. Public. Elective, as to “ dangerous’' em ployments enumerated, except factories or shops having less than 5 employees engaged in manual or mechanical labor; applies only to “ workmen.” Elective, as to all employments ex cept casual employees. N o provision.............. E le c tin g em p loyers must give proof of financial ability or file a bond. Writing filed w ith c o m m is s io n e r o f labor. B y accepting compen sation or beginning proceedings under act. Compulsory, as to all employees, except elective officials or those receiving a sal ary over $1,200. A ll employers must in sure in private com panies, or provide self-insurance. E m ployers of farm labor and domestic serv ice exempted. Presumed in absence of written notice to employees. Presumed in absence of written notice to employer. Elective, as to “ extrahazardous” employments conducted for gain except those having less than 4 employees, and casual employees not in usual course of employer’s business; numerical exception does not apply to structural work 10 feet aDOve ground. Voluntary, as to nonhazardous employments. Compulsory, as to enumerated “ hazardous” employments, and all other employments having 4 or more workmen or operatives, conducted for gain;farm labor and domestic servicespecifically excluded. Voluntary, as to other employments. No provision................. E le ctin g em ployers must insure in pri vate companies or provide self-insur ance. Presumed in absence of written notice to employees. Presumed in absence of written notice to employer. Compulsory, as to all employees. Employers must in sure in State fund or private compa nies, or provide selfinsurance. Permitted if employer fails to insure risk. Defenses abrogated. North Dakota. Ch. 162. Approved Mar. 15, 1919. In effect Mar. 5,1919. Compulsory, as to all employ m ents except farm labor, do mestic service.casual employees not in usual course of em ployer’s business, and any com mon carrier by steam railroad. Voluntary, as to excepted em ploym ents. Compulsory, as to all employees. Employers m u st in sure in State fund. Ohio. P . 524. Approved June 15, 1911. In effect Jan. 1, 1912. Amended, 1913,1914, 1915,1917,1919. Compulsory, a s to all employ ments except those having less than 5 employees, and casual employees not in usual course of employer’s business. Volun tary, as to employments having less than 5 employees. Compulsory, as to all employees, except officials or firemen and policemen in cities having pen sion funds. Oklahoma. Ch. 246. Ap proved Mar. 22, 1915. In e ffe c t S e p t . 1, 1915. Amended, 1919. Compulsory, as to “ hazardous” employments (enumerated list ana general clause) conducted for gain except those having less than 3 employees, farm labor, and employees not engaged in manual or mechanical work. Oregon. Ch. 112. Approved Feb. 25, 1913. In effect July 1, 1913. Compensa tion and insurance provi sions effective J uly 1,1914. Amended, 1915,1917,1919. Elective, as to enumerated “ haz ardous” employments except farm labor. Voluntary, as to excepted employment. New Hampshire. Ch. 163. Approved Apr. 15, 1911. In effect Jan. 1,1912. New Jersey. Ch. 95. Ap proved Apr. 4,1911. In ef fect July 4,1911. Amended, 1913, 1914, 1916, 1917, 1918, 1919. New Mexico. Ch. 83. Ap proved Mar. 13, 1917. In e ffe c t Ju n e 8, 1917. Amended, 1919. New York. Ch. 816. Ap proved D ec. 16, 1913. In e f f e c t J u ly 1, 1914. Amended, 1914,1915, 1916, 1917,1918,1919. If employer elects but employee rejects. Fellowservice; burden Permitted in lieu of Defenses remain.. of proof of contrib compensation after utory negligence on injury. e m p lo y e r ; n o a s sum ption of risk due to negligence. . Assumed risk, fellow N ot permitted.............. Abrogation of defenses service ,and contrib absolute. utory negligence un less willful (deliber ate act or failure to act, reckless indiffer ence to safety, or in toxication). Abro gation is absolute and does not depend upon rejection of act. Assumed risk, fellow N ot perm itted............ Defenses remain i f em service, and contrib ployer has complied utory negligence. with insurance pro visions. (To face page 130.) No. 4. Special contracts. Injuries covered. Waiting period. Total disability. (a) Permanent. (&) Temporary. Partial disability. 50 per cen t. Maximum, $10. Mini mum, no provision. Death, 150 tim es weekly earnings. D is a b ilit y , 300 weeks. (a) 150 tim es weekly earnings; to ta l n o t over $3,000. (6) E x penses o f burial and medical attendance, maximum, $100. (a) (6) 50 per cent of wages during disability, for not over 300 weeks; weekly m axim um , $10. 50 per cen t of wage loss during disability, for not over 300 weeks; w eekly maximum, $10. Only in fatal cases involving no dependents,m edicalattendance and burial expenses; maximum, $100. N otice as soon as prac ticable and before l e a v in g s e r v ic e ; claim in 6 months. Courts. Voluntary agreement, or by action in equity before superior court. (a) Expenses of last sickness, maxim um, $200; also burial ex penses, maximum, $100; 35 to 60 per cen t of wages for 300 weeks; weekly maximum, $12; minimum $6 or actual wages if less than $6. (6) B urial e x penses, maximum^ $100; $400 additional to be paid in to State treasury for defraying adminis trative expenses of bureau. (a) Burial expenses, maxim um, $75; 40 to 60 per cent of wages to dependent widow or widower for 300 weeks; weekly basic wage, maximum, $30. (&) Expenses of burial, maxim um, $75, and medical attendance, maximum, $50. (a) 66? per cent of wages for 400 weeks; weekly maximum, $12; minimum, $G, or actual wages if less than $6. (6) 66} percent of wages during disability, for not over 300 weeks; weekly maxi m um, $12; minimum, $6, or ac tual wages if less than $6. 66? per cent of wages for periods proportioned to disability; max im um , 300 weeks. Specified in juries, 66?, per cent of wages for fixed periods; weekly maxi mum, $12; minimum, $6, or ac tual wages if less than $6. In nonfatal cases only, reasonable medical and hospital service for 4 weeks, unless employee refuses such treatment; maximum, $50; in cases requiring unusual treat m ent bureau may extend period to 17 weeks, but not over $200; special operating fee of $150 in case of hemia. Notice in 14 days; if in 30 days, not barred except as to extent employer was preju diced; bar absolute after 90 days; claim in 1 year. Department of labor.. (a) (&) 50 per cent of wages for not over 520 weeks; weekly maxiim um , $12; minimum, $6, or actual wages if less than $6. If permanent, compensation meas ured by extent of disability. Specified injuries, 50 per cent of wages for fixed periods; weekly maximum, $12; minimum , $6 or actual wages if less than $6. Disfigurement of hand or face, m aximum, $500. Reasonable medical, surgical, and hospital service for 2 weeks; maximum, $50, unless there is a hospital fund; special operating fee of $50 in case of hernia. N otice in 14 days; if prevented, as soon as possible, not later than 60 days. Claim in 60 days after em ployer’s refusal to pay compensation; 1 year in case of death. Courts. (a) 66? per cent of wages for life; w eekly maxim um, $15; mini m um , $5. (&) 66? per cent of wages during disability; weekly m axim um, $15; minimum, $5; total not over $3,500. 66? per cent of wage loss during disability; total not over $3,500 if temporary. Specified injuries. 66? per cent of wages for fixed periods; weekly maximum, $15 ($20 for certain injuries); mini mum, $5, or actual wages if less than $5. Facial or head disfig urement, maximum, $3,500. Such medical, surgical, and hos pital service as nature of injury requires Jor 60 days; longer if necessary. Charges lim ited to those prevailing in the com m unity. N otice of injury in 30 days, death in 30 days unless excused for cause; claim in 1 year. (a) (&) 66? per cen t of weekly wages during disability; weekly maxim um, $20, minimum , $6, or actual wages if less than $6. I f temporary, 66? per cen t of wage loss during disability; weekly maximum, $20. If permanent, for fixed periods according to schedule of percentage of disa bility. Disfigurement compen sated. Such medical, surgical, and hos Claim in 6 months; 1 year if reasonable pital service as the nature of the cause shown. injury requires. (a) 66? per cent of wages for life; w eekly maximum, $12; mini mum, $5, or actual wages if less than $5. (&) 66? per cent of wages during disability, for not over 6 years; weekly maxim um, $15; minimum, $5, or actual wages if less than $5; total not over $3,750. 66? per cent of wage loss during disability; weekly maximum $12; total not over $3,750. Speci fied injuries, 66? per cent of wages for fixed periods; weekly m axim um, $12. Such medical and hospital service as commission deems proper; maximum, $200, except in un usual cases. (a) 50 per cent of wages for 500 weeks; weekly m axim um , $18; minimum $8, or actual wages if less than $8. (b) 50 per cent of wages during disability, for not over 300 weeks; weekly m axi mum, $18; minimum, $8, or ac tual wages if less than $8. 50 per cent of wage loss during disability, for not over 300 weeks. Specified injuries, 50 per cent of wages for fixed periods; weekly maxim um, $18; minimum, $8, or actual wages if less than $8. Disfigurement of hand and face, maximum, $3,000. (o) (&) $30 a month if single, $35 if dependent spouse, $8 for each child under 16; m onthly m axi mum $50. I f temporary, above schedule increased by 50 per cent for first 6 months, but not over 60 per cent of wages. Compen sation in all cases to continue during disability. If temporary, benefits proportion ate to those for total disability for not over 2 years. Specified permanent injuries, $25 a month for fixed periods; others in pro portion, but not over 96 months. Personalinjuries by accident aris 10 days.. ing out of a n d in course of em ploym ent, unless intentionally seli-inflicted, or due to intoxica tion. D eath, 35 to 60 per cent. Disability, 662 per cen t. Maximum, $12. Mini mum , $6, or actual wages if less than $6. Death, 300 weeks. Per manent total disability, 400 w eeks. Temporary to ta l and partial disa bility, 300 weeks. No provision except that employer may maintain hospital fu,nd. Injuries by accident arising out of and in course of employm ent, unless due to intoxication or in tentionally inflicted by him self or another. Death, 15 to 60 per cent. Disability, 50 p ercen t. Death: W eekly basic wage, m axim um, $30. Disa bility: Maximum, $12; minimum, $6. or actual wages if less than $6. Death, 300 weeks; total disability, 520 weeks; partial disability, no provision. Waivers forbidden___ Accidental personal injuries aris 2 weeks. None if dis ing out of and in course of em ability continues for ployment, unless duo to w illful more than 7 weeks. intention to injure self or an other, or intoxication. D eath, 15 to 665 Per cent. Disability, 66? per cent. Death: Maximum basic wage, $100 a month. Disability: Weekly max im um $15 ($20 for certaininjuries);minimum, Death, during life or until remarriage of widow or d e p e n d e n t w id o w er. Permanent total disa bility, life. Others, dur ing disability. Permitted if employer fails to insure risk or illegally employs minors. Defenses abrogated. Waivers forbidden___ Injuries arising in courso of em ploym ent unless caused b y em ployee’s w illful intention to injure self or another. (Occupa tional diseases included by deci sion of bureau.) 1 week. None if dis ability continues for more than 1 week. Death, 20 to 66? per cent. D isability, t>6| per cent. Death: Basic w eekly wage, maxim um , $30, m ini mum , $18, but compen sation not more than w a g es. D is a b ility : W eekly m axim um , $20. minimum , $6, or actual wages if less th an $6. D eath, duringlife or un til remarriage. D isability, during its continuance. Employers m ust in sure in State fund or provide self-in surance. Permitted if injury is due to willful act of employer, violation ofsafety law s, or de fault on insurance p r e m iu m s . D e fenses abrogated. Waivers forbidden ex cept in case of blind employees. 1 w eek. 66| p ercen t. Death, 416 weeks. Perma nent total disability, life. Temporary total disability. 