Lecture 3 URNP 370.docx - Lecture 3 Government Health Insurance Monday June 3 2019 6:02 PM Government as Payer The Health Insurance Safety Net I \u2022

Lecture 3 URNP 370.docx - Lecture 3 Government Health...

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Lecture 3: Government & Health Insurance Monday, June 3, 2019 6:02 PM Government as Payer: The Health Insurance Safety Net I 1800s Social welfare a local responsibility Almshouses & public hospitals treated the poor Allopathic physicians became dominant U.S. hospital industry & costs grew rapidly 1920s Blue Cross created to fund care for the middle class Private insurance industry emerged Government as Payer: The Health Insurance Safety Net II 1940s & 1950s Employer-sponsored health insurance grew WW2: Insurance benefits excluded from wage and price controls 1946: Hill-Burton Program 1950’s: Federal officials ruled that premiums paid by employers would not be considered income to the employee; not taxed Costs $250 billion/year in tax revenue Major federal investment in research & hospitals President Truman called for universal coverage “Welfare medicine” bill passed 1965 Medicare & Medicaid passed under Johnson Medicaid Collection of 50 state-administered programs Not a single program Health insurance for low-income residents Covered 60 million Americans in 2012 Annual cost $415 billion (Kaiser Commission on Medicaid and the Uninsured) Enrollment & costs skyrocketed in 1990s
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