HCA 210 Week 7 DQ 2How has the payment of health care providers evolved over time? what cause these changes? Health care in America has changed dramatically over time. Typically, until the post-World War II insurance boom, health care was a paid service, "fee for service." Of course, this did accentuate the differences between economic classes; wealthier people were able to afford private doctors and more healthcares, while the poor were often relegated to the county hospital wards with little or no care. In the rural environment, healthcare payments were often done with the bartering system, as was veterinary care. While insurance companies did not become a mainstay of medical culture until after WWII, the first attempts at managed health care began in the 1920s. During WWII, however, and well into the 1040; there was such a shortage of labor that the government imposed wage control. To counteract this situation, and
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