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HISTORY OF US HEALTH CARE. AN INTRICATE OUTLOOK OF MAJOR HISTORICAL OCCURENCES IN US HEALTHCARE. Introduction. Historical developments in US healthcare is interesting. Understanding it is critical to all consumers and policy makers.
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HISTORY OF US HEALTH CARE AN INTRICATE OUTLOOK OF MAJOR HISTORICAL OCCURENCES IN US HEALTHCARE
Introduction • Historical developments in US healthcare is interesting. • Understanding it is critical to all consumers and policy makers. • The major political platforms have different views when it comes to healthcare. • Understanding the history is important in both professional and personal aspects of medical consumerism (Burnham, 2015)
Background • Historical development of US healthcare is seen in the context of primary, secondary and tertiary prevention of diseases. • Historical progress has impacted the above in the context of major developments. • Furthermore, historical changes have been witnessed in four scenarios namely medical education, medical practice, public health and insurance. • The historical analysis to focuses on the above components.
History of US Health Care • Early medical practitioners did not have training or even licensing in medicine. • In the year 1800, medical profession became cohesive in the context of advanced practices offered (Smith, Wertheimer, & Fincham, 2013). • American Medical Association was formed in 1847. • Medical curriculum and admission testing was formed in 1910.
History Continued… • Milestones in hospital system were also witnessed. • Early 19th Century saw the establishment of poorhouses as makeshift hospitals. • In 1930-40s, ownership of hospitals changed from the physician to the government. • Patient Bill of Rights was passed in 1973. • Emergency Medical Treatment and Active Labor Act was passed in 1985.
History Continued… • Public health has changed in the entire history of the US. • The concept was born in 1700 due to the works of Dr. John Snow, Lemuel Shattuck, and Edwin Chadwick (Miles, 2012). • Public health departments were set in 1900. • John Hopkins University established public health school in 1916. • Some of the historical achievements in public health include vaccination. • The developments have led to establishment of Healthy People 2000, 2010 and 2020.
History Continued… • The first insurance company was set in 1847 in Boston. • In the year 1913, , International Ladies Garment Worker started a program that would help in providing insurance to the workers. • A group insurance plan was formed in the year 1929 for teachers in particular hospitals in the state of Texas (Loker, 2012). • Social Security Act was passed in 1935. • Universal Health Insurance Plan was proposed in 1993 but it failed to pass. • Medicaid and Medicare came into law in 1960.
Republican Party Views • In 1993, Republican Party Reform declined healthcare reform. • Currently, the party opposes the Affordable Care Act. • The party instead advocates for free marked and patient-centered care • Republican argue that citizens should be given the mandate of managing health care costs (Jonas, Goldsteen, & Goldsteen, 2007). • Republicans argue that there should be reforms on health care to increase free will.
Democratic Party Views • Democratic Party view on health care relies on the aspect of accessibility, affordability and quality care. • The support individual healthcare for all. • They are in support of Affordable Care Act and Medicare. • They show affection towards stem cell research which will lead to treatment of diseases in the future. • They believe that Medicare Act should not phased out since the elderly deserve it due to their hard work and responsibility for the country.
Conclusion • Historical development of US healthcare has many twist and turns. • Despite the reforms and legislation, disease rates are still way up. • The history of US health care will offer potential solutions for the future. • Despite the political divide on the issue, future changes should engender at ensuring access quality, and cost (Burnham, 2015).
References • Burnham, J. C. (2015). Health care in America: A history. New York, NY: JHU Press. • Jonas, S., Goldsteen, R. L., & Goldsteen, K. (2007). An introduction to the U.S. health care system. New York: Springer. • Loker, T. W. (2012). History and evolution of healthcare in America: The untold backstory of where weve been, where we are and why healthcare needs more reform. Bloomington, iN: iUniverse Inc. • Miles, T. P. (2012). Health care reform and disparities: History, hype, and hope. Santa Barbara, CA: Praeger. • Smith, M. I., Wertheimer, A. I., & Fincham, J. E. (2013). Pharmacy and the US healthcare system. London: Pharmaceutical Press.