Health Care
The history of American health care is exceptional, and not in a positive way. Every other developed nation has a cradle to the grave universal health care system. Several presidents attempted to provide universal healthcare, but every attempt was defeated by industry and conservative opposition. Several significant gains were made over the years: Medicare provided access to coverage for the elderly, Medicaid for the very poor, SCHIP for children, and COBRA for the previously insured unemployed. But it wasn’t until 2010 that a universal health care bill, the Affordable Care Act, was finally signed into law by President Barack Obama.
Commentary
Cry Wolf Quotes
As we devise legislation of this kind, my observation through the years has been that we tend to work at the Federal end of the chain. We will put the money in the Federal end, and it’s almost always on the assumption that the party at the very other end gets his full cost. If there ever was a circumstance under which you wanted the various parties and participants to share, this is the circumstance. I would again come back to fostering and leaving opportunities open for encouraging initiatives on the part of the insurance underwriters, providers, and communities to share in the cost of this problem. Don’t make it so easy. Don’t just give 100 percent Federal money. Somebody has got to start giving on the chain.
Finally, we vigorously oppose proposals that would mandate a minimum benefit package. This requirement goes beyond the problem being addressed and infringes on the right of employers and employees to develop the kind of health care coverage they want and can afford at a time when employers and employees are being very creative in the design and are negotiating a very hard line with the providers and carriers of health care for more cost effective health care plans. Such a requirement would be particularly onerous to small businesses, which have been most severely affected by the recent recession.
…the chamber remains committed to sound policies that will improve the economy and promote employment. We also remain committed to promoting the solvency of the States’ beleaguered unemployment insurance fund….First, the problem of lack of health insurance for the unemployed will abate as the economy continues to improve and unemployment is reduced. A continuation of the trend toward a reduction in taxation, regulation, and interest rates will help to achieve the dual goal of fuller employment and protection against health care costs.
American Medical Association [AMA] was strongly opposed to any scheme for group practice and to health insurance ... because they are un-American.
Related Laws and Rules
Backgrounders & Briefs
Marine Hospitals in the 18th Century
The Marine Hospital Act of 1798 was the federal government’s first foray into public medicine. The arguments against the policy sound awfully familiar.
The Work, Family and Equity Index: How Does the United States Measure Up?
The Project on Global Working Families is a study that measures worldwide social safety nets.
Resources
Center for Economic and Policy Research (CEPR) is a progressive think tank that concentrates on social and economic policy, both domestic and international.
University of California-Berkeley Labor Center carries out research on labor and workplace-related issues.
Yale’s Rudd Center for Food Policy and Obesity is a think tank devoted to food policy in the United States.
Institute for Women’s Policy Research is a prominent think tank that is largely focused on American women's issues. This covers everything from pay equity to welfare reform to domestic violence.
