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Describe the evolution of private health insurance in the U.S. and the transformation of health insurance...

  1. Describe the evolution of private health insurance in the U.S. and the transformation of health insurance to managed care. (Chapter 8)
  2. Chapter 8 from health care USA 9th edition book
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Answer #1

Phases of evolution of healthcare in US :-

# Historical periods- 1. pre-industrial (1700s-1800s)

-almhouses/pesthouses

-no professional, all apprenticeships

-medical training, practice, institutions

-medical care was purchased out of pocket(no insurance, no government)

# Historical periods- 2. post-industrial (1800s-1970s)

-financed privately

-actual money, no bartering

# Historical periods- 3. Corporate (1970s-2010)

-Clinton Health Plan (national health insurance) failed, but attempted (covers more than Obamacare)

# Historical periods- 4. Health care reform era (2010-today)

-obamacare

# Post-industrial America

-urbanization

-licensure required, educational reform (flexor report)

by state, AMA influential

-chronic conditions replaced infectious diseases

-private health insurance now (combat because of sanitation and vaccines, older age wear down

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