312 weeks. Partial disability, dur ing its continuance. Compulsory, as to all workmen in hazard ous e m p lo y m e n ts employed for wages, except when equiva len t schemes are in force. Employers must in sure in private com panies or provide self-insurance. Permitted if employer fails to insure risk. Defenses abrogated. Approved schemes Accidental personal injuries aris permitted. Waivers ing out o f and in course of em forbidden. • ploym ent, unless due to willful 1 week. None if dis ability continues for 3 weeks or more. 50 per cen t. Death: Maximum, $15. Temporary total disa bility: Maximum, $15; minimum. $5, or actual wages i f less than $5. Permanent to ta l disa bility: Maximum, $12; minimum, $5, or actual wages i f less than $5. Partial disability: Maxi mum, $12. M a x im u m , $18. M in i m um, $S, or actual wages if less than $8. Elective, as to all em ployees. E le ctin g em ployers must insure in State fund. Waivers forbidden. None.. M o n th ly p e n s io n ; amounts not based on wages. Injuries sustained in course of em ployment, unless purposely selfinflicted. (O ccupational dis eases excluded by court.) intention to injure self or an other, intoxication, or w illful failure to use statutory safe guards. Fatal accidents not in cluded. Presumed in hazard ous employments in absence of notice posted in establish ment and filed w ith commission. Presumed in absence of written notice, if employer elects. Assumed risk, fellow service, and contrib u to r y n e g lig e n c e except willful and with purpose of selfinjury. Permitted if injury is due to willful act of employer or default on insurance pre miums. D e fe n s e s Defenses remain; prior law abrogated as sumed risk and fel1ow service;contrib utory negligence to be measured. Personal injuries by accident caused b y violent or external means arising out of and in course of employment, unless due to deliberate intention to inj tire self. Occupational diseases excluded by implication. How compensation claims are settled. Death. (а) Dependents. (б) N o dependents. No substitute agree m ents valid. 2 weeks. Time for notice and Administrative system. claim. Maximum period. Injuries arising out of and in course of employment, unless due to willful misconduct, in toxication, or violation of law . 2 w eeks. Per Medical and surgical aid. Maximum and minimum weekly compensation paym ents. Per cent of wages. No provision. i Including all employees in employments covered by the compensation law, whether ot not the employers in elective States have accepted the act. 17230S—20. Compensation benefits. M onthly pension. Death $15 to $50. Permanent total disability, $30 to $50. Temporary total disability, $30 to $50, in creased by 50 per cen t for first 6 months, but not over 60 per cent of wages. Permanent par tial disability, $25. Permanent total disabil ity , 500 weeks. Tempo rary total and partial disability, 300 weeks. (a) Burial expenses, m axim um, $100; widow or dependent w id ower, 30 per cent of wages until death or remarriage; 10 per cent additional for each child under 18; total not over 66§ per cent; maximum basic wage, $100 a month. (&) Burial expenses, maximum. $100; and $100 to cre ate special fund for paying for loss of second major members. (a) Burial expenses, m axim um , $100; 3 5 per cent of weekly wages to widow or dependent widower u n til death or remarriage; 10 per cent additional for each child under 18, bu t not over 66? per c en t; basic wage, maxim um, $30, minimum, $18, but compen sation not more than wages. (b) Burial expenses, maximum, $100. (a) Burial expenses, maximum, $150; 60* per cent of wages for 8 years; weekly maximum, $15; total not over $5,000 or less than $2,000. (&) Burial expenses, maximum, $150. Fatal accidents not covered. Death, during life or until (a) Burial expenses, m axim um, remarriage of widow or $100; widow or invalid widower, i nvalid widower. Tota 1 $30 a month un til death or re disability, during its marriage; $8 for each child under co n tin u a n c e . Tempo 16; m onthly maximum $50. (&) rary partial disability, Buria 1 expenses, m axim um , IP4 weeks. $100. Accident reports required. Accident-prevention work cent by—(a) Compensation of em commission. (&) Other ployees agencies. subject State. to act.1 (&) 56.0 N ew Hampshire. Voluntary agreement approved All employers must report all ac cidents of more than 2 w eeks’ by department; disputed cases settled by department or referee; disability to department of labor w ithin 4 weeks; fatal accidents appeal to courts o f common pleas; appeal to supreme court w ithin 2 weeks. upon questions of law. (a) Department of labor. (&) No provision. 99. f New Jersey. B y interested parties; disputed cases settled by district court. Appeal to supreme court. No provision. (a) No provision. (6) Mine inspector.2 30.7 New Mexico. Industrial commission. Voluntary agreement, 14 days after injury, approved by com mission; commission m ay settle cases direct after hearing; appeal to court upon questions of law. All employers must report all acci dents to industrial commission w ithin 10 days; commission may require any information. (a) Industrial commission. (b) No provision. 80.1 New York. Workmen’s compen sation bureau. Bureau has full power to deter mine all questions within its jurisdiction; appeal to courts. A ll employers m ust report all accidents to bureau within 1 week. (a) Workmen’s compen sation bureau. (6) No provision. 46.8 North Dakota. Claim in 2 years., Industrial commission. Commission determines all ques tions w ithin its jurisdiction; ap peal to court. A ll employers m ust report all acci dents to industrial commission within 1 week. (a) Industrial commission. (b) No provision. 76.3 Ohio. Necessary medical, surgical, and hospital service for 60 days; maximum, $100; period and amount may bo increased at discretion of commission; charges lim ited to those prevailing in the community. Notice in 30 days; claim in 1 year. All employers must report all acci dents to industrial commission w ithin 10 days or reasonable time; commission may require any information. (a) No provision. (6) De partment of labor;2 in spectors of mines, oil, and gas.2 35.9 Oklahoma. First aid, medical, surgical, and hospital service and transporta tion; maximum, $250; commis sion may allow additional serv ice. Claim for disability in 3 months; death, 1 year. Industrial commission. Voluntary agreement, after 7 •days, approved by commission; disputed cases may be submitted to arbitration committee of 3 persons, appointed by commis sion, composed of representa tives of each party ana a com missioner or deputy; or commis sion m ay settle cases direct after hearing; appeal to courts. In d u stria l accid en t Commission settles all questions; commission. appeal to courts. All employers m ust report all acci dents to industrial accident commission at once. (a) In d u str ia l a c cid e n t commission m ust inves tigate violation of safety law s and report same to prosecuting a t t o r n e y . lb) Bureau of labor stastistics.2 48.7 Oregon. 2Not provided for in compensation law. A ll employers subject to act must make such reports to commis sioner of labor as required by him. (a) No commission. Bureau of labor.2 Insurance. State. Suits for damages. How election is made. Employments covered. B y employer. B y employee. Presumed in absence of notice posted in establishm ent,given employee, and filed w itn compensation bureau. Presumed in absence of w ritten notice to employer and filed w ith compensation bureau. Defenses abrogated if employer does not elect. If both employer and employee come un der act. Compensation benefits. Special contracts. Injuries covered. If employer elects but employee rejects. Public. Pennsylvania. N o. 338. Ap proved June 2,1915. In ef fect Jan. 1,1916. Amended, 1917,1919. Elective, as to all employments except farm labor, domestic service, casual employees not in usual course of employer’s business, and outworkers. Compulsory, as to all employees, includ ing public contrac tors. E lecting em p lo y ers must insure m State fund or private com panies or provide self-insurance. Porto Rico. N o. 19. A p proved Apr. 13,1916. I n e f fect July 1,1918. Amended, 1917. New act, No. 10,1918; amended, 1919. Compulsory, as to all employments except those having regularly less than 3 employees, farm labor not working w ith m e chanical or anim al power m a chinery or hazardous tools, do m estic service. # nonhazardous clerical occupations, and em ployees receiving more than $1,500 a year. Elective, as to all employments except those having less than 6 employees, farm labor, domes tic service, casual employees not in usual course of employ er’s business, and employees receiving over $1,800 a year. Voluntary, as to excepted em ployments. Elective, as to all employments except farm labor, domestic service, casual laborers not in usual course of employer’s busi ness. Voluntary, as to excepted employments. Compulsory, as to em ployees engaged on public works per formed b y the ad ministration. E m p lo y e r s m ust in sure in State fund. C om pu lsory, as to employees of State; elective, as to em ployees of cities and towns, except fire and police depart m ents. Electing e m p lo y e r s must insure in pri vate companies or provide self-insur ance. Writing filed w ith commissioner of in dustrial statistics. Presumed in absence of w ritten notice, if employer elects. Assumed risk, fellow Permitted if employer service, and con fails to insure risk. tributory negligence. Defenses remain., Approved s c h e m e s may be submitted if benefits equal those of act; w aiv ers forbidden. Compulsory, as to all employees. Electing e m p lo y e r s m ust insure in pri vate companies or provide self-insur ance. Presumed in absence of w ritten notice to employees and filed w ith commissioner. Presumed in absence of w ritten notice to employer and filed w itn commissioner. Assum ed risk, fellow Permitted if employer fails to insure risk. service, and con tributory negligence. Defenses remain. Approved substitute schemes permitted; waivers forbidden. Personal injuries by accident aris ing out of and in course of em ploym ent, unless due to w illful misconduct, intoxication, fail ure to use safeguards, violation of law, or intentionally self-in flicted. Occupational diseases specifically excluded. Presumed in' absence of w ritten or printed notice posted in es t a b lis h m e n t a n d filed w ith bureau of workshop and fac tory inspection. Presumed in absence of written or printed notice to employer and bureau of work shop and factory inspection. Assumed risk, fellow Permitted if employer service, ana con fails to insure risk. tributory negligence. Defenses abrogated. Defenses rem ain.., Waivers forbidden. Personal injuries by accident aris ing out of and in course of em ploym ent, unless due to willful misconduct, intentional self-in flicted injury, intoxication, or w illful failure to use safety ap pliances, or perform statutory duties. Occupational dismses specifically excluded. Presumed in absence of w ritten notice to employer. Assumed risk, fellow Permitted against em ployer accepting in service, and con surance system if tributory negligence, unless willful or due his w illful or gross to intoxication. negligence c a u s e s death; damages, in addition to compen sation, if employer charges part of in surance premium against employee. Defenses rem ain.. Waivers forbidden. . . . Personal injuries sustained in course of employment unless due to willful intent to injure self or another, intoxication, act of God, or causod by act of third party for personal reasons. Oc cupational diseases excluded by court. Rhode Island. Ch. 831. A p proved Apr. 29, 1912. In effect Oct. 1,1912. Amend ed, 1913,1915,1917,1919. South Dakota. Ch. 376. Ap proved Mar. 10, 1917. In effect June 1,1917. Amend ed, 1919. Assumed risk, fellow Permitted if employer service, and con fails to insure risk. tributory negligence u nless due to in toxication or reck less in d iffe r e n c e . Abrogation of de fenses is absolute and does not depend uponrejection of act. Abrogation of defenses Waivers forbidden. absolute. Permitted if injury is caused b y illegal act or gross negligence of employer. Tennessee. Ch. 123. Ap proved Apr. 15, 1919. In effect July 1,1919. Elective, as to all employments ex cept those employing less than 10 employees, farm labor, do m estic service, coal mines, and casual employees (defined as not in usual course of employer’s business). Voluntary, as to coal mines «%nd employments having less than 10 employees. State and subdivisions Electing e m p lo y e r s exempted, but may m ust insure in pri accept voluntarily. vate companies or provide self-insur ance. Texas. Ch. 179. Approved Apr. 1£, 1913. In effect Sej3t. 1, 1913. Amended, Elective, as to all employments ex cept tnose having less than 3 em ployees, farm labor, domestic service, railways used as com mon carriers, and employees not in usual course of employer’s business. No provision. Electing e m p lo y e r s B y s u b scr ib in g to must insure in Texas State association or insuring in other Employers’ Insur ance Association or company and noti fying employees. other private com panies. U tah. Ch. 100. Approved Mar. 15, 1917. In effect July 1, 1917. Amended, 1919. Compulsory, as to all employments except those having less than 3 employees, farm labor, domestic service, casual employees not in usual course of employer’s busi ness . Voluntary, as to excepted employments. Compulsory, as to all employees, excep t elective officials or those receiving a salary over $2,400. Employers m ust in sure in State fund or private com panies or provide self-in surance. No provision., Permitted: (1) If em ployer fails to insure risk when injury is caused by employ er’s negligence; de fenses abrogated; (2) in case of death; de fenses remain and employer’s negli gence m ust be proved: and (3) if injury is due to em ployer’s willful m is conduct. 