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Lecture+2+PH+Government+and+Medical+Care

Lecture+2+PH+Government+and+Medical+Care - Introduction to...

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Introduction to Public Health: Public Health and the Government Lecture 2 Health Care Reform; the FDA; Population
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Review History of Health Care Reform in the US The new Health Care Reform law USDA and FDA Visual communication – food plate and nutrition labels Population
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History of Health Reform in the US Focus on health insurance National Health Insurance first proposed by Teddy Roosevelt in 1912 Inspired by Germany 1880’s and “social legislation program” In public health, germ theory focus in Europe
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Reform Focus on importance of public health through Influenza Pandemic of 1918 Following WWI, medical advances accelerated and spending increased 1929, first “insurance” offered to teachers in Texas. This concept formed basis of Blue Cross for hospitalization
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Reform 1930’s – Social Security, more discussions on national health care Due to Great Depression, funding was not available for expanding health programs American Medical Association (AMA) opposed national health insurance plans from the inception
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Reform President Truman in 1940’s also supported ideas of national health insurance 1940’s and 1950’s – Employers begin to offer health insurance to attract employees
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Health Reform 1965 – Medicare and Medicaid 1970’s – President Nixon signs HMO act 1990’s – President Clinton attempts health care reform. Efforts fail. 1996 – Passage of the Health Insurance Portability and Accountability Act (HIPPAA)
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Health Reform 2000 – Passage of the State Children’s Health Insurance Program 2003 – Medicare Prescription Drug Program, Part D (phased in in 2006) 2010 – Patient Protection and Affordable Care Act
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Why is health care reform important ? Many reasons! Cost control - aging population - technologies/advances Insurance coverage - prices spiraling - loss of coverage from jobs
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Importance of Reform US system does not focus on wellness or prevention, rather than treating diseases once they surface
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Medical Care - Questions Should citizens have the same right to medical care as they do to education? Who provides medical care for those who cannot afford insurance? Who pays? If there are limits to a community’s responsibility for providing medical care, how should those limits be determined?
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Public Health is the Provider of Last Resort Medical profession often opposes government involvement in addressing these questions, but public health functions as provider of last resort, offering people medical services even if they cannot afford to pay
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When is Medical Care a Public Health Responsibility? Prevent spread of communicable diseases – sick individuals could infect others Emergency services Hospitals required by law to provide care for life-threatening conditions until the person is stable, regardless of ability to pay. However, many poor and/or uninsured patients are then moved to other hospitals.
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The U.S. System Primarily private insurance
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