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Improving Health Care

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In this chapter, "Improving Health Care: Treating the Nation's Ills," the author discusses the conflicts that arose as attempts were made to establish a national health care program amid political concerns and influences. The author, DiNitto, expresses a preference for a rational decision-making process as the best approach. However, when politics, scarce resources, and competing stakeholders vie for control of a major industry such as medical care, the outcome is seldom rational.

Every year beginning in 1935, law makers attempted to introduce bills to provide health care for the elderly and poor. Medicaid and Medicare were not passed until 1965. Medicare is a type of social insurance program paid for by payroll taxes and administered by the government to serve the elderly. Medicaid, established under Title XIX of the Social Security Act as an expansion of the Kerr-Miller Act, is a health welfare program limited to those over 65, under 21, handicapped, and members of certain dependent families.

A summary of the history of health care reveals that interest in national health care for the poor dates back to the turn of the century during the Progressive Era. From 1935 to 1965, attempts to introduce health care bills for the elderly and poor were successfully fought by the American Medical Association. Fear of government intervention in medical decisions, standards of practice, and fee setting aroused strong opposition from the medical com

. . .
ograms, and VISTA (Volunteers in Service to America) were other program components. The curative strategy stressed efforts to help people in poverty become self-supporting by causing changes in themselves and their environment. The cycle of poverty was to be broken through this effort, and economically disadvantaged Americans would be able to become gainfully employed and eventually become economically self-sufficient. Rehabilitation was the primary intervention method used in the "War on Poverty." Researchers divided poverty into two groups based on cause: case poverty, in which some personal characteristic of the poor prevented them from participating in the nation's prosperity; and area poverty, which was an economic deficiency related to a particular sector or industry in the nation. Initial efforts to fight poverty focused on poverty in specific areas. In 1961, the Area Redevelopment Act (ARA) authorized federal grants and loans to governments and businesses in designated areas. The Economic Development Act (EDA) of 1965 replaced ARA. The Community Development Block Grant (CDBG) program, established in 1974, was another area poverty program that provided funds to local Community Development Corporations to
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Some common words found in the essay are:
Health Centers, Medicare Medicaid, Medicaid Medicare, Canadian German, Wagner-Peyser Act, War Poverty, Poverty OEO, Act OAA, Security Act, Abuse Neglect, health care, social welfare, social services, mental health, social welfare programs, welfare programs, security act, medical care, child abuse, social security, drug abuse, social security act, national health care, health care program, social services programs,
Approximate Word count = 3819
Approximate Pages = 15 (250 words per page)

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