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History of US Healthcare System

by: Haleigh Welch

History of US Healthcare System SPHU 3010

Marketplace > Tulane University > Public Health > SPHU 3010 > History of US Healthcare System
Haleigh Welch
GPA 3.4

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About this Document

These notes cover chapter one of the exam
Foundations in Healthcare Systems
Mollye Demosthenidy
Class Notes
History Health Care System U.S.
25 ?




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This 3 page Class Notes was uploaded by Haleigh Welch on Monday February 22, 2016. The Class Notes belongs to SPHU 3010 at Tulane University taught by Mollye Demosthenidy in Spring 2016. Since its upload, it has received 15 views. For similar materials see Foundations in Healthcare Systems in Public Health at Tulane University.

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Date Created: 02/22/16
Wednesday, January 13, 2016 Lecture 1! Health Care Systems - prior to 1900, no hospitals, no surgery, no anesthesia ! - Teddy Roosevelt (president beginning 1900s) first president to boast idea of universal healthcare! - Great Depression (1920) focus on social benefits, recognize importance of social security. Talk about health issuance but no action. Presidents signed social security act on 1935, NO mention of health insurance in it. ! - Built a hospital (Baylor Hospital), pay 50 cents per month, they get 9 days of health care a year! - Blue Cross, community rated plan…later shift to experience rated plan! - Henry J. Kaiser: shipbuilder during the war, needs healthcare for his people! - Blue Cross vs. Kaiser! - 1930’s: penicillin ! • huge breakthrough ! • the better healthcare gets, the more it costs, the more it is out of reach for people! - 1940s WWII ! employers trying to think of benefits to entice people to come work for them! • • people get health insurance through work! - John F Kennedy! - Linden Johnson takes over after assassination! • capitalizes on this national tragedy! • 1965 social security amendment of 1965! • Medicaid and Medicare: “Both can help you pay for healthcare, but Medicare is an entitlement for seniors 65 and over – and some younger people with disabilities – while Medicaid is a public-assistance program for needy Americans of all ages”! • ! 1 Wednesday, January 13, 2016 - 3 main concerns of health care! • 1) access…(easiest to solve, surprisingly)! • 2) cost! • 3) quality! • pick 2, trying to get all three is hard! - cost per person goes up, number of people with insurance goes up! - National Healthcare Expenditures per Capita 1960-2010 has gone way up! • we pay the most in the world, 1 in every 5 dollars goes to healthcare! - Baby Boomers (just turned 70 this year) now all eligible for medicare! • so many of them, not enough money! • medicare is going to run out of money by the time we are eligible! PRESENT DAY! - Who are the stakeholders?! • patient, provider, payer! - Who funds the payers?! • government! • employers! • individuals! - Why do we care if people have healthcare?! • Economics: the government wants people to be in good health so that we can be economically productive! - poor health leads to decrease in productivity! - healthy employers are less likely to call in sick! • Education: when people aren't healthy, it leads to poor school performance ! • Society: poor health puts people in positions where they cannot get out of poverty! ! 2 Wednesday, January 13, 2016 ! 3


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