With the exception of the United States, all Western industrialized
countries guarantee all citizens coverage for essential health care services.
At any given time, one in six Americans lack any coverage, and one in three
have been uninsured at some time during the past 2 years.
Why doesn’t the United States have universal coverage? Quadagno
argues that current arrangements for financing health care are the result
of contentious and continuing struggles over the past century between social
reformers and physicians, employers, insurance companies, and trade unions.
Each attempt to enact national health insurance has met with a fierce attack
by powerful stakeholders. First physicians, then insurers and employers mobilized
their considerable resources to keep the financing of health care a private
affair. The author suggests that the only instance in which this was not the
case was in 1965, with Medicare (for the aged) and Medicaid (for the poor),
which provided insurance for groups “that private insurers have no desire
to cover.” (p 6)
Andersen R. Health Care System. JAMA. 2005;294(7):849–850. doi:10.1001/jama.294.7.849-b
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