Protecting the Health of Young Workers in Wartime

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Integrated health services encompasses the management and delivery of quality and safe health services so that people receive a continuum of health promotion, disease prevention, diagnosis, treatment, disease-management, rehabilitation and palliative care services, through the different levels and sites of care within the health system, and according to their needs throughout the life course.

Young Workers Rights

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Protecting the health of young workers in wartime ..

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New York State Trauma Centers. Level 2 serves as Transfer level. Public Health Service. Early in this century, the instability and inadequacy of voluntary health benefit programs and the need for broad government action became a subject of public debate and agitation in this country, as it had elsewhere Anderson, , ; Harris, ; Starr, As noted above, many early employer-sponsored programs were not well regarded, and the financial instability of union and mutual aid programs and the conservatism of commercial insurers also contributed to negative opinions of voluntary private insurance.

Many were aware of the public schemes evolving in Europe and the arguments behind these developments. The Progressive Party under President Theodore Roosevelt included national health insurance in its platform for the election Harris, , and some key officials of the U. Public Health Service supported compulsory insurance in the belief that it would encourage more backing for public health measures Starr, ; Mullan, Legislation to study and plan for national unemployment, old age, and sickness insurance was introduced in Congress in and by its only Socialist member.

Hearings were held, but the legislation never passed, in part because of the pressures and distractions presented by World War I and in part because of interest group opposition Anderson, ; Starr, Reflecting the federalism of the times, most initial efforts to secure government action focused on state rather than national initiatives. The following discussion first traces early attempts to secure state health insurance legislation and then examines subsequent efforts to achieve national health insurance.

It turns last to initiatives in the private sector and the stimulus provided to employment-based health coverage by federal decisions affecting employee benefits and employer-employee relationships generally. After workers ' compensation or disability insurance for work-related injury, medical care insurance was one of the earliest targets for groups in the United States advocating social insurance against the hazards of modern industrial society Anderson, , ; Starr, Two-fifths of the cost would come from workers, two-fifths from employers, and one-fifth from state government; the total cost was estimated at 4 percent of wages.

The objectives were to reduce the social costs of illness through effective medical care and incentives for disease and injury prevention. The group was chaired by Theodore Roosevelt's personal doctor Alexander Lambert and staffed by a Socialist physician I. In the same year the AMA elected as its president Dr. Rupert Blue, then surgeon general of the United States.


Blue called for adequate health insurance in his presidential address Mullan, Moreover, an AMA trustees' report argued that it was better that they '''initiate the necessary changes than have them forced on us"' Harris, , p. The AMA Committee on Social Insurance concluded that voluntary health insurance under private control was unworkable and urged support for state legislation. By , however, the stance of organized medicine switched from cautious cooperation to forceful opposition that lasted decades. Foreshadowing the tone of later vehement opponents of national health insurance , one physician wrote in of a New York proposal: "'Nowhere has the swinish greed of the debasing propaganda of state socialism been more brazenly exposed than in this merciless attempt to steal the livelihood of the most unselfish profession in the world"' quoted in Anderson, , p.

In addition to medical opposition, explanations for the uniform failure of the early state-directed initiatives in the United States usually cite several other factors Anderson, ; Starr, ; Weir et al.

World War I diverted attention from social welfare programs and gave opposing groups time to organize. The impact of medical care costs on individuals and families had not been systematically documented, and the public was relatively uninterested and uