Historical Overview of U.S. Health Care Delivery

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In this video, Monika Wahi lectures to Laboure College students in her Fundamentals of the US Healthcare System class.
Want to follow along? Get “Essentials of the US Healthcare System” by Shi and Singh: https://www.amazon.com/Essentials-U-S-Health-Care-System/dp/1284126137
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I listed the links I mention below as they come up in the lecture. Enjoy!
00:33 Slides start
00:41 Learning objectives
01:09 Introduction to the history of United States (US) healthcare
02:46 Influence of cultural beliefs/values, social changes, and technological advances on US healthcare
04:24 Influence of economic constraints and political opportunism on US healthcare
06:27 Medical services in pre-industrial America – Civil War era, mid-1800s, before Industrial Revolution
08:03 Early hospitals and healthcare delivery in pre-industrial America – discussion of almshouses, pesthouses, dispensaries, asylums
09:58 Medical training in the pre-industrial era – establishment of early medical schools and residencies
11:12 Phases of pre-industrial medical school
12:50 Pre-industrial hospital comparison between US and Europe
15:44 Medical services in post-industrial America – changes after the Civil War
17:49 Influence of medical discoveries on post-industrial medicine in the US
18:28 Influence of changes in the American Medical Association (AMA) – AMA becomes a political power broker
20:09 Developments in post-industrial US medical education
22:05 Development of US hospitals in the post-industrial era
23:53 Notable developments in US medicine in post-industrial America
25:33 History of health insurance – early blueprints
25:48 Worker’s compensation, Blue Cross/Blue Shield, and private insurance
27:25 Blue Cross and Blue Shield started to merge in the 1970s
28:05 Why did private health insurance ownership increase so rapidly?
29:38 Why we still do not have universal healthcare in the US
29:43 Early attempts to set up universal healthcare in the US, and why they failed
32:22 Medicare and Medicaid was established in 1965 – and more history around public insurance
35:02 Distinctions between the Medicare and Medicaid programs
37:07 Corporatization of healthcare
38:05 Information revolution in healthcare
38:36 Globalization in healthcare (including medical tourism and staff migration)
39:42 Conclusion
40:36 Repeat learning objectives

Historical Overview of U.S. Health Care Delivery


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WP Radio