1Including all employees in employments covered by the compensation law, whether or not the employers in elective States have accepted the act. 172308—20. (To face page 130.) No. 5. Waiting period. Per cent of wages. Private. Approved substitute schemes permitted if benefits equal those of act; waivers forbidden. Personal injuries by accident in course of employm ent while ac tually engaged in furtherance of employer’s business, unless in tentionally self-inflicted, or due to intentional act of third party for reasons not connected w ith the employm ent. Maximum and minimum weekly compensation paym ents. Maximum period. Death. (a} Dependents. (6) No dependents. Total disability. (a) Permanent. (b) Temporary. Medical and surgical aid. Time for notice and Administrative system. claim. H ow compensation claims are settled. Death, 15 to 60 per cen t. D isability, 60 per cent. Death: Basic wage, m axi mum, $20: minimum, $10. Disability: Maxi mum,$12; minimum, $6, or actual wages if less than $6. Death, 300 w eeks. Total disability. 500 weeks. Partial disability, 300 weeks. (a) Expenses of burial and last (a) (6) 60 per cent of wages during sickness, maxim um, $100; 15 to disability, maxim um, 500 weeks; 60 per cent of wages for 300 weeks; w eekly maxim um $12; minimum basic wage, maximum, $20; m in i $6, or actual wages if less than $6; mum, $10. (b) Expenses of bur total not over $5,000. ial and last sickness, maxim um, $100. 60 per cent of wage loss during dis Reasonable medical, surgical, and ability, for not over 300 weeks; hospital service for SO days, un less employee refuses; m axi weekly maxim um, $12. Specified mum, $100, except in hospital injuries, 60 per cent of wa^es for fixed periods; weekly maxim um, cases; if employee refuses m edi $12; m inimum , $6, or actual cal service, employer not liable for aggravation of injury. wages if less than $6. Charges lim ited to those pre vailing in the com m unity. Notice in 14 days; claim in 1 year. Workmen’s compensa Voluntary agreement, after 10 days, approved b y board; dis tion board and de puted cases settled b y board’s partment of labor referee after hearing, appeal to and industry. board; cases involving agreed facts settled b y board direct; appeal to court upon questions of law . Temporary total dis ability, 50 per cent. Temporary total disabil ity: Maximum, $7; m ini mum, $3. Temporary total disabil ity , 104 weeks. (a) Compensation proportioned to earning capacity, number and needs of dependents of deceased; maxim um, $3,000 to $4,000. (b) N o provision. (a) Compensation proportioned to age and rate of wages; m axim um , $4,000; m inim um , $2,000. (6) 50 per cent of wages during disa b ility , for not over 104 weeks; weekly maximum, $7; minimum, $3. If permanent, compensation pro portioned to degree of disability and rate of wages; maximum, $2,500. Necessary medical attendance and sustenance as prescribed by commission. Claim must be made in 90 days. Workmen’s relief com Investigation b y commission and department of agriculture and mission. labor; claims settled by com mission; appeal to court only upon question of whether in jured employee is entitled to compensation. 50 per c e n t .. .. ——- . Total disability: M axi D eath, 300 weeks. T otal m um, $14; m inimum , disability, 500 weeks. $7. Others: Maximum, Partial disability, 300 $10; minim um , $4. weeks. (a) 50 per cent of wages for 300 weeks; w eekly m axim um , $10; minim um , $4. (b) Expenses of burial and last sickness, m axi mum, $200. (a) (6) 50 per cent of wages during 50 per cent of wage loss during dis disability, for not over 500weeks; ability, for n ot over 300 weeks; total n ot over $5,000; w eekly weekly maximum, $10. Specified maxim um, $14; minim um , $7. injuries, 50 per cent of wages for fixed periods in addition to all other compensation; weekly maxim um, $10; minim um , $4. Reasonable medical and hospital service for 4. weeks; maximum. N otice in 30 days; claim in 1 year. $200, including burial, in fatal cases involving no dependents. 10days. N on eifd isa bility continues for 6 weeks or more. Total disability. 55 per cent. Partial dis ability, 50 per cent. Death: N o w eekly m axi D eath, 378 weeks. Total (a) 4 tim es annual earnings; m axi disability, during its con mum. Permanent total mum, $3,000; minim um , $1,650. disability: Maximum, tinuance. Partial disa (6) Burial expenses; maxim um, $12; m inimum , $6.50. b ility , 312 weeks. $150. Others: Maximum, $12 m inimum , $6.50, or ac tual wages i f less than $6.50. Necessary medical, surgical, and hospital service fo r 12 weeks: m axim um, $150. 2 weeks. None if dis ability continues for 6 weeks or more. Death, 20 to 50 per cent. D isability, 50 per cent. Maximum, $11; minimum , Death,400weeks. Perma (a) Burial expenses, maximum, $5, or actual wages if less nent total disability, 550 $100; 20 to 50 per cent of wages than $5. for not over 400 weeks; weekly weeks. Others, 300 maxim um, $11, minimum , $5, or weeks. actual wages if less than $5. (&) Burial expenses, m axim um, $ 100. 1 w eek. 60 p ercen t. Maximum, $15. mum, $5. (a) 55 per cent of wages during 50 per cent of wage loss for not over 6 years; weekly m axim um, disability; w eekly maxim um, $12. Specified injuries, 55 per $12; m inim um , $6.50; total not cent of wages for fixed pericxis; more than death benefits. (b) weekly maxim um, $12; m ini 55 per cent of wages during disa mum. $6.50, or actual wages if b ility for n ot over 6 years; less than $6.50. Disfigurement weekly m axim um , $12; m in i of head, face, or hand, maximum, m um , $6.50, or actual wages if one-fourth death benefits. less than $6.50. (a) 50 per cen t of wages for 400 50 per cent of wage loss during disability for not over 300 weeks; weeks; w eekly m axim um , $11; weekly maxim um, $11. Speci minimum . $5, or actual wages if fied injuries, 50 per cent of wages less than $5; not over $5 there after for 150 weeks in certain for fixed periods; others propor cases; total not over $5,000. (&) tionate, out for not over 400 50 per cen t of wages during weeks; weekly maxim um, $11; disability; maxim um, 300 weeks; minimum, $5, or actual wages w eekly m axim um , $11; m ini if less than $5. mum $5, or actual wages if less than $5. (a) (b) 60 per cent of wages during 60 per cent of wage loss during dis disability, for not over 401 ability, for not over 300 weeks weeks; weekly m axim um , $15; (401 weeks if partial follows total minim um , $5, disability); w eekly maxim um, $15. Specified injuries, 60 per cent of wages for fixed periods; proportionate for others, includ ing disfigurement, if it impairs occupational opportunities; weekly m axim um, $15; m ini mum, $5. 60 per cen t. Death: Maximum. $16. Disability: Maximum, $16; m inimum , $7. (a) 60 per cent of wages for 5 years; thereafter, 45 per cent for life; weekly m axim um , $16; m ini m um , $7. (&) 60 per cent of wages for not over 6 years; w eekly m axim um, $16; m ini m um , $7; total not over $5,000. 10 days.. Personal injuries b y accident aris None. ing out of and in course of em ploym ent, unless received w hile intending to commit a crime, when voluntarily self-inflicted or while trying to injure another, when due to intoxication, when w illful criminal act of another, or where gross negligence was solo cause. Personal injuries b y accident aris 2 weeks. None if dis ing out of and in course of em ability continues for ploym ent unless due to willful more than 4 weeks. intent to injure self or another, or intoxication. Personal injuries b y accident aris 3 days. ing out of or in course of em ploym ent, except those purpose ly self-inflicted. Occupational diseases specifically excluded. Mini- D eath, 360 weeks. Total disability, 401 weeks. Partial disability, 300 weeks. (a) 60 per cent of wages for 360 weeks; w eekly m axim um, $15; minim um , $5. (6) Expenses of last sickness, and funeral benefit o f$100. Permanent total disability, (a) Burial expenses, maxim um, life. Others, 312 weeks. $150; 60 per cent of wages for 6 years; w eekly m axim um , $16; total not over $5,000 and not less than $2,000. (b) Burial ex penses, m axim um, $150; and $750 to be paid into State treas ury if employer is not insured in fund, from which second injuries shall be compensated. Accident reports required. Partial disability. 60 per cent of wage loss for not over 6 years; weekly maximum, $16; total not over $5,000. Spec ified injuries, 60 per cent of wages for fixed periods; weekly maxim um, $16. Disfigurement: Maximum, 200 weeks. Courts. A ll subscribers to State fund m ust (a) Workmen’s insurance report all accidents to workmen’s board empowered to insurance board w ithin 7 days; make safety regulations commissioner of insurance may affecting subscribers to require insurers to file annual State fund. (6) Depart statement of loss experience. m ent of labor and indus A ll employers (except casual try;2 department of employments) m ust report all mines.2 accidents of 2 days’ disability to department of labor and indus try w ith in 30 days.2 A ll employers m ust report all ac (a) Noprovision. (6) D e cidents to workmen’s relief com partment of agriculture and labor.8 mission w ithin 5 days. State. Pennsylvania. 20.5 Porto Eta (6) 82.9 Rhode Island. Voluntary agreement approved A ll assenting employees m ust re by commissioner; disputed cases port all accidents to industrial settled by arbitration committee commissioner w ithin 48 hours; supplementary report after 60 of 3 persons composed of repre days, or upon termination of dis sentatives of each party and com missioner; review b y commis ability. sioner; appeal to court upon questions of law. Voluntary agreements approved No provision., by court; disputed cases settled b y courts. (a) No provision, (b) In spector of mines.2 58.0 South Dakota. (a) No provision. (6) Chief mine inspector;2 bureau of workshop and factory inspection.2 37.2 Tennessee. V oluntary agreement approved by court; disputed cases settled by court upon petition of either party; appeal to supreme court upon questions of law or equity. commis- Per Accident-prevention work cent by—(a) Compensation of em commission. (6) Other ployees agencies. subject to act.i A ll assenting employers (except public utilities) m ust report all injuries of 2 weeks’ disability to bureau of labor w ith in 3 weeks, fatal w ithin 48 hours. (a) No commission. Factory inspector.* N otice in 30 days un less excused for cause; claim in 1 year. Industrial sioner. Reasonable medical, surgical.and hospital service fo r SO days, longer a t option of employer; maximum, $100; charges limited to those prevailing in th e com m unity. N otice as soon as prac ticable; barred after 30 days unless cause shown; claim in 1 year. Courts. Reasonable medical and hospital service for 2 weeks. Two weeks additional in cases requiring hospital confinement. Charges lim ited to those prevailing in the com m unity. N otice in 30 days; claim in 6 months. Industrial board. Voluntary agreement or by board; appeal to court. A ll employers m ust report all acci dents of more than 1 day’s dis ability to industrial accident board w ith in 8 days; supple m entary report after 60 days, or upon termination of disability. (a) No provision. (b) B u reau of labor statistics;2 m ine inspector;2 Texas Employers’ Insurance A ssociation. 47.9 Texas. Such medical and hospital serv ice as employer or insurer may deem proper; m axim um , $500; hospital benefit fund permitted in lieu of above. To be fixed by com mission. Industrial commission, Commission has full power to de termine all questions relating to compensation; lim ited appeal to court. A ll employers m ust report all acci dents to industrial commission w ithin 1 week. (a) Industrial commission. (b) No provision. 