Evolution of Health Care Systems and the Effects on Managed Care Essay

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Evolution of Health Care Systems and the Effects on Managed Care HCS/310 October 18, 2010 Evolution of Health Care Systems and the Effects on Managed Care The evolution of the health care system in the U.S. has been a hot topic of debate to say the least. Throughout history there have been many attempts to reform the U.S. health care system, and all of these attempts have been met with resistance from many different angles. All attempts at instituting universal health care and major changes to the U.S. health care system have failed, leading to incremental changes. One recent debate is over managed care, and the impacts this system could have on the care and treatment of patients in the U.S. Is managed care a viable solution to fix the U.S. health care system? History of U.S. Health Systems The need to supply quality health care for all U.S citizens has been a major concern for the people as well as the government from early on in our nation’s history. The ever increasing costs of health care led to many attempts to institute national health systems, but these attempts were defeated and the development of private health insurance was instituted. Although this has brought health care coverage to many citizens it has left many people without coverage, and has not affected the cost of health care as hoped. More attempts to institute a national health system have been attempted and met with defeat, but according to (Quadagno, 2004) "legislation was successfully passed in 1965 to provide governmental financing for health care services for the elderly and the indigent” this was the introduction of the government programs Medicare and Medicaid. Even with these government programs in place the cost of health care still rose at an astounding rate and other attempts to control costs were implemented. Although fee-for-service insurance plans were still the dominant
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