Statement of the Problem

2017 ◽  
pp. 1-35
Author(s):  
Gunnar Almgren
Keyword(s):  
Health Care ◽  
American Medical Association ◽  
Medical Association ◽  
20Th Century ◽  
American Exceptionalism ◽  
Public And Private ◽  
Health Care Finance ◽  
Insurance System ◽  
The Poor ◽  
Comprehensive Health

This chapter provides a narrative of the complex origins of the American Exceptionalism in health care and the main impediments to the realization of health care as a social right afforded to all Americans. As the chapter discusses, at the heart of American Exceptionalism in health care is “The Great Unsustainable Compromise”, that is, a fragmented mixed-public and private system of health care finance and delivery that has been built around a subsidized employment-based insurance system with selective entitlements to health care for the poor and aged. After tracing the development of the Great Unsustainable Compromise from the demise of the Truman Plan in the late 1940's at the behest of the American Medical Association through the enactment of the Medicare and Medicaid entitlements in 1965, the chapter explains the seeds of its demise and its gradually unraveling over the final decades of the 20th century. In its concluding section, the chapter advances the arguments for the inevitability of the evolvement of the health care system to a publicly financed universal entitlement to comprehensive health care as a social right of citizenship.

scholarly journals Looking back at the lawsuit that transformed the chiropractic profession part 2: Rise of the American Medical Association

2021 ◽  
Vol 35 (S1) ◽  
pp. 25-44 ◽  
Author(s):  
Claire D. Johnson ◽  
Bart N. Green
Keyword(s):  
Health Care ◽  
American Medical Association ◽  
Medical Association ◽  
American Medical ◽  
20Th Century ◽  
The United States ◽  
Qualitative Inquiry ◽  
Chiropractic Profession ◽  
American Hospital ◽  
Practice Education

Objective This paper is the second in a series that explores the historical events surrounding the Wilk v American Medical Association (AMA) lawsuit in which the plaintiffs argued that the AMA, the American Hospital Association, and other medical specialty societies violated anti-trust law by restraining chiropractors' business practices. The purpose of this paper is to provide a brief review of the history of how the AMA rose to dominate health care in the United States, and within this social context, how the chiropractic profession fought to survive in the first half of the 20th century. Methods This historical research study used a phenomenological approach to qualitative inquiry into the conflict between regular medicine and chiropractic and the events before, during, and after a legal dispute at the time of modernization of the chiropractic profession. Our methods included obtaining primary and secondary data sources. The final narrative recount was developed into 8 papers following a successive timeline. This paper is the second of the series that explores the growth of medicine and the chiropractic profession. Results The AMA's code of ethics established in 1847 continued to direct organized medicine's actions to exclude other health professions. During the early 1900s, the AMA established itself as “regular medicine.” They labeled other types of medicine and health care professions, such as chiropractic, as “irregulars” claiming that they were cultists and quacks. In addition to the rise in power of the AMA, a report written by Abraham Flexner helped to solidify the AMA's control over health care. Chiropractic as a profession was emerging and developing in practice, education, and science. The few resources available to chiropractors were used to defend their profession against attacks from organized medicine and to secure legislation to legalize the practice of chiropractic. After years of struggle, the last state in the US legalized chiropractic 79 years after the birth of the profession. Conclusion In the first part of the 20th century, the AMA was amassing power as chiropractic was just emerging as a profession. Events such as publication of Flexner's report and development of the medical basic science laws helped to entrench the AMA's monopoly on health care. The health care environment shaped how chiropractic grew as a profession. Chiropractic practice, education, and science were challenged by trying to develop outside of the medical establishment. These events added to the tensions between the professions that ultimately resulted in the Wilk v AMA lawsuit.

Adolescent Immunization: The Access and Anchor for Health Services?

PEDIATRICS ◽  
1995 ◽  
Vol 95 (6) ◽  
pp. 936-937
Author(s):  
Caroline Breese Hall
Keyword(s):  
Health Care ◽  
American Medical Association ◽  
Medical Association ◽  
Sexually Transmitted Diseases ◽  
Social Health ◽  
Comprehensive Health Care ◽  
Sexually Transmitted ◽  
Age Of Reason ◽  
Comprehensive Health ◽  
Health Objective

Concern is escalating for the medical and social health of our adolescents under the current discouraging avalanche of statistics. The need for comprehensive health care visits for teens and pre-teens has been highlighted as a national health objective for the year 2000,1 and emphasized by the recent goals and guidelines of the American Academy of Pediatrics2-4 and the American Medical Association.5 The frequency of pregnancies in early adolescence and the steep rise of sexually transmitted diseases, hepatitis B infections, drug abuse, and smoking in teens have been documented.6 Adolescence, if not the age of reason, is the age of risk.

scholarly journals An experimental investigation of mixed systems of public and private health care finance

2012 ◽  
Vol 84 (3) ◽  
pp. 713-729 ◽  
Author(s):  
Neil J. Buckley ◽  
Katherine Cuff ◽  
Jeremiah Hurley ◽  
Logan McLeod ◽  
Stuart Mestelman ◽  
...  
Keyword(s):  
Health Care ◽  
Experimental Investigation ◽  
Private Health Care ◽  
Public And Private ◽  
Health Care Finance ◽  
Mixed Systems

scholarly journals Bajakajian: New Hope for Escaping Excessive Fines under the Civil False Claims Act

1999 ◽  
Vol 27 (4) ◽  
pp. 366-379
Author(s):  
Melissa Ballengee
Keyword(s):  
Health Care ◽  
American Medical Association ◽  
Medical Association ◽  
Attorney General ◽  
American Hospital ◽  
American Hospital Association ◽  
Health Care Fraud ◽  
False Claims Act ◽  
The Government ◽  
The U.S

Ever since the U.S. Attorney General named health care fraud as the government's second highest priority after violent crime, the government has cracked down on health care fraud and abuse. Some of this crackdown has been needed. The General Accounting Office (GAO) estimates that as much as 10 percent of all government expenditures on health care are being siphoned out of the system because of fraud or abuse.The extreme measures taken to curb health care abuse have raised eyebrows, however. The American Medical Association and the American Hospital Association both have been vocal in their disapproval, describing the current enforcement initiative as “absolutely out of control.” The associations even went so far as to file suit to enjoin the government's actions.

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