74.4 U tah. * Not provided for in compensation law. accident Insurance. State. B y employer. Private. Public. V e r m o n t. C h . 164. A p proved Apr. 1, 1915. In effect July 1,1915. Am end ed, 1917,1919. Elective, as to all employments conducted for gain, except those having less than 11 employees, domestic service, casual em ployees, those not in usual course of employer’s business and employees receiving over $2,000 a year. Voluntary, as to other employm ents. Elective, as to all em ployees of cities, towns, and incorpo rated villages, ex cept officials elected or receiving more than $2,000 a year. E lecting employers m ust insure in pri vate companies or provide self-insur ance. Presumed in absence of written agreement or notice to em ployees and board; municipality’s vote. Virginia. Ch. 400. Became law over governor's veto Mar. 21, 1918. In effect Jan. 1,1919. Elective, as to all em ploym ents ex cept those employing less than 11 employees, farm labor, domestic service, steam railroads, casual employees, or those not in usual course of employer’s business. Voluntary, as to excepted employ ments. Compulsory, as to all employees. E le c t in g e m p lo y e r s must insure in pri vate companies or provide self-insur ance. Presumed in absence of written or printed notice to employees and commission. W ashington. Ch. 74. Ap proved Mar. 14, 1911. In effect Oct. 1,1911. Amend ed 1913,1915,1917,1919. Compulsory, as to “ extnihazardous” em ploym ents, including enumerated list. Voluntary, as to employm ents not “ extrahazardous.” Compulsory, as to all Employers must in employees in “ extrasure in State fund. hazardous” work in which workmen are employed for wages. Voluntary, as to em ploym ents n ot “ extrahazardous.” W est Virginia. Ch. 10. Ap proved Feb. 22, 1913. In effect Oct. 1,1913. Amend ed 1915,1919. Elective, as to all “ regular” em ploym ents except farm labor, domestic service, traveling sales men, and officers of corporations. Voluntary, as to employees not regularly employed. Wisconsin. Ch. 50. Ap proved May 3, 1911. In effect same date. Amend ed 1913,1915,1917,1919. Elective, as to all em ploym ents ex Compulsory, as to a ll E le c t in g e m p lo y e r s m ust insure in pri employees except of cept those having less than 3 em vate companies or ficials. ployees,3 farm labor, and em provide self-insur ployees not in usual course of ance. employer’s business. Voluntary, as to steam railroads. W yoming. Ch. 124. Ap proved F eb . 27, 1915. In effect Apr. 1,1915. A m end ed 1917,1919. U nited States. 35 Stat. 556. Approved May 30, 1908. In effect Aug. 1, 1908. A m ended 1911-12. New a ct, No. 267,approved Sept. 7 , 1916. In effect same date. Am ended 1919. Elective, as to all em ployees except elec tive officials. Electing employer must insure in State fund or provide selfinsurance. Compulsory, as to “ extrahazard- Compulsory, as to all Employers m ust in employees in “ extrasure in State fund. ous” em ploym ents enumerated hazardous” work in conducted for gain, except casua 1 which workmen are employees not in usual course o f employed for wages, employer’s business, clerical e x c e p t em ployees employees not subject to hazard who are otherwise of em ploym ent, and officials. provided for. Compulsory, as to all employees of Compulsory, as to a ll c iv il employees of Panama Railroad. th e U nited States and of the Govern m ent of the District of Columbia, except police and firemen h a v in g p e n s io n funds. 17230S—20. (To face page 130.) No. 6. Suits for damages. IIow election is mado. Em ploym ents covered. i Defenses abrogated if employer does not elect. Special contracts. Injuries covered. If both employer and employee come un der act. If employer elects but employee rejects. Presumed in absence Assumed risk, fellow service, and con of written agreement tributory negligence. or notice to em ployer and board. Not permitted. Defenses remain., W ai vers forbidden. . . . Personal injuries b y accident aris ing out of and in course of em ploym ent, unless due to willful intention to injure self or an other, intoxication, or failure to use safety devices. Occupa tional diseases specifically ex cluded. Assumed risk, fellow service, and contrib utory negligence. Not permitted. Defenses rem ain. A pproved sch em es permitted. Waivers forbidden. B y employee. Presumed in absence of written notice to employer and com mission. B y paying premiums and posting notice. Remaining in service w ith notice of em ployer’s election. Assumed risk, fellow s e r v ic e , c o n tr ib u tory negligence, and negligence of per sons “ whoso duties are prescribed b y statute.” Presumed as to em ployers of 3 or more persons in absence of notice filed w ith commission. Presumed in absence of written notice to employer, if em ployer elects. Assumed risk, also fel low sorvice, and con tributory negligence unless w illful, if 3 or m o r e e m p lo y e e s , (Does not apply to farm labor.) Suit for excess dam ages perm itted, in addition to compen sation if injury is due to em ployer’s intent to injure; a!so permitted if em ployer is in default on insurance pre miums. N ot perm itted.............. W aiting period. Per cent of wages. W a iv e r s forbid den; hospital fund m ay bo maintained. Suit for excess dam ages permitted, in addition to compen sation, if injury re sulted from deliber ate intention of em ployer. 1 w oek. Personal injuries b y accident aris- 2 w eeks. ingout of and in course of employ ment, unless due to w illful mis conduct, intent to Injure self or another, intoxication, or willful failure to use safety appliance* or obey safety rules. Occupa tional diseases specifically ex cluded. Personal injuries sustained on 1 week. None If disa b ility continues for premises of plant or in course o f more than 30 days. em ploym ent away from plant, unless deliberately self-inflicted. Occupational diseases specifi cally excluded. 1 week. Assenting employers relieved of liab ility for damages to em ployees who remain in service after no tice of em ployer’s election. Benefit funds permit ted provided em ployees do n ot con tribute and benefits equal those o f act. W aivers forbidden. Personal injuries sustained in course of and resulting from em ploym ent, unless self-inflicted or due to w illful misconduct, disobedience to rules, or intoxi cation. Defenses rem ain. Insurance or other schemes permitted if benefits equal those of act. W aiv ers forbidden. Personal injuries growing out of 1 week. None i f dis ability continues for and Incidental to em ploym ent, more than 4 weeks. unless intent ionally self-inflicted. Occupational diseases specifi cally included. N ot perm itted. W a iv e r s fo r b id d e n . N o reduction o f lia b ility allowed. Injuries sustained as a result of em ploym ent, unless duo to cul pable negligence of employee or willful act of a third party. Oc cupational diseases specifically excluded. Government can not be sued. N o provision. Personal injuries sustained whilo in performance of du ty unless due to w illful misconduct, in tention to injure selfor another, or intoxication. Including all employees in employments covered by the compensation law, whether or not the employers in elective Statcsihave accepted the act. I Compensation benefits. 10 days In case of total temporary disabil it y only; none if dis ability continues for more than 30 days; 1 u m p -su m p a y ments in a ll other casos. 3 days. Compensa tion begins on fourth day after disability or exhaustion of sick and annual leave. Maximum and minimum weekly compensation paym ents. M aximum period. Death. Dependents. $6) No dependents. Total disability. (а) Permanent. (б) Temporary. Time for notice and Administrative system. claim. Medical and surgical aid. Partial disability. H ow compensation claims are settled. Accident reports required. Per cent Accident-prevention work by—(a) Compensation of em commission. (6) Other ployees agencies. subject to act.1 Death, 15 to 45 per cent. D isability, 50 per cent. Death: M inimum basic w ase, $5. T otal d is ability: M a x i m u m , $12.50; m inim um , $3, or actual wages if less than $3. Partial disability: Maximum, $10. 260 w eek s.. . (a) Burial expenses, maxim um, $100; 15 to 45 per cent of wages for 260 weeks; total not over $3,500; m inim um weekly basic wage, $5. (b) Burial expenses, m axim um , $100. (a) (6) 50 per cent of wagos for 260 weeks; w eekly m axim um . $12.50; m inim um , $3, or actual wages if less th an $3; total not over $4,000. Reasonable m edical, surgical, and hospital service fo r 14 days; m axim um , $100. Charges lim ited to those prevailing in the com m unity. Notice as soon as prac ticable; claim in 6 months. Commissioner of in Voluntary agreement approved dustries. by commissioner; disputed cases settled by commissioner after hearing; appeal to courts. 50 per cent.................. M aximum, mum, $5. Death, 300 weeks. Total disability, 500 weeks. Partial disability, 200 weeks. (a) Burial expenses, maxim um, $100; 50 per cent of wages for 300 weeks; weekly m axim um , $10, m inim um . $5; total not over $4,000. (6) Burial expenses, m axim um , $100. (a) (b) 50 per cent of wages during 50 per cent of wage loss during disa Necessary medical, surgical, and disability; maximum, 500 weeks; b ility for not over 300 weeks; hospital service for SO days; weekly maximum, $10, mini weekly m axim um , $10. Speci longer at option of employer; mum, $5; total not over $4,000. fied injuries, 50 per cent of wages employee must accept unless for fixed periods; weekly m axi otherwise ordered b y commis mum, $10, minim um , $5. sion; charges lim ited to those prevailing in the com m unity. Notice in 30 days. Claim in 1 year. Industrial commission. Voluntary agreement after 10 days approved by commission; dis puted cases settled b y commis sion or member thereof; review by full commission; appeal to courts. A ll assenting employers m ust re (a) Commissioner of in port all injuries of 1 day’s dis dustries. (6) N o provi ability or requiring medical at sion. tendance to commissioner of in dustries w ithin 72 hours; sup plementary report after each 60 days or termination of disability; final report showing total pay ments made w ithin 60 days after termination of disability. A ll employers must report all in (a) No provision. (b) Bu juries of over 1 week's disability reau of labor and indus to commission w ithin 10 days; trial statistics.2 supplementary report after 60 days or upon termination of dis ability. M o n t h ly p e n sio n : amounts not based on wages. Monthly pension: Death, Death, during life or until (a) Burial expenses, maximum, $10 to $50. Permanent remarriage of widow or $75 if single, $100 if married; $30 total disability, $30 to invalid widower. Total a month to widow or invalid $50. Temporary total disability, during its widower until death or remar disability^ permanent continuance. riage; $5 to each child under 16; amounts increased for m onthly m axim um , $50; $250 first 6 months. additional which shall not be Industrial insurance d e p a r tm e n t and medical aid board. A ll questions relating to compen sation determined b y depart ment; appeal to courts. A ll employers must report all acci dents to industrial insurance de partment at once. $10; mini Death, monthly pen sion. D isability, 50 per cent. Disability: Maximum, $12; Death, during life or until minimum, $5. remarriage of widow or invalid widower. Per manent total disability, life. Temporary total disability, 78 weeks. Permanent partial disa bility, 340 weeks. D isability, 65 per cent Maximum, $14.63; mini mum, $6.83. Death,320 weeks. Perma nent total disability, 15 years. Others, during disability. A mounts not based on wages. Temporary total disabil ity: Monthly pension, $35 to $60. 1 ixed lump sums in other cases. N o provision. Death, 10 to 66? per cent. D is a b ilit y , 662 per cent. Death: Basic wage, Death, during life or until remarriage of widow or widower; other depend ents, 416 weeks. Disa bility, during its con tinuance. m o n t h ly m a x im u m , $ 1 0 0 ; minim um , $50. T o ta l d is a b ility : M o n th ly m a x im u m , $66.67; m inimum , $33.33, or actual wa^es if less than $33.33. Partial dis ability: M onthly m axi mum, $66.67. 50 per cent of wage loss during dis ability; m axim um , 260 weeks; weekly m axim um , $10. Speci fied injuries, 50 per cent of wages for fixed periods; others propor tionate; w eekly m axim um , $10. Compensation for disfigurement if resulting in decreased ability to secure em ploym ent. ‘ State. 55.2 Vermont. 