HLTH 3050 - Final Exam

Terms in this set (63)

Teddy Roosevelt : (first attempt)
- supported social insurance platform that included health insurance
- modeled after european social insurance
- lost to wilson = movement fell flat.

American Association for Labor Legislation
- proposal for working class health insurance
- Followed European model
- Entrance into WWI in 1917 changed people's views on the bill

President Truman
- championed Roosevelt's call for economic bill of rights, which included "national health insurance"
- Proposal included, expanding hospitals, increasing public health and maternal and child health services, and single health insurance
(Hospital construction = only part enacted)

- won re-election on "national health insurance"
- AMA continued strong opposition
- Eventually focus shifted toward Koran War efforts

President Nixon
a. initial health reform proposal....
- Massive crisis existed in health care
- Focused on need to change financing of the health care system
(From fee for service system to more efficient system)
(Lead to HMOs)
- Plan included... employer mandate, reductions in Medicaid spending, Increase supply of physicians, Changes in how medical schools were subsidized

b. revised proposal
- More comprehensive plan
- Private insurance companies would cover employed; government run program would cover everyone else
(Both received same plan)
- No major support for bill and was never enacted (rejected)

President Clinton
- Health Security Act
- Designed to create national - health insurance without spending federal money or shifting coverage from private to public insurance
- Managed competition, which combined managed care and market competition concepts
- Spending limits and regulated premiums were included
- "Health Alliances" would compete for business
- Guaranteed scope of benefits included in all plans
- Employee mandate included
- Subsidies provided for low-income individuals
- Funded from cost containment strategies
- Never made it to a vote