History of American Medicine Final Paper
PART I(a) With the creation of Medicare in 1966 in order to expand access for the elderly to the American healthcare system, the ways in which medicine and its corresponding industries were conducted were irrevocably changed. Prior to its inception, only 65% of people over 65 actually had proper health insurance, as the elderly paid three times as much for healthcare as young people (Stevens, 1998). The private medical sector had much more control over who they would treat, how much they would charge, and more; the passing of Medicare freed up the elderly to have reasonable access to healthcare as a consequence of a lifetime of paying into the system. The way Medicare was originally organized,
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With Medicare, however, more people qualified for insurance, making them more willing to go in for preventative care (and thus preventing the need for expensive procedures later by detecting and solving problems early). Furthermore, the presence of Medicare made recipients of Medicare 100% able to pay for their healthcare, since their coverage was provided by the federal government; this avoided problematic avoidances in payment, thus lowering the risk pool and keeping costs down. Physicians are also allowed to collect their fees right from carriers, limiting patient liability, though it is much more profitable and advantageous to them for patients to pay their physicians directly and simply get a refund from Medicare later. Medicare’s eventual organization, however, soon allowed for third parties to enter the health care market, and ensure that corporations had a larger stake in the health care system. Because of the federal government’s relative inexperience, people and medical practices would simply choose to use private fiscal agents such as the Blue Cross Association to ensure they had experienced figures. Because of this demand, legislation was changed to accommodate the Blue Cross into the overall federal infrastructure of Medicare. The entrance of third parties into the health care system, including voluntary health insurance organizations, helped to make Medicare seem less scary or rigid
Prior to this shift, government involvement in health insurance services was minimal since it seemed to be under control by the non-profit sector. There didn’t seem to be an urgent need to control or universalize health care at the time. The government’s first interest in the health care industry sparked when employers began providing health care benefits as a competitive advantage for recruiting workers back into the workforce during World War II. To help cope with the rising unemployment rates, the government would offer tax incentives to employers providing these benefits. (add Quote)
As this baby-boomer generation continues to age there will be profound effects on the way that money is spent on health care and insurance. With approximately 77 million people turning 65 over the next several years, the amount of government spending on Medicare will greatly increase (Gigante, 2012). Thus, the demand for medical care associated with the aging population will so
One dominant economic feature of the healthcare industry is the growing need for both basic and specialized healthcare due to the continued aging of the “Baby Boomer” generation. This generation consists of over 79,000,000 individuals born in the US between 1946 and 1964. As this generation has aged, the need for healthcare has increased dramatically. Let us take a look at some statistics:
There are four evolutionary phases in healthcare. The first phase was the preindustrial era, which started in the middle 18th century to the beginning of the 19th century. At this time, American medicine was not developing as fast as other countries; in Britain, France, and Germany, medical science and research was much more advanced than America. The postindustrial era began in the late 19th century, physicians in America were becoming more successful than others in the world. The third phase was the corporate era, which was marked by the growth of managed care, organizational integration, the information revolution and globalization. Finally, the fourth phase is the one in which we are in today, it is still fairly new and is characterized by the health care reform, which was brought about by the Affordable Care Act.
Suitable health care would not be possible for the elderly population in America without the assistance of Medicare Part A. Medicare did not come about easily. Currently Medicare spending is more than what is being collected, questioning future solvency. There are many challenges with sustaining Medicare into the future. Medicare’s past struggles, present outcomes, and future challenges confirm that a national health plan is ever evolving to meet the needs of the current population and spending inflation.
