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Chapter 3: The Evolution of Health Services in the US

Terms in this set (58)

1. Political Impracticality: Unlike Europe, the American government was highly decentralized and engaged in little direct regulation of the economy or social welfare.

2. Institutional Dissimilarities: American hospitals were mainly private, whereas in Europe they were largely government operated. Any efforts that would potentially erode the fee-for-service payment system and let private practice of medicine be controlled by a powerful third party (the government) were opposed. Other institutions such as insurance, pharmacies, and even unions opposed it as well.

3. Ideological Differences: The American value system has been based largely on the principles of market justices. Individualism and self-determination, distrust in the government, and reliance on the private sector the address social concerns as typical American values have stood as a bulwark against anything perceived as an onslaught on individual liberties.
-During the era of the Cold War, any attempts to introduce national health insurance were met with the stigmatizing label of socialized medicine. With their power of money, the AMA made sure no national health insurance bills would be passed.

4. Tax Aversion: An aversion to increase taxes to pay for social programs is another reason middle-class Americans, who are already insured, have opposed national initiatives to expand health insurance coverage.
-"Avoiding tax increases took priority over expanding health insurance coverage and caused the demise of Clinton's health care reform initiative"