CAS SO 215 Chapter Notes - Chapter 8: Social Philosophy, Neoliberalism, Unnecessary Health Care
24 Jan 2018
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The birth of us health insurance: main opponent: american medical association (ama, feared decreased doctor salary/autonomy, the blue cross (hospital bills) and blue shield (medical bills) insurance plans were established to protect the incomes of hospitals and doctors. Hmos reduced costs by encouraging preventive care, monitoring doctors" behavior to make sure it was cost effective, paying doctors on salary, and requiring hmo members to use only hmo doctors. The government steps in: medicare (old) and medicaid (poor) are government insurance programs that provide hc coverage to poor, disabled, and elderly persons. Because they initially were a form of fee-for-service insurance with the government paying all. Hc bills for members, these programs dramatically increased the profits available in hc: medicaid, funded jointly by state and federal, framed by politicians/citizens as (cid:824)charity(cid:825, medicare, federal, (cid:824)entitlement(cid:825) earned through lifetime of working/paying taxes. Blue cross, blue shield, hmos, and other nonprofit insurers to begin operating more like each other and more like commercial insurers.
