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Control of Health Care in the Unites States

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Submitted By rqhines
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The United States health care system has been controlled by various groups over the years. At one point physicians were known to have controlled the health care system. Their homes were once considered the hospitals in which patients would stay over if needed (Laureate Education Inc., 2008). Over time the control of the health care system transitioned to hospitals. Their role was to become service organizations and offer a continuum of care in the health system (Barton, 2010). Today the health care system is controlled by financing. Financing includes any private plan, employer sponsored, direct purchase, any government plan, Medicare, Medicaid, and military health insurance (Barton, 2010). Financing is considered to control all aspects of health care including physicians being reimbursed for services, hospitals inpatient/outpatients revenue, nursing homes, medical services being provided with and without technology, and prescription drugs.
Over the years health insurance has changed. In the last half of the twentieth century, health insurance became the dominant payment mechanism for health services (Barton, 2010). The number of individuals with health insurance dramatically jumped after World War II as well as the spending for health care services (Shi & Singh, 2008). In 1965 Medicare and Medicaid were two government-supported programs initiated as amendments to the Social Security Act (Barton, 2010, p. 55). These programs were developed following the failure to enact some form of national health insurance. The military or Veterans Affairs system was developed in 1921 to support the health care services needed by veterans with conditions connected to their military service (Barton, 2010). In 1993, the Health Security Act (HSA) was unsuccessful in their reform proposal to establish uniform billing and streamlining other administrative procedures (Barton, 2010).

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