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POLITICS AND
HEALTHCARE
A HISTORY OF
KEY
LEGLISLATION
BY NATHAN SPROUL
THE
INTERSECTION
BETWEEN
HEALTHCARE AND
POLITICS IS
NOTHING NEW.
"
--CHRISTINE GUZZO VICKERY for
HEALTHCARE DESIGN magazine
THE GOVERNMENT HAS ALWAYS
PLAYED A CRUCIAL ROLE IN
HEALTHCARE. IN 1636, THE PILGRIMS
FUNDED PUBLIC CARE FOR
DISABLED SOLDIERS AND
GENERATIONS LATER DURING THE
CIVIL WAR, ABRAHAM LINCOLN
PROMISED: 'TO CARE FOR HIM WHO
SHALL HAVE BORNE THE BATTLE
AND FOR HIS WIDOW AND HIS
ORPHAN.'
The federal government’s influence on
healthcare has become common since
Abraham Lincoln first spoke those words
in the 1860s. In the following 150 years,
various presidents have taken the initiative
to create healthcare laws to assist the
American people. In 1912, Theodore
Roosevelt called for universal health care
during his run for a third term as
president. Though he did not win the
election, the issue was brought up and
considered by the government. At this
time, maternity leave and time off for
illnesses was nonexistent.
Though Roosevelt’s health care vision
didn’t succeed, it wasn’t long before
another president attempted to improve
the system. President Dwight D.
Eisenhower created the Department of
Health, Education, and Welfare (HEW) in
1953. This department eventually became
the Department of Health and Human
Services (HHS) to protect the health
interests of all American citizens.
Eisenhower also developed the Military
Medicare program, so dependents of
military personnel are guaranteed
insurance. At the same time, the Federal
Employee Benefits Act was created, which
provides federal employees, and their
families, health care coverage.
While Social Security had been
implemented by 1972, Medicare coverage
only applied to those over 65 and certain
special circumstances. During Richard
Nixon’s time as president, he signed the
Social Security Amendment, which
provided coverage for people under 65
who experience disabilities or renal
disease.
In 1983, President Ronald Reagan signed
the Consolidated Omnibus Budget
Reconciliation, which gives workers’
dependents continued coverage for a set
length of time after health care is lost in
specific situations, such as in divorce or a
death. Two decades later, President
George W. Bush signed the Medicare
Prescription Drug Improvement and
Modernization Act in 2003. This act
provides people on Medicare with
coverage for prescription drugs.
FOR DECADES, THE FEDERAL
GOVERNMENT HAS GREATLY
INFLUENCED HEALTH CARE IN THE
COUNTRY. THIS CONNECTION
BETWEEN THE TWO CONTINUES TO
THIS DAY, WITH PRESIDENTIAL
CANDIDATES ALMOST ALWAYS
OUTLINING THEIR STANCE ON HEALTH
CARE. IT’S BEEN A HOT ISSUE IN THE
COUNTRY FOR THE LAST FEW YEARS,
WITH MANY PEOPLE TALKING ABOUT
HEALTH CARE NOW MORE THAN EVER.

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Nathan Sproul | Politics and Healthcare: A History of Key Legislation

  • 1. POLITICS AND HEALTHCARE A HISTORY OF KEY LEGLISLATION BY NATHAN SPROUL
  • 3. " --CHRISTINE GUZZO VICKERY for HEALTHCARE DESIGN magazine THE GOVERNMENT HAS ALWAYS PLAYED A CRUCIAL ROLE IN HEALTHCARE. IN 1636, THE PILGRIMS FUNDED PUBLIC CARE FOR DISABLED SOLDIERS AND GENERATIONS LATER DURING THE CIVIL WAR, ABRAHAM LINCOLN PROMISED: 'TO CARE FOR HIM WHO SHALL HAVE BORNE THE BATTLE AND FOR HIS WIDOW AND HIS ORPHAN.'
  • 4. The federal government’s influence on healthcare has become common since Abraham Lincoln first spoke those words in the 1860s. In the following 150 years, various presidents have taken the initiative to create healthcare laws to assist the American people. In 1912, Theodore Roosevelt called for universal health care during his run for a third term as president. Though he did not win the election, the issue was brought up and considered by the government. At this time, maternity leave and time off for illnesses was nonexistent.
  • 5. Though Roosevelt’s health care vision didn’t succeed, it wasn’t long before another president attempted to improve the system. President Dwight D. Eisenhower created the Department of Health, Education, and Welfare (HEW) in 1953. This department eventually became the Department of Health and Human Services (HHS) to protect the health interests of all American citizens.
  • 6. Eisenhower also developed the Military Medicare program, so dependents of military personnel are guaranteed insurance. At the same time, the Federal Employee Benefits Act was created, which provides federal employees, and their families, health care coverage.
  • 7. While Social Security had been implemented by 1972, Medicare coverage only applied to those over 65 and certain special circumstances. During Richard Nixon’s time as president, he signed the Social Security Amendment, which provided coverage for people under 65 who experience disabilities or renal disease.
  • 8. In 1983, President Ronald Reagan signed the Consolidated Omnibus Budget Reconciliation, which gives workers’ dependents continued coverage for a set length of time after health care is lost in specific situations, such as in divorce or a death. Two decades later, President George W. Bush signed the Medicare Prescription Drug Improvement and Modernization Act in 2003. This act provides people on Medicare with coverage for prescription drugs.
  • 9. FOR DECADES, THE FEDERAL GOVERNMENT HAS GREATLY INFLUENCED HEALTH CARE IN THE COUNTRY. THIS CONNECTION BETWEEN THE TWO CONTINUES TO THIS DAY, WITH PRESIDENTIAL CANDIDATES ALMOST ALWAYS OUTLINING THEIR STANCE ON HEALTH CARE. IT’S BEEN A HOT ISSUE IN THE COUNTRY FOR THE LAST FEW YEARS, WITH MANY PEOPLE TALKING ABOUT HEALTH CARE NOW MORE THAN EVER.