45.6 Virginia. (a) No provision; (6) State safety board;2 State mining board.2 51.5 Washington. (a) (6) $30 a month; for each child under 16, $5 a month; monthly m axim um, $50. If temporary, above schedule increased for first 6 m onths in certain cases. Compensation in all cases to continue during disability. Proportionate amounts based Necessary medical, surgical, and upon loss of earning capacity; hospital service and transporta maximum, $2,000. Fixed sums tion. Employees must bear onefor certain specified injuries. half cost. (a) 50 per cent of wages for life; weekly m axim um , $12, m ini mum, $5. (6) 50 per cent of wages during disability, for not oyer 52 weeks (78 weeks in spe cial cases); w eekly m axim um, $12, minimum , $5. If permanent, 50 per cent of wages Reasonable medical, surgical, and for various periods (from 20 to hospital treatment; m axim um, 340 wreeks); over 85 per cent of $150; m axim um , $300 in severe disability, 50 per cent of wages cases, $600 in permanent disa for life; weekly maximum, $12; b ility cases where disability can minimum, $5. bo materially reduced. Claim in 6 months; proof of dependency in 9 months. C om pensation com missioner. Commissioner has full power to determine all questions relating to compensation; appeal to courts. A ll employers must report any in formation required by compen sation commissioner for purpose of act upon request. (a) Commissioner may require employers to adopt and post safety rules. (6) Bureau of la bor; 2 Department of mines.2 80.1 W est Virginia. (a) Burial expenses, maximum, (a) 65 per cent of wages during dis 65 per cent of wage loss during dis Reasonable medical, surgical, and $100; 4 years’ earnings, but ability; maximum, 9 to 15 years, ability; maximum, 4 years’ hospital treatment for 90 days; amount added to prior disability depending on age of employee. earnings. Weekly maximum, longer if disability period can be payments may not exceed 6 Weekly maximum, $14.63; mini $14.63. Specified injuries, 65 decreased. Christian Science years’ earnings; maximum an mum, $6.83. (6) 65 per cent of per cent of wages for fixed peri treatment permitted unless em nual earnings, $1,125; m in iwages during disability; max ods, subject to extension; others ployer refuses b y filing written mum, $525. (6) Burial expenses, imum, 4 years’ earnings. W e e k proportionate, based on 80 notice. maximum, $100. ly maximum, $14.63; minimum, per cent of schedule. Weekly $6.83. maximum, $14.63; minimum, $6.83. Disfigurement, result ing in loss of wages, maximum, $750. An additional $150 for loss of a major member shall be paid into State treasury to be used for compensating second injuries. (a) Burial expenses, maxim um, (a) Lump sum of $2,500 plus $100 Fixed lump sums for specified in In nonfatal cases, medical and hos $50; lum p sum of $2,000 to widow a year for each child under 16; juries; others in proportion; pital service: m axim um, $100, or invalid widower; also $100 a total not over $5,500. (b) $35 a maximum, $1,500. unless there is a hospital fund. year for each child under 16; month if single, $40 if married; total not over $3,000. (6) Burial $6 a month for each child under expenses, m axim um , $50. 16; monthly maximum, $60; total not over $5,500. Notice in 30 days; claimin 2 years. I n d u s tr ia l c o m m is sion. Voluntary agreement approved b y commission; disputed cases settled by commission after hearing; appeal to courts. A ll employers of 4 or more persons and insurers must report all ac cidents to industrial commis sion w ithin first 5 days of each month. (a) I n d u s tr ia l eo m m is• sion. (b) No provision. 75.4 Wisconsin. W yoming. used for burial expenses. (b) Burial expenses, m axim um , $75 if single. $100 if married. (a) Burial expenses, maxim um, $150; widow or invalid widower, $20 a month un til death or re marriage; $5 additional for each child under $15. (b) Burial ex penses, m axim um , $150. ( ^ B u r ia l expenses, m axim um , $ 1 0 0 and transportation; im m e diate fam ily, 25 to 66$ per cent until death, remarriage, or 1 8 years of age; other dependents. 10 to 40 per cent; m axim um , 8 years; basic wage, m axim um , $100 a month; m inimum , $50 a month, (b) Burial expenses, m axim um , $100 and transporta tion. (a) (b) 66 jl per cent of wages during disability; monthly m axim um, $66.67; minim um , $33.33, or actual wages if less than $33.33. 2 Not provided for in compensation law. i 1 N o provision................. 66? per cent of wage loss during Reasonable medical, surgical, and Notice in 48 hours, 1 disability; monthly maximum, year for reasonable hospital service, and transpor $66.67. tation if necessary, for a reason able period unless employee re fuses. cause; claim for dis ability in 60 days, 1 year for reasonable cause; death, 1 year. U nited States Em ployees’ Compensa tion Commission. Claims and disputed cases settled b y district courts of county after hearing; appeal to supreme court. A ll employers engaged in extrahazardous employm ents must report all accidents to district court w ithin 20 days. (a) No commission. (6) Inspector of mines.2 46.3 Commission decides all questions arising under act. Immediate superiors must report such information as required by commission immediately; sup plementary reports as required b y commission. (a) No provision. (6) Bu reau of Mines;2 Bureau of Standards;2 Inter state Commerce Com mission.2 100.0 * But employers having less than 3 employees lose defense of assumed risk if they do not elect. U nited States. P A R T II.—C A N A D A .1 INTRODUCTION. With the single exception of Prince Edward Island, all of the Provinces of Canada, including the Dominion Government, have enacted workmen’s compensation legislation. The law of Sas katchewan, however, although designated in its title as a work men’s compensation law, is merely an employer’s liability act, and is therefore not included in the following discussion. The Dominion act provides that if a Federal employee (Government railroads excepted) sustains an injury he shall receive the same com pensation as any other person would, under similar circumstances, receive under the law of the Province in which the accident occurred. Administration of the Dominion act is placed in the hands of the provincial boards, and any compensation awarded may be paid by the Dominion Minister of Finance. Chronologically, Canadian legislation practically parallels that of the United States. The first law was enacted by British Columbia in 1902, followed by Alberta in 1908, Quebec in 1909, and Manitoba and Nova Scotia in 1910.2 These early laws were patterned after the British act and were really modified employers7 liability laws. No administrative commissions were provided, and usually suits for damages were permitted. A radical departure from the British type of law, however, took place in 1914, when Ontario enacted the first of the collective-liability compensation acts prevailing in most of the Provinces at the present time. These laws were patterned upon the mutual liability idea of the German workmen’s compen sation system and upon the exclusive State fund plan of the Wash ington act. Nova Scotia enacted a similar law in 1915, followed by British Columbia in 1916 and by Alberta and New Brunswick in 1918. CANADIAN AND AMERICAN LAWS COMPARED. An analysis of the Canadian laws shows a number of striking char acteristics and of deviations from the American type of compensa tion act. Some of the more important of these are the following: 1. In Canada there is a remarkable uniformity among the several compensation laws. This uniformity applies to the scope of the * T his comparison includes 1919 legislation. 2 In the U nited States th e Federal compensation act was passed in 1908, w hile Montana enacted a compensation law in 1909 and N ew York in 1910, though these early State law s were later declared unconstitutional. 131 132 COMPARISON OF COMPENSATION LAWS OF CANADA. acts, benefits, injuries covered, administration, and procedure. In the United States compensation acts are distinguished more for their dissimilarity than for their uniformity. 2. In Canada all of the laws are compulsory as to the employers coming within the scope of the act. In the United States only 14 are compulsory while 31 are elective. 3. In Canada the scope of the law in each Province (Yukon ex cepted) is limited to enumerated hazardous employments. There is some diversity in the number of such employments, but the principal hazardous industries are covered, including manufacturing, mining, construction, and transportation. In the United States only 13 States limit their scope to the so-called hazardous industries, while 32 States cover the “ nonhazardous” as well as the “ hazardous” industries. 4. In Canada occupational diseases are compensable in every Province except Quebec and Yukon. Such diseases, however, are limited to those enumerated in the statutory schedule. In the United States only 6 of the 45 State laws include occupational diseases, but in these 6 States all occupational diseases are covered. 5. In Canada all of the Provinces except Manitoba, Quebec, and Yukon have exclusive State insurance funds. In Ontario, however, employers under schedule 2 (municipalities, railroad, express, tele phone, telegraph, and navigation) are permitted self-insurance. In the United States only 8 of the 45 States have exclusive State funds, while 9 have competitive State funds. 6. In Canada probably the most significant characteristic of com pensation legislation is the assumption of liability on the part of the Province. Injured workmen are paid direct by the workmen’s com pensation board out of the accident fund. This is true, irrespective of whether or not the employer has contributed his premiums to the fund and even if the employer is insured or carries his own risk. Failure on the part of the employer to meet his compensation obligations does not deprive the injured workman or his dependents of compensation benefits. This obligation is assumed by the accident fund, which in turn has redress against the defaulting employer through an action at law. Under none of the laws in the United States does the State assume liability. In case of insolvency of the employer and insurance carrier the injured employee loses his compensation benefits. 7. In Canada the workmen’s compensation boards have exclusive and final jurisdiction over all compensation matters, no appeal to the courts being permitted except in New Brunswick and Nova Scotia. In these two Provinces appeal may be had to the supreme court upon questions of law, but only with the permission of the judge of said court. In none of the States of America does the administrative commission have final jurisdiction. In every State CANADIAN AND AMERICAN LAWS COMPARED. 133 appeal may be had to the courts upon questions of law and in many of the States upon questions of fact. 8. In Canada members of the workmen’s compensation boards hold office during good behavior, except that in British Columbia the term of office is 10 years. In most of the Provinces, however, they are subject to compulsory retirement at the age of 75. Each board is authorized to appoint its officers and employees and to fix their salaries. The term of office of such employees is subject to the pleasure of the board. In the United States the term of office of compensation commissioners is usually 3, 4, or 5 years. 9. As regards liberalit}7, the benefits of the Canadian laws are about on a par with the more liberal of the American acts. The scale of benefits is considerably lower, but on the other hand the periods for which benefits are paid are much longer. In Canada compensation is usually paid during disability or until death or remarriage of the widow, while in most of the States the compensa tion periods terminate at the end of 300, 400, or 500 weeks. In none of the Provinces (Yukon excepted) is the waiting period over 1 week, and in most of the laws compensation when payable begins from the date of the injury, whereas in the United States 7 States have a waiting period of 10 days and 13 States of 2 weeks. In all of the Canadian laws the amount of compensation in case of dis ability is 55 per cent of the employee’s earnings, except that in Quebec the percentage is 50; in the United States 20 States have a percentage of 60 or greater. The early Canadian laws did not provide for medical benefits, but some of the Provinces have recently made provision therefor; in the United States 42 of the 45 States provide medical service. All but five of these States, however, place some limitation upon the amount of the medical service which the employer is required to furnish. COMPENSATION AND INSURANCE SYSTEMS. All of the Canadian laws are compulsory as to employers coming within the scope of the act. In the five Provinces of Alberta, British Columbia, New Brunswick, Nova Scotia, and Ontario 3 all employers must contribute to the accident fund. Quebec and Yukon Territory have no State fund nor are employers in these jurisdictions required to insure. Manitoba has a hybrid system. Employers are required to insure in private casualty companies or provide selfinsurance. Such insurance companies or self-insurers, however, -must contribute to the accident fund. They must also contribute 71 per cent of their premiums to the administration fund. 3 Except employers enumerated in schedule 2, which includes municipalities, and railroad, express, telephone, telegraph, and navigation companies. Employers in these industries are individually liable, though they m ust deposit funds w ith the board, which pays the compensation direct to the injured employee. 134 COMPARISON OF COMPENSATION LAWS OF CANADA. Out of these accident funds, which are managed by the workmen’s compensation boards, are paid all compensation claims. The board classifies the industries according to the hazard, fixes and collects premiums, receives and investigates claims, grants awards, and pays the compensation benefits. As already noted, the workmen’s com pensation board assumes liability. Injured workmen are always paid direct by the board from the accident fund irrespective of whether or not the employer is insured or carries his own risk. Failure on the part of the employer to meet his compensation obliga tions does not deprive the employee of his compensation benefits. This obligation is assumed by the accident fund, which in turn has redress against the defaulting employer through an action at law. SCOPE OR COVERAGE. The scope or coverage of the Canadian laws is more restricted than that of most of the American acts. In all of the Provinces (Yukon excepted) the employments covered are limited to enumer ated hazardous industries. Agriculture and domestic service are universally excluded. Most of the laws also exclude outworkers, traveling salesmen, nonhazardous clerical occupations, nonhazardous public employments, and casual employees employed otherwise than for the purpose of the employer’s business. Alberta also excludes rail roads. Moreover, the workmen’s compensation boards have been given discretionary power both to increase and to decrease the scope of the acts by adding to or subtracting from the industries enumerated in the statute. Under this authority the original statutory scope of the acts has been considerably changed. Many new classes of industries have been added; others have been excluded. In addition, the Ontario board has exempted certain classes of employers having less than a stipulated number of employees. The policy of the boards in including and excluding certain industries is apparently determined by the hazard of the particular industry and by the administrative difficulty of collecting premiums in the case of small employers. Exempted employments usually are given the privilege of coming under the act if either the employer or employee so desires. Under all of the Canadian laws employees injured without the Prov ince are entitled to compensation benefits if the place of business of the employer and the usual place of employment of the workmen are in the Province. The following provision found in the Alberta law is typical of that in the laws of practically all the Provinces: (1) Where an accident happens while the workman is employed elsewhere than in the Province which would entitle him or his dependents to compensation under this act if it had happened in the Province, the workman or his dependents shall be entitled to compensation under this act— («) If the place or chief place of business of the employer is situate in the Province and the residence and the usual place of employment of the workman are in the SCOPE OE COVERAGE. 135 Province and Ms employment out of the Province has immediately followed hia employment "by the same employer within the Province and has lasted less than six months; or (6) If an accident happens to a workman who is a resident of the Province and the nature of the employment is such that in the course of the work or service which the workman performs it is required to be performed both within and without the Prov ince. (2) Except as provided by subsection 1, no compensation shall be payable under this act where the accident to the workman happens elsewhere than in the Province. Table 36 shows more in detail the scope of the several Canadian compensation acts: T a b le 3 6 .—SCOPE OF C A N A DIA N COM PENSATION LAW S. E xclusions.1 Inclusions: Enum erated hazardous e m p lo y ments. Alberta......... British Co lum bia. M anitoba___ N ew Bruns w ick. Nova Scotia,. Ontario......... Quebec.......... Outworkers. Traveling salesmen. Nonhazard ous clerical occupations. Casual em ployees n o t in usu al Public and. other em ploym en ts. course o f em ployer’s , business, i A lberta........ A lberta........ Alberta........ Alberta........ Alberta (nonhazardous m unici pal; railroads; itinerant em ployees). British Co British Co British Co B ritish Co British Columbia (nonhazardous lum bia. public). lumbia* lum bia. lum bia. M anitob a.. M anitoba. . . M anitoba. . . Manitoba (nonhaxardt>us public). N ew Bruns N ew Bruns N ew Bruns N ew Bruns N ew Brunswick (provincial). wick. wick. wick. wick. Nova Scotia. N ova Scotia. N ova Scotia. N ova Scotia (nonhazardous pub lic ), Ontario........ Ontario........ Ontario (provincial and nonhazardious municipal). Quebec {public employees; sail in g vessels*, employees receiv in g over $1,200 a year and those working alone), Y ukon.......... Y ukon.......... Y ukon (employers having less th an 5 employees). 1Agriculture and domestic service are universally excluded. ACCIDENTS AND OCCUPATIONAL DISEASES. Canadian compensation laws cover both accidents and occupa tional diseases. The provisions of the British act, both as to content and phraseology, have been adopted practically without change in nearly all of the Provinces, Every law except Quebec uses the phrase “ personal injury by accident arising out of and in the course of the employment, unless it is attributable solely to the serious and willful misconduct of the workman.” In four Provinces/ however, injuries due to willful and serious misconduct are compen sable if they result in death or serious disability. In addition, New Brunswick excludes injuries if intentionally self-inflicted, due to in toxication, or caused by a fortuitous event not connected with the industry. Quebec also excludes intentionally self-inflicted injuries, while Yukon excludes those caused by intoxication. 4 Alberta, B ritish Columbia, Manitoba, and N ova Scotia. 136 COMPARISON OF COMPENSATION LAWS OF CANADA. As regards occupational diseases the Canadian Provinces followed the compensation law of Great Britain which originally included the following diseases and processes: T a b le 3 7 .—OCCUPATIONAL D ISE A SE SC H E D U LE OF B R IT ISH PE N SA T IO N LAW OF 190G. Disease. W O R K M E N ’S COM Process. A nthrax............................................................. Handling of wool, hair, bristles, hides, and skins. Lead poisoning or its sequelae.................... A ny process involving th e use of lead or its preparations or compounds. Mercury poisoning or its sequelae.............. A ny process involving th e use of mercury or its preparations or compounds. Phosphorus poisoning or its sequelae___ A ny process involving th e use of phosphorus or its preparations or compounds. Arsenic poisoning or its sequelae.............. A ny process involving the use of arsenic or its preparations or com pounds. Ankylostomiasis.............................................. Mining. Manitoba and British Columbia adopted verbatim the British act of 1906; Alberta and Ontario added miners’ phthisis to the original list; while Nova Scotia added the three following diseases: Sub cutaneous cellulitis of the hand (miners’ beat hand), subcutaneous cellulitis over the patella (miners’ beat knee), and acute bursitis over the elbow (miners’ beat elbow). New Brunswick did not adopt the British schedule, but grants compensation benefits for all occu pational diseases, as determined by the board, contracted in indus tries within the scope of the act. Quebec and Yukon do not com pensate for occupational diseases. However, the foregoing diseases are compensable only if they are due to the nature of any employment in which the workman was employed at any time within one year previous to the date of dis ability. Compensation shall be payable in the first instance by the last employer. The latter, however, may recover from other em ployers whose employment had within the year contributed to the contraction of the disease. WAITING PERIOD. With the exception of Yukon Territory none of the Canadian com pensation laws have a waiting period of over one week. In two Provinces the waiting time is only three days. Furthermore, in most of the Provinces compensation when payable begins from the date of the injury. Table 38 shows the waiting period for each Province: T a b l e 3 8 . — W AITING PE R IO D OF CANADIAN COM PENSATION LAWS. Waiting period. Province. Alberta............................................................... British Columbia............................................ Manitoba........................................................... New Brunswick.............................................. Nova Scotia...................................................... Ontario.............................................................. Quebec....................................................... . Y ukon................................................................ 3 days. 3 days. 6 days. 1 week. 6 days. 6 days. 1 week. 13 days. None if disability lasts 10 days or more. None if disability is permanent or lasts over 6 days. None if disability lasts over 6 days. N o n e if disability lasts over 6 days. None if totally and permanently disabled. None if disability lasts over 13 days. COMPENSATION BENEFITS. 137 COMPENSATION BENEFITS. The compensation benefits of the Canadian laws are about on a par with the more liberal American acts. The scale of benefits is considerably lower, but on the other hand, the periods for which benefits are paid are much longer, compensation usually being paid during disability or until death or remarriage of the widow. In case of death the usual provision is a fixed monthly pension of $20 to the widow, with an additional $5 a month for each child, but not over $40 in all. In case of disability the usual compensation is 55 per cent of the employee’s earnings, to be paid during disability. Table 39 shows the per cent of wages paid as compensation, maxi mum weekly or monthly payments, and maximum period and amount of compensation payable in case of death, permanent total dis ability, and partial disability. 3 9 .—P E R CENT OF W AGES PA ID AS COM PENSATION, MAXIMUM W E E K L Y OR M ONTHLY PA Y M E N T S, A N D MAXIMUM PE R IO D A N D AM OUNT OF COM PENSATION PA Y A B L E IN CASE OF D E A T H , P E R M A N E N T TOTAL D IS A B IL IT Y , A N D PA R T IA L D IS A B IL IT Y . T a b le Maximum period and amount of compen sation. Province. Per cent of wages. M onthly or weekly m axim um. Death. Alberta................. N ot based on wages British Columbia. 55 (disa bility). Manitoba.............. 55 New Brunswick.. 55 (disa bility). Nova Scotia......... 55 (disa bility). Ontario................. 55 (disa bility). Quebec................ . 50 (disa bility). 50 (tem porary total). Y ukon................. . (disa bility). $40 monthly pension (death); $16 weekly pension (total disability). $40 m onthly pension (d eath); $22 weekly (total disa b ility ). $40 m onthly pension (death); $22 weekly (total disa bility). $40 monthly pension (d eath); $15.86 weekly (disability). Perma nent to tal disa bility. U ntil death or re L i f e marriage ($2,500). ($2,500). Partial disability. $1,000. U ntil death or re marriage. Life........ During dis ability. U ntil death or remarriage. Life, U ntil death or re L i f e marriage ($3,500). ($3,500). $40 monthly pension (death); U ntil death or re $13.20 w eekly (total disa marriage. bility). $60 monthly pension (death); U ntil death or re $22 weekly (total disa marriage. bility). 4 years’ earnings ($2,500). $2,500........................ L ife .... Life. During dis ability. During disa b ilit y ($1,500). During dis ability. During dis ability. L i f e During dis ($2,500). ability. $3,000... $3,000. WEEKLY OR MONTHLY MAXIMUM. The provisions relative to weekly or monthly maximums differ widely as between death and disability. In case of death the monthly maximum is usually $40 (Ontario, $60) but not over 55 per cent of the employee’s wTages. In case of total disability the weekly maxi mum amounts range from $13.20 in Nova Scotia to $22 in British Columbia, Manitoba, and Ontario. The Quebec and Yukon laws #make no provision in this regard. 138 COMPARISON OF COMPENSATION LAWS OF CANADA. DEATH . Compensation benefits in case of death are not based upon wages. Instead, all of the Provinces except Quebec and Yukon provide a fixed monthly pension of $20 for the widow ($30 in Ontario) with an additional $5 for each child ($7.50 in Ontario). Payments to the children cease at 16 years and to the widow upon death or remar riage, except that in the latter event she is paid a lump sum equal to two years’ compensation. Two of the above Provinces have a maximum limit; in Alberta this limit is $2,500 and in New Bruns wick $3,500. Under the Quebec law the death benefits are four years7 earnings of the deceased employee (maximum, $2,500), while the Yukon law provides a flat sum of $2,500. In addition to the compensation benefits most of the Provinces provide also for burial expenses, the maximum allowance usually being $75. TOTAL DISABILITY. In all of the Provinces (except Yukon) compensation for total disability accidents continues during disability and in case of per manent disability during the life of the injured workman. Three Provinces, however, provide a maximum limit— Alberta and Quebec $2,500 and New Brunswick $3,500. In five Provinces (British Columbia, Manitoba, New Brunswick, Nova Scotia, and Ontario) the amount of compensation is 55 per cent of the employee’s wages, subject to weekly maximum and minimum limits. In Quebec the percentage is 50, while in Alberta the amount is not based upon wages, a weekly pension (maximum $16, minimum $10) being pro vided instead. PARTIAL DISABILITY. The Canadian method of compensating partial disability accidents differs widely from the popular American method. Most of the laws in the United States contain a schedule of specified partial disabilities for which benefits are awarded for stated periods, the weekly pay ments being based upon a percentage of wages earned at the time of the injury. In Canada all of the Provinces except Alberta and Yukon base the amount of compensation upon the wage loss or impairment of earning, capacity, payments continuing during disability. The workmen’s compensation boards have authority to formulate partial disability schedules in which the loss of earning capacity of the various disabilities is expressed in percentages of total disability. The age and occupation of the injured workman are usually taken into con sideration in determining his impairment of earning capacity. One of these Provinces, however, has a maximum Kmit-^-New Bruns wick $1,500. Alberta and Yukon have adopted the Washington method and provide fixed amounts for certain specified injuries. MEDICAL SERVICE. 139 MEDICAL SERVICE. Although none of the early Canadian acts provided medical or surgical service in the present acceptation of the term, some of the Provinces have recently made provision therefor. Table 40 shows for each Province the amount of medical and surgical aid and the conditions under which it is furnished: T a b le 4 0 . - MEDICAL SERVICE PROVIDED UNDER CANADIAN COMPENSATION LAWS. Maximum amount, and other qualifications. Province. Alberta. ....................... Reasonable expenses of last sickness in fatal cases involving no dependents; in other cases employees fam ished medical aid from employer's hospital fund or State accident fund to which employees m u st contribute. British Columbia___ Such service as reasonably necessary; transportation included; special provision for seam en; employer’s hospital fund perm itted. Manitoba..................... Such medical attendance as board deem s reasonable; maxim um $100; additional special treatment in permanent disability cases if compensation costs can be reduced. N ew Brunswick........ Such special m edical and surgical treatment as w ill conserve the accident fund and such first-sad and hospital treatm ent as the board m ay require. Nova Scotia................ Reasonable service for 30 days in compensable injury cases; additional treatment if necessary to reduce disability; special provision for seamen; approved estab lishm ent benefit schemes permitted. Ontario........................ Necessary service in compensable injury cases; transportation included; approved establishment benefit schemes permitted. Quebec......................... No provision. Y ukon.......................... No provision. NONRESIDENT ALIEN DEPENDENTS. With the exception of Quebec all of the Provinces grant com pensation to nonresident alien dependents but with certain qualifi cations and restrictions. In Alberta, the law provides that it shall be conclusively presumed that a workman, two years after his arrival in Canada, has no nonresident dependents other than his parents—one year after his arrival in case the workman is not of British nationality. In British Columbia nonresident alien depend ents are entitled to compensation, but the board may award such lesser sum as will, according to the conditions and cost of living in the place of residence of such dependents, maintain them in a like degree of comfort as dependents of the same class, residing in Canada and receiving the full amount of compensation, would enjoy. In the other five Provinces (Manitoba, New Brunswick, Nova Scotia, On tario, and Yukon) a nonresident alien dependent shall not be entitled to compensation unless by the law of the country in which he resides the dependents of a workman to whom an accident happens in such country, if resident in Canada, would be entitled to compensation. Moreover, the amount of compensation shall not be greater than that granted under the foreign law. Furthermore, in Manitoba and Ontario, nonresident enemy aliens are excluded entirely from the benefits of the act. Ontario also denies compensation to a resident of a country “ voluntarily withdrawn from alliance with the British Empire during the Great War, or of a country in default of establish 140 COMPARISON OF COMPENSATION LAWS OF CANADA. ing peaceful and harmonious relations with the British Empire.” The Quebec law does not grant compensation to nonresident alien dependents. ADMINISTRATION. In all of the Provinces except Quebec and Yukon, which have the court type of law, the administration of the compensation acts is under workmen’s compensation boards. The members of the boards are appointed by the lieutenant governor and hold office during good behavior, except that in British Columbia the term of office is 10 years. In four 5 of the Provinces, however, the commissioners are subject to compulsory retirement at the age of 75. Each board is authorized to appoint its officers and emploj^ees and to fix their salaries. The term of office of such employees is subject to the pleasure of the board. The boards have final and exclusive jurisdiction over all compen sation matters, no appeal to the courts being permitted except in New Brunswick and Nova Scotia. In these two Provinces appeal may be had to the supreme court upon questions of law, but only with the permission of the judge of said court. ACCIDENT PREVENTION. Of the six Canadian Provinces having administrative compen sation boards, the British Columbia board is the only one which has statutory jurisdiction over accident-prevention work. In all of the other Provinces this function is performed by other State or private agencies. The Alberta and Manitoba compensation laws made no provision for accident prevention at all, while the laws of New Brunswick, Nova Scotia, and Ontario authorize employers’ associa tions to undertake this work, with a rather loose supervision by the workmen’s compensation board. &Manitoba, New Brunswick, N ova Scotia, and Ontario. PRINCIPAL FEATURES OF LAWS OF CANADA RELATING TO WORKMEN’S COMPENSATION AND INSURANCE. Compensation benefits. Employm ents covered. Insurance. Province. Alberta. Approved Mar. 5, 1908; in effect, Jan. 1, 1909; amended, 1913. New act, Apr. 13,1918; in effect, Jan. 1,1919; amended, 1919. British Columbia. Approved May 31,1916; in effect Jan. 1917; supersedes act of 1902; amended, 1919. Manitoba. Approved Mar. 16, 1910; in effect, Jan. 1, 1911. N ew act, Mar. 10, 1916; in effect, Mar. 1,1917; amended 1917,1919. New Brunswick. Approved, April, 1918; amended, 1919. N ova Scotia. Approved, Apr. 23, 1915; supersedes act of 1910; amended, 1916, 1917, 1918,1919. Ontario. Approved, May 1, 1914; in effect, Jan. 1,1915; amended, 1915, 1916, 1917, 1919. Public. Compulsory, as to enumerated haz ardous em ploym ents. Exem p tions: Railroad?, traveling sales men, nonhazardous clerical oc cupations, outworkers, casual employees not in usual course of employer’s business, and itiner ant employm ents. Compulsory, as to enumerated haz ardous em ploym ents. Exem p tions: Farm labor, domestic serv ice. traveling salesmen, nonhaz ardous clerical occupations, out workers, and casual employees not in usual course ofemployer’s business. Voluntary, as to exem ptedem ploym ents. Compulsory, as to enumerated haz ardous employm ents. Exem p tions: Farm labor, domestic serv ice, outworkers, nonhazardous clerical occupations, and casual employees not in usual course of employer’s business. Voluntary, as to exem pted employments. Compulsory, as to all provincial employ ees and hazardous municipal employ m ents. Employers m ust con tribute to State acci dent fund. Compulsory, as to haz ardous public em ployments. Employers m ust con tribute to State acci dent fund. Compulsory, as to enumerated haz Compulsory, as t o m u nicipal employees, ardous employm ents. Exem p tions: Farm labor, domestic serv except members of police and fire de ice, outworkers, traveling sales partments. Volun men, nonhazardous clerical occu ta r y ,^ to provincial pations, and casual employees ana crown employ not in usual course ofemployer’s ees. business. Voluntary, as to ex empted employm ents. Compulsory, as to enumerated haz Compulsory, as to haz ardous public em ardous employm ents. Exem p ploym ents, except tions: Farm labor, domestic servmembers of munici vice, outworkers, traveling sales pal police and fire men, casual employees not in departments. usual course of employer’s busi ness. Voluntary, as to exem pted employm ents. Compulsory, as to enumerated haz Compulsory, as to haz ardous municipal ardous employm ents. Exem p employments. tions: Farm laoor, domestic serv ice, outworkers, and casual em ployees not in usual course of employer’s business. Voluntary, as to exem pted em ploym ent N o provision. Quebec. Approved, May 29, 1909; in effect, Jan. 1,1910; amended, 1914,1915,1918. Compulsory, as to enumerated haz ardous employm ents. Exem p tions: Farm labor, sailing vessels, employees receiving over $1,200 a year, employees who usually work alone. Saskatchewan.* Ch. 9,1911; amended, 1913, 1915, 1916, 1917. Compulsory, as to enumerated haz Compulsory, as to haz ardous municipal ardous employm ents. Exem p employments. tions: Farm labor, employees not engaged in manual labor, and those receiving over $1,800 a year. Compulsory, as to all employments Compuhory, as to all municipal employ except those having less than 5 ees and hazardous employees, outworkers and cas territorial employ ual employees not in usual ments. course of employer’s business. Yukon Territory. Approved, Apr. 24,1917. Special contracts. Injuries covered. Waiting period. Per cent of wages. Private. Compulsory, as to haz ardous public em ployments. Suits for damages. Board has exclusive and final ju risdiction over all matters; no appeal to courts. A ll employees under compensa tion act must report all disabling accidents w ithin 24 hours to workmen’s compensation board. (a) No provision. (6) Factory inspector;*mine inspector.^ Alberta. Workmen’s compen sation board. Board has exclusive and final ju risdiction over all matt3rs; no appeal to courts. A ll employers must report all ac cidents within 3 days to work m en’s compensation board. (a) Workmen’s compen sation board. (6) De partment o f labor;! de partment of mines, i British Columbia. Administrative system . If permanent, fixed amounts for specified injuries, others propor tionate; m axim um $1,000. I f temporary, 55 per ccnt of wage loss. Reasonable expenses of last sick ness in fatal cases involving no dependents; in other cases em ployees furnished medical aid from em ployer’s hospital fund or State accident fund to which employees m ust contribute. Notice before laaving employment; claim in 3 months not barred if just. Workmen’s compen sation board. (a) (6) 55 per cent of wages during disability; w eekly maxim um $22, m inimum $5, or actual wages if less than $5. 