Conclusion: Possibilities for change. Part III. The emergence of a public health care state: 1860-1930 -- A conspicuous public health care state -- Expanding the boundaries of public health -- Public health planning: hope for a unified public-private system -- Part II. The rise of grow & hide: 1930-1965 -- The new public health deal -- The voluntary way hides the role of government -- Solidifying the grow and hide approach -- Part III. The consequences of grow & hide: 1965-2020 -- Fragmentation: the failure of health care planning -- Profiteering: the hidden financial industry takeover -- Inequality: how Medicaid is designed to grow and hide -- The ACA embraces grow & hide -- Conclusion: Possibilities for change.
Summary:
"The public health care state has developed as completely decentralized, in collaboration with voluntary organizations, and under the banner of "non-political" scientific agencies. The early history of this system explains how and why public health leaders were able to hide its growth in later periods. Understanding this foundational history is important for three reasons. First, the state-voluntary collaboration shaped the U.S. health care system, leaving it fragmented and unequal. Second, leaders in the public health coalition characterized the state's close collaboration with the voluntary sector as "private provision," abetting the beginning of the American Myth and setting the stage for grow-and-hide. And third, this formative history provides insight as to why the mixture of public and private "has been so ubiquitous in American history as to be almost invisible.""-- Provided by publisher.
This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.