Politics and Health Reform:Lessons From a Year in Washington, D.C.
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This document summarizes the history of health reform efforts in the United States from the late 19th century to 2009. It discusses how a national health insurance system has been proposed since the 1880s but consistently opposed by groups like the AMA and insurance industry. The US now spends over twice as much per capita on healthcare as other OECD countries but has lower life expectancy and more administrative waste. Creating a universal, publicly financed system could reduce costs while improving access and outcomes.
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Politics and Health Reform:Lessons From a Year in Washington, D.C.
- 1. Politics and Health Reform: Lessons From a Year in Washington, D.C. James Floyd, M.D. Global Health Seminar University of Washington February 12, 2010
- 4. Life Expectancy: OECD Countries
- 18. Who stood to lose?
- 23. A Breakthrough
- 25. Public Opinion
- 26. Success?
Hinweis der Redaktion
- OECD Health Data
- OECD Health Data 2006
- History of attempts to enact national health insurance
- Sickness funds, early attempts at social insurance were for working class only Early health reformers used both economic and moral arguments Argued that money wasted on industrial insurance policies could finance NHI
- Emphasis shifted from income stabilization to coverage of medical care Extended proposal to middle class as well, because of increased costs of care Depression: revival of social insurance movement and radical political elements
- 1970s: -medical costs increasing much more sharply because of financing arrangements, because allowed to occur -economic and political leadership seemed ready to change medical care against opposition of providers
- Politics, not policy
- Washington Times article
- Baucus 8
- Congressional Hearings
- From NY times online, Prescriptions Blog Nov 6, 2009