Lecture 4 Notes Political History

Lecture 4 Notes Political History - Lecture 4 Notes...

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Lecture 4 Notes: POL I T ICA L H IS TO RY I . NHI N ational H ealth I n s u r ance a s public policy o r iginate s in G e r many in the late 19 th Centu r y. G e r many w a s indu s t r ializing. P eople lo s ing the p r otection, w el f a r e o f the G uild s and village s . Con s e r vative gove r nment ( Bi s ma r k ) f ea r ed the att r action o f s ociali s tic political pa r tie s among the indu s t r ial w o r ke rs and o ff e r ed a package o f s ocial bene f it s (w hat w e s ometime s call To r y S ociali s m ) that included a s cheme f o r the p r ovi s ion o f health ca r e N ational H ealth I n s u r ance --- to p r event thi s fr om happening. G e r many 1881 D enma r k 1892 Belgium 1894 B r itain 1911 Fr ance 1928 Sw eden 1932 But not US II . US s ituation di ff e r ent P olitical P a r tie s not a s cla ss ba s ed a s in Eu r ope Cla ss di ff e r ence not a s s ha r p in US --- mo r e s ocial mobility U nion s s ought economic n o t political po w e r--- B r ead & Butte r S ociali s m US F ede r ali s m complicate s g r eatly the development o f national s cheme s NHI r e s i s ted a s G e r man idea in WW I Rai s ed again in late 1920 s but A me r ican M edical Ass ociation oppo s ed Pr ivate health in s u r ance s ta r t s in 1930 s , the Gr eat D ep r e ss ion Blue C r o ss /Blue S hield s e r vice bene f it, community ba s ed III . Pr e ss u r e D evelop s f o r US Wel f a r e S y s tem SO C IA L S EC U R I T Y A CT o f 1935 F ou r Component s---- 1. Wo r kman s Compen s ation ( done by s tate s in US) 2. U nemployment I n s u r ance
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3. Reti r eme n t Bene f it s 4. N ational H ealth I n s u r ance D emoc r at s unde r FD R enact SO C IA L S EC U R I T Y A CT in 1935 that give s A me r ican 2. U nemployment I n s u r ance and 3. Reti r ement Bene f it s . But p r ovi s ion f o r health in s u r ance d r opped becau s e o f MD oppo s ition.
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