55 per cent of wage loss during dis ability. Compensation for dis figurement of bead or face. Such medical, surgical, and hospi tal service as reasonably neces sary; transportation included; special provision for seamen: employer’s hospital fund per mitted.. Notice as soon as prac ticable; claim in 1 year. Partial disability. How compensation claims settled. Province. Death, during life or un til remarriage of widow. D isability, during its continuance. (a) Burial expenses, m axim um , $100; widow or invalid widower, m on thly: $5 additional for each child; m onthly m axim um . $40; to ta l not over $2,500. (b j Reasonable expenses of burial and last sickness. Personal injuries b y accident aris ing out of and in course of the employm ent, unltss due solely to serious and willful miscon duct, except in case of death or serious and permanent disability. Enumerated occupational dis eases included. 3 days.. Disability, 55 per cent. Death: Monthly pension, maxim um $40, mini mum $20. Disability: Weekly m axim um $22; minimum $5. or actual wages if less than $5. Death, during life or un til remarriage of widlw. Disability, during its continuance. (a) Burial expenses, m axim um , $75; widow or invalid widower, $20 a m onth; $5 additional for each child; m onthly maxim um , $40. (6) Burial expenses, m axi m um , $75. Personal injuries b y accident aris ing out of and in course of the employm ent, unless due solely to serious and willful miscon duct except in case of death or s e r i o u s disability. Enumer ated occupational diseases in cluded. 6 days. None if perma Disability 55 per cent. Death: Monthly pension, Death, during life or un til nently disabled or if maxim um $40. Dut not remarriage of widow. disability continues over 55 per cent of wages; Disability, during its for more than 6 days. m inim um $20. Disabil continuance. ity: Weekly maximum $22, minimum $6, or actual wages if less than $6. (a) Burial expenses; m axim um, (a) (6) 55 per cent of wages during $75; widow or invalid widower, disability; weekly maxim um $20 a month; $5 additional for $22, minimum $6, or actual each child; m onthly maximum wages if less than $6. $40, but not over 55 per cent o f wages. (6) Reasonable ex penses of burial and last sickness. 55 per cent of wage loss during dis ability. Such medical attendance as board deems reasonable; m axim um , $100; additional special treat ment in permanent disability cases if compensation costs can be reduced. Notice as soon as prac Workmen’s compen ticable and before sation board. leaving employment; claim in 6 months. Board has exclusive and final ju risdiction over all matters; no appeal to courts. A ll employers m ust report all dis abling accidents w ithin 3 days to workmen’s compensation board. (a) N o provision. (6) Bu reau of labor;! mine in spector.! Manitoba. Personal injuries b y accident aris ing out of and in course of the employm ent, unless intention ally self-inflicted, due to intoxi cation, serious and willful m is conduct, or to a fortuitous event unconnected w ith the industry. Occupational diseases included. 1 week. Disability, 55 per cen t. Death: Monthly pension, maxim um 55 per cent of wages; minimum $20. Disability: W eeklymaxi mum $15.86, m inimum $3.30. Death, during life or until remarriage of widow. Disability, during its continuance. (a) Burial expenses, m axim um , $75; widow or invalid widower, $20 a month; $5 additional for each child; m onthly maxim um not over 55 per cent of wages; total not over $3,500. (6) B urial expenses, m axim um , $75. (a) (6) 55 per cent of wages during disability; w eekly maxim um $15.86, minimum $3.30; total not over $3,500. If temporary, 55 per cent of wage loss during disability; weekly m axim um $15.86. If permanent, amounts proportioned to dis ability according to scale to be established b y board; total not over $1,500. Such special medical and surgical treatment as w ill conserve the accident fund and such first-aid and hospital treatment as the board m ay require. Notice in 14 days; claim in 1 year. Workmen’s compen sation board. Board has jurisdiction over all mat ters; appeal to supreme court upon questions of law, but only b y permission of such court. A ll employers under compensa tion act must report all disabling accidents w ithin 3 days to workmen’s compensation board. (a) No provision, (b) E m ployers’ associations; factory inspector.! N ew Brunswick. Personal injuries b y accident aris ing out of and in course of the employment unless due solely to serious and willful misconduct except in case of death or serious and permanent disability. Enu merated occupational diseases included. Personal injuries b y accident aris ing out of and in course of the employm ent, unless due solely to serious and willful miscon duct. Enumerated occupa tional diseases included. 6 days. None if dis ability continues for more than 6 days. Disability, 55 per cen t. Death: Monthly pension, Death, during life or until m axim um $40. out not remarriage of widow. over 55 per cent of wages; Disability, during its minimum $20. Disa continuance. bility: Weekly m axi mum $13.20; m inimum $5, or actual wages if less than $5. Disability, 55 per cent. Death: Monthly pension, Death, during life or until $60, but not over 55 per remarriage of widow. Disability, during its cent of wages; minimum $20. Disability, m axi continuance. mum $22. (a) Burial expenses, m axim um , $75; widow or invalid widower, $20 a month; $5 additional for each child; m onthly maximum $40, but not over 55 per cent of wages. (6) Burial expenses, maximum $75. (a) (6) 55 per cent of wages during disability; w eekly maxim um $13.20, minimum $5, or actual wages if less than $5. 55 per cent of impairment of earn in g capacity during disability. Claim in 1 year.. W orkmen’s compensa Board has jurisdiction over all tion board. matters; appeal to supreme court upon questions of law, but only b y permission of such court. All employers under compensa tion act must report all disabling accidents w ithin 3 days to workmen’s compensation board. (a) No provision. (6) E m ployers’ associations; department o f public works and mines.! Nova Scotia (a) Burial expenses, m axim um , (a) (6) 55 per cent of wages during $75; widow or invalid widower, disability; weekly maxim um $30 a month; $7.50 additional for $22. each child; m onthly maximum $60, but not over 55 per cent o f wages; minimum $20 for widow , $5 for child, $40 in all. (6) Rea sonable expenses of burial and last sickness. 55 per cent of impairment of earn ing capacity during disability. Reasonable medical, surgical, and hospital service for SO days in compensable injury cases; ad ditional treatment if necessary to reduce disability; approved establishm ent benefit schemes permitted; special provision for seamen. Neccssary medical, surgical, and hospital service in compensable injury cases; transportation in cluded; approved establishment benefit schemes permitted. (a) Expenses of burial and last sickness, maxim um $25; 4 years’ earnings; but only one-fourth o f annual earnings in excess of $800 shall be taken into account; total not over $2,500 or under $1,000. Amount recoverable shall not ex ceed 3 year’s earnings or $1,800. whichever is larger, and shall never exceed $2,000. (a) (6) 50 per cent of wages during disability; weekly m inimum $4 in case of temporary disability; total not over $2,500. 50 per cent of wage loss. Amount recoverable shall not ex ceed 3 years’ earnings or $1,800. whichever is larger, and shall never exceed $2,000. (a) $2,500. (b) Expenses of burial and last sickness, maximum. $500. (a) $3,000. (6) 50 per cent of wages during disability but for not over 6 months. Waivers forbidden, but approved hos pital plans per m itted. Employers m ust in Ptrm itted only in re Waivers forbidden___ sure in private com employments n o t panies or provide under compensation self-insurance; insur act, if injury due to employer’s n e g l i ance companies and gence; defenses abroself-insurers m ust contribute to State “ accident fund out of which claims are paid. Permitted only in re Waivers forbidden. Employers m ust con em ploym ents n o t tribute to State acci under compensation dent fund, but board act, if injury duo to m ay sanction insur employer’s negli ance in private com gence ; defenses abro panies. gated. 6 days. None If dis ability continues for more than 6 days. Permitted only in re Employers u n d e r employments under schedule 1 must compensation acts, contribute to State if injury due to em accident fund; em ployer’s negligence; ployers under sched defenses abrogated. ule 2(cities,railroad, express, telephone, telegraph, ana navi gation) are individu ally liable, but board m ay require them t o insure. N ot required................. Not permitted. Waivers forbidden. Waivers forbidden----- Accidents b y reason of or in the course of tneir work, unless in tentionally self-inflicted. 1 week. None if to tally and perma nently disabled. N ot required., Permitted in lieu of compensation after injury. Waivers forbidden. Personal injuries b y accident aris ing out of and in course of the employment. 6 days.. N ot required., Permitted in lieu of compensation after injury, if employer was negligent; de fenses abrogated. Waivers forbidden. Personal injuries b y accident aris ing out of and in course of the employment, unless due to in toxication, or serious and w illful misconduct. 13 days. None if dis ability continues for more than 13 days. Disability, 50 per cent. Temporary total disbility, 50 per cent. Temporary total disabil ity, 6 months. 1N ot provided for in compensation law. (a) (b). $10 a week; $2 a week ad ditional for first dependent, $1 for each additional dependent; weekly m axim um $16; $7.50 if employee is under 21 and has no dependents; total not over $2,500. Notice as soon as prac Workmen’s compen ticable and before sation board. leavingemployment: claim in 6 months. Board has exclusive and final ju risdiction over all matters; em ployers individually liable m ay make direct settlem ents w ith employers w ith approval of board; no appeal to courts. A ll employers m ust report all ac cidents which cause disability or necessitate medical aid w ithin 3 days to workmen’s compensa tion board. (a) No provision. (6) Em Ontario. ployers’ associations; department o f public works;1 bureau of m in es.1 No provision. Claim in 1 year.. Courts. Voluntary agreement between parties; disputed cases settled by courts. No provision.. (a) N o commission, (b) Department of public works and labor;1 mine inspector.1 Quebec. Amount recoverable shall not ex ceed 3 years’ earnings or $1,800, whichever is larger, and shall never exceed $2,000. No provision. Claim in 6 months.. Courts. B y courts. No provision. (a) N o commission. Bureau of labor.1 (6) Saskatchewan. For specified injuries, fixed amounts ranging from $150 to $2,000, others proportioned to degree of total disability; m axi m um $3,000. No provision. Notice as soon as practicable; claim in 6 months. Courts. Voluntary agreement between parties; disputed cases settled by courts. No provision.............................. (a) No commission. Mine inspector.1 (6) Yukon. * The Saskatchewan workmen’s compensation law is practically an employer’s liability act. 172308—20. (To face page 140.) Accident prevention work by— (a) Compensation commission. (6) Other agencies. Time for notice and claim. Death: Monthly pension, maxim um $-10, m ini mum $20. Total disa bility: Weekly pension, maximum $16; m ini mum $10. Permitted only in re employm ents not under compensation act, if injury due to employer’s n e g l i gence; defenses abro- Waivers forbidden. -. Maximum period. Accident reports required. Medical and surgical aid. Total disability. (a) Permanent. (b) Temporary. Not bas 2 d on wages. . . W aivers forbidden, but Personal injuries b y accident aris ing out of and in the course of the approved hospital employm ent, unless due solely plans permitted. to serious and willful miscon duct except in case of death or serious disability. Enumerated occupational diseases included. Permitted only in re employments not under compensation act, if injury due to to employer’s neg ligence: defenses ab rogated. Death. (а) Dependents. (б) N o dependents. 3 days. None if dis ability continues for 10 days or more. Not permitted. Employers must con tribute to State acci dent fund. Maximum and minimum weekly compensation payments. O