US HEALTH CARE SYSTEM

WENDI EVANS

HCA 205: INTRODUCTION TO HEALTH

INSTRUCTOR: BRETT GARCIA

DECEMBER 15, 2014

INTRODUCTION

My name is Wendi Evans, I am pursing a degree in Health Care Administration.

This presentation will explain the history of the US Health Care System

HISTORY OF US HEALTH CARE SYSTEM

1900’s - The beginning of organized medicine. The American Medical Associations gains powerful

influence as the National Organization of State and Local Associations.

1912 – Social Insurance including Health Insurance gains public attention.

1929 – Baylor Hospital in Dallas, Texas starts a pre-paid hospital insurance program with a local teacher’s union, ( first example of modern health insurance).

HISTORY OF US HEALTH CARE SYSTEM

1944 to 1946 - President Roosevelt outlines

Economic bills of rights that includes adequate medical care. President Truman proposes a Health Care restructuring that includes mandatory coverage and more hospitals. The Hill-Burton act pays for the construction of hospitals. 1965 to 1980 ‘s – President Johnson signs into law the most significant

Health Care Reform of the century Medicare. Medical cost rapidly escalate , President Nixon sign Health Maintenance Organization Act.

2006 to present- Massachusetts implements laws to provide health care coverage. President Obama signs Landmark

Health Care Legislation called the Patient Protection

and Affordable Care Act.

FIRST MARINE HOSPITAL

The marine hospital service was establish with the July 16, 1798 signing by President John Adams for relief of sick and disabled seamen. In 1875 a title of Surgeon General came into being.

March 3 a bill passed that authorized admission of navy seamen an seamen of other government services to Marine Hospitals on a reimbursable basis.

FIRST MARINE HOSPITAL

January 4, 1889 the Public Health Services Commission Corp. was authorized. Julius Richmond was the first Surgeon General of Public Health Service.

MAJOR DEVELOPMENTS OF THE US HEALTH CARE SYSTEM

Financial – PPAC has grand ambitions to provide insurance coverage to more than 30 million people.

2.7 trillion spent on health care is income to some person or organization.

The law also authorizes an additional 11 billion for federally qualified community Health Centers.

Legal- HIPPA protects patients.

Federal Anti-trust laws False claims whistle blower

suits

Ethical- Balancing quality care and efficiency.

The end of life issues financing that pays for this service forced to pull the plug due to insurance.

MAJOR DEVELOPMENTS OF THE US HEALTH CARE SYSTEM

Regulatory – 1879- The Department of Public Health established by US Congress.

The government regulates laws for Health care system.

Social - Civil War was instrumental in establishing the US Health Care System.

At the turn of the 20th century break through in Medicine and Technology.

1929 to 1941- The great Depression

MAJOR DEVELOPMENTS OF THE US HEALTH CARE SYSTEM

STAKEHOLDERS Patient- Expects an employer to offer a wide variety of options for health

coverage. Employers – Want to maintain or lower cost contributions. Providers – Want to provide the best service using the most accurate and

newest test and treatments. Payers- Want providers to follow a clear, evidence based diagnostic plan. Political Figures – The government regulate laws to be enforced for the

Health Care Systems. Schools – Most Colleges and University Campuses offers some type of

general medical care.

REFERENCES

American Journal of Public Health. (AMJ Public Health),

October, 2011; 101(10)1841.4.

Batnitzky, A., Hayes, D., & Vinall, P.E. (2014). The U.S. healthcare system: An

introduction. San Diego, CA: Bridgepoint Education, Inc.

This text is a ConstellationTM course digital materials (CDM) title.

Weather, C. ( 1900& 1908). “New York Health Board Supervising Babies”.

http://www.amnhealthcare.com

http://www.Annenburgclassroom.org/files/documents

http://www.profiles.nlm.nih.gov/ps/access/QQBBCZ