They need it this is part of the reason why health

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they need it (this is part of the reason why health reforms proposed by Roosevelt, Truman, and Nixon failed) Society US = deep and growing economic insecurity which influences people's ability to access basic needs (EG: food, housing, med care, etc) STAT: 2016 -- 41.2 mil lived in food-insecure households and that affects our health Social determinants of health are major contributions to health and disease Conditions we live in → systems, institutions, policies Neighborhoods, home life, schools, experiences of social inclusion/exclusion, levels of social support, occupational status and conditions We have the repair shop mentality the repair shop mentality describes how we focus a lot more on emergency/specialized care rather than preventive care, and this in turn causes our healthcare costs to be way higher than other countries. within our system, we tend to treat symptoms in isolation, neither interrogating deeper causes nor attending to the psychological, social, or environmental factors that might speed an individual to wellness. think illness is one problem that has one solution (magic bullet )but really is a condition of multiple factors (social determinants of health + built environment + biology, etc.) Some questions to think about related to REFORM
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19 4)What are some of the patterns over the past century in attempts at reform? e.g., multiple attempts, incremental change, resistance to major change from certain groups (which?), accusations of communism, socialism, and threats to freedom & the American Way Lecture 3 Incremental changes, resistance to major change from population, healthcare providers and union groups Main issue - government expansion - National health program plans strongly opposed Early 1900’s Teddy Roosevelt pushed for a single national health service without discrimination against or for any one set of therapeutic methods, school of medicine or school healing gained some popular support opposition from physicians, pharmacists, and commercial insurance companies who feared losing control of the market entry into war undermined this effort because seemed like a “German idea” (was popular in Europe at the time) 1920’s the idea to prepay insurance for medicare was born as hospitals needed patients to pay their bills 1930’s with the Depression: Roosevelt administration push for health insurance but initial pushback by AMA, Reps and Southern Dems, and insurance about government expansion (loss of control) Social Security Act Passed Blue Cross and Blue Shield established by AHA 1940’s with Truman’s plan propose a single system that would include all of American society: Southerners - opposed because fear government expansion could affect segregation, also denounced by AMA as a communist plot federal concession - tax-deductible business expense did pass legislation which fostered the expansion of hospitals (eventual shift from community to experience rating) 1960’s with Reagan: Medicare will lead to socialism! Oh no! 1965 Lyndon Johnson signs Medicare and medicaid into law

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