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
Health Care Milestones
NRSE 6010




             It may seem like discussions of health care reform have
                been a recent phenomenon, but health care has been a
                topic of conversation in the United States for decades.

             The first President to address universal health care for
                the United States was Theodore Roosevelt. Universal
                health care (and women’s suffrage) were part of his
                platform in 1912. Following is a quick chronology of
                health care milestones since Roosevelt.is a quick chronology
                of health care milestones since Roosevelt.
1929

 Baylor Hospital in Dallas provides prepaid health
   care for local teachers and is considered the first
   organized health insurance program in the U.S.
1931

 First health maintenance organization plan is
   created in Oklahoma
1934

 National health insurance is discussed in Congress
1945

 President Truman wants health care overhauled
   with compulsory coverage and an increased
   number of physicians and nurses; AMA calls it
   “socialized medicine.”
1948

 Following World War II countries signed Article 25
   of the Universal Declaration of Human Rights which
   included access to health care for all. The US did
   not sign Article 25.

 1. Everyone has the right to a standard of living adequate for the health
    and well-being of himself and of his family, including food, clothing,
    housing and medical care and necessary social services, and the right to
    security in the event of unemployment, sickness, disability, widowhood,
    old age or other lack of livelihood in circumstances beyond his control.
 2. Motherhood and childhood are entitled to special care and assistance.
    All children, whether born in or out of wedlock, shall enjoy the same
    social protection.
1949

 Health care benefits can be included in collective
   bargaining agreements
1954

 Health care insurance is exempt from taxes
1965

 President Johnson signs legislation that creates
   Medicare and Medicaid
1971

 President Nixon wants a minimum level of
   insurance for all

 Senator Edward Kennedy works to develop
   universal single-payer health care plan
1974

 Large corporations with self-insured plans exempt
   from state regulations
1976

 President Carter advocates for universal and
   mandatory coverage of health care
1986

 Legislation requiring hospitals to screen and
   stabilize all ED patients

 Cobra which allows employees
   can keep group health
   care for up to
   18 months after loss
   of a job
1988

 Medicare Catastrophic Coverage Act passed


   The Congressional Budget Office
   The Medicare Catastrophic Coverage Act of 1988

   http://cbo.gov/sites/default/files/cbofiles/ftpdocs/84xx/doc84
   30/88doc14.pdf
1989

 Medicare Catastrophic Coverage Act repealed




                X
             Medicare
            Catastrophic
            Coverage Act
1993

 President Clinton plan would provide universal
   coverage
1996

 Health Insurance Portability and Accountability Act
   (HIPAA)
1997

 Children’s Health Insurance Program (CHIP)
2003

 President Bush signs legislation that adds
   prescription drug coverage to Medicare
   (December 8, 2003)

 Social Security Legislative Bulletin
   http://www.ssa.gov/legislation/legis_bulletin_1211
   03.html
2008

 President Obama promises health care reform
2010

 Affordable Care Act signed by President Obama
   (March 23, 2010)

 President Obama
   Explains the Health Care
   Bill

 Affordable Care Act Timeline
   http://www.healthcare.gov/law/timeline/

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Health Care Milestones

  • 1.  Health Care Milestones NRSE 6010  It may seem like discussions of health care reform have been a recent phenomenon, but health care has been a topic of conversation in the United States for decades.  The first President to address universal health care for the United States was Theodore Roosevelt. Universal health care (and women’s suffrage) were part of his platform in 1912. Following is a quick chronology of health care milestones since Roosevelt.is a quick chronology of health care milestones since Roosevelt.
  • 2. 1929  Baylor Hospital in Dallas provides prepaid health care for local teachers and is considered the first organized health insurance program in the U.S.
  • 3. 1931  First health maintenance organization plan is created in Oklahoma
  • 4. 1934  National health insurance is discussed in Congress
  • 5. 1945  President Truman wants health care overhauled with compulsory coverage and an increased number of physicians and nurses; AMA calls it “socialized medicine.”
  • 6. 1948  Following World War II countries signed Article 25 of the Universal Declaration of Human Rights which included access to health care for all. The US did not sign Article 25. 1. Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control. 2. Motherhood and childhood are entitled to special care and assistance. All children, whether born in or out of wedlock, shall enjoy the same social protection.
  • 7. 1949  Health care benefits can be included in collective bargaining agreements
  • 8. 1954  Health care insurance is exempt from taxes
  • 9. 1965  President Johnson signs legislation that creates Medicare and Medicaid
  • 10. 1971  President Nixon wants a minimum level of insurance for all  Senator Edward Kennedy works to develop universal single-payer health care plan
  • 11. 1974  Large corporations with self-insured plans exempt from state regulations
  • 12. 1976  President Carter advocates for universal and mandatory coverage of health care
  • 13. 1986  Legislation requiring hospitals to screen and stabilize all ED patients  Cobra which allows employees can keep group health care for up to 18 months after loss of a job
  • 14. 1988  Medicare Catastrophic Coverage Act passed The Congressional Budget Office The Medicare Catastrophic Coverage Act of 1988 http://cbo.gov/sites/default/files/cbofiles/ftpdocs/84xx/doc84 30/88doc14.pdf
  • 15. 1989  Medicare Catastrophic Coverage Act repealed X Medicare Catastrophic Coverage Act
  • 16. 1993  President Clinton plan would provide universal coverage
  • 17. 1996  Health Insurance Portability and Accountability Act (HIPAA)
  • 18. 1997  Children’s Health Insurance Program (CHIP)
  • 19. 2003  President Bush signs legislation that adds prescription drug coverage to Medicare (December 8, 2003)  Social Security Legislative Bulletin http://www.ssa.gov/legislation/legis_bulletin_1211 03.html
  • 20. 2008  President Obama promises health care reform
  • 21. 2010  Affordable Care Act signed by President Obama (March 23, 2010)  President Obama Explains the Health Care Bill  Affordable Care Act Timeline http://www.healthcare.gov/law/timeline/