Medicare is America’s largest health insurance program for the men and women over the age of 65 or with certain disabilities. For many Americans, this a huge part of how they can afford medications, doctor visits and other medical expenses. In recent years the number of Medicare enrollees has doubled (NASI, 2015). The “Baby Boomers”, people born from 1946-1965, is the largest generation within America with roughly 75 million Americans. This generation of Americans are all turning 65 around the same time and enrolling into this medical program. With the amount of new enrollees the total spending for Medicare will rise from 3.6% of the nations GDP to 5.1% by 2030, when the youngest of the baby boomer generation will be 65 (NASI, 2015). Even
One major part of the U.S. healthcare system is Medicare, which is designed to deliver healthcare to those who are 65 or older, and also Medicaid, which delivers healthcare to those that are certain level below the poverty line. These two are the main parts of the Untied States healthcare system to deliver access to the highest risk groups, the old and impoverished. The majority of health insurance is provided by private insurance companies, 49% of which is through employers, however, after the passage of the ACA many have taken advantage of market place premiums.1 This fragmentation of a healthcare system poses several issues as healthcare costs continue to rise, and it is difficult to implement a universal
The practice of medicine has been shaped through the years by advances in the area of diagnostic procedures. Many of these advances were made possible by scientific breakthroughs made before the 20th century. Modern medicine arguably emerged. Both normal and abnormal functions (physiology and pathology) were increasingly understood within smaller units, first the tissues and then the cells. Microscopy also played a key role in the development of bacteriology. Physicians started to use stethoscope as an aid in diagnosing certain diseases and conditions. New ways of diagnosing disease were developed, and surgery emerged as an important branch of medicine. Above all, a combination of science and technology underpinned medical knowledge and
Roughly 95 percent surprisingly over the age of 65 in the United States are secured by the Medicare program. Medicare comprised of two partitioned yet integral projects: Hospital Insurance (HI) for administrations outfitted in clinics, in talented nursing offices, and by home well-being offices; and Supplementary Medical Insurance (SMI) for the administrations of doctors, home
Due to the upcoming presidential election, the two major political parties, and their candidates, have been focusing on the primary problems that the nation will face. Chief among those problems is the future of Medicare, the national health-insurance plan. Medicare was enacted in 1965, under the administration of Lyndon B. Johnson, in order to provide health insurance for retired citizens and the disabled (Ryan). The Medicare program covers most people aged 65 or older, as well as handicapped people who enroll in the program, and consists of two health plans: a hospital insurance plan (part A) and a medical insurance plan (part B) (Marmor 22). Before Medicare, many Americans didn't have health
The growing concern regarding the financial security of Medicare is one of particular interest to the nearly 72 million baby boomers that become eligible for this government-assisted, and tax-payer bolstered, program over the next two decades. According to the U.S. Census Bureau (2010), there will be a rapid increase in baby-boomers between 2010 and 2030, as the entire baby boomer population move into the 65 years and over category (p.3). Political and financial revisions must be made to ensure the security of Medicare as the numbers of individuals paying into this program are soon to be surpassed by the number of individuals drawing-off this program (U.S. Census Bureau, 2010). The elderly are also at a disadvantage with transportation to health care visits, picking up prescriptions, and rehabilitation services. There needs to be an establishment of access not only to primary care providers, hospitals, and rehabilitation services, but access to other aspects of the health care system for the elderly population.
The current healthcare system is problematic in America, and the elderly population is suffering the most financially. Prescription costs are sky-rocketing and since insurance and social security do not cover all the costs, the elderly are paying out of pocket for their medications. Employees in the medical field should prescribe drugs that treat multiple symptoms, suggest substituting brand names for generic names, and navigate patients to cost effective programs. Healthcare administrators need to create a policy for medical staff that will require them to monitor and provide more financially suitable healthcare options for elderly consumers
In the spring of 1918, the first wave of one of the deadliest influenza pandemics began plaguing its victims (Peters, ix). Over the span of three lethal waves, the pandemic claimed approximately forty million victims, eradicating nearly twenty percent of the entire world’s population, or about one out of five individuals (Peters, ix). To make matters more dire, the ill-suited medical community was exceptionally unprepared for such a wide-scale pandemic: Doctors had very basic tools, knew little about diseases, and had no experience with vaccinations or prevention (Peters, 1-5; “The 1920s: Medicine and Health: Overview”, n.p.). People blindly faced the epidemic, relying on folk remedies such as consuming wine, drinking antiseptic, and
James Cassedy’s Medicine in America, A Short History takes a comprehensive look at medical progress in America from its colonial days to the present time. The book takes on five different themes in discussing medicine. First, it discusses the medical establishment, and how it develops over time. Second, it looks at the alternative to established medicine. Alternatives consist of any kind of medical practice outside the orthodox practice of the time. Third, Cassedy explores the science of medicine, taking time to recognize individuals who make significant discoveries in the field of medicine. The role of government in science is the fourth theme studied by Cassedy. The government makes considerable efforts into the regulation of medical
After four decades of failure to enact a universal healthcare program, advocates decided to refine their approach in the 1950s, and the strategy that ultimately led to the passage of Medicare and Medicaid was formulated. Wilbur Cohen and I.S. Falk recognized that a health insurance plan focused on Social Security beneficiaries would be much easier to sell than a plan for all Americans. By limiting its benefits to the elderly, Medicare could be portrayed as a program for people who met two important criteria: they had greater need for healthcare coverage and they were especially deserving of public assistance. Because of their age, seniors have relatively high medical costs--when Medicare was passed, average healthcare expenses for people sixty-five or older were twice the average expenses for younger persons. (Orentlicher, D. (2012).