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History of the U.S. Healthcare System

chapter 1. History of the Healthcare System LEARNING OBJECTIVES In 2011, Census data indicate there were million uninsured citizens, which is a The student will be able to: decrease from 50 million in 2010. Identify five milestones of medicine and The Centers for Medicare and Medicaid medical education and their importance to Services (CMS) predicts annual Healthcare costs health care. will be $ trillion by 2020, which represents Identify five milestones of the hospital System nearly 20% of the gross domestic product. and their importance to health care. The United States is one of only a few devel- Identify five milestones of public health and oped countries that does not have universal their importance to health care. Healthcare coverage. Identify five milestones of health insurance and In 2002, the Joint Commission issued hospital their importance to health care. standards requiring them to inform their pa- tients if their results were not consistent with Explain the difference between primary, sec- typical care results.

In order to understand the current healthcare delivery system and its issues, it is important to learn the history of the development of the U.S. healthcare system. There are four major sectors of our healthcare system that will be discussed in this chapter that have impacted our current system of operations: (1) the history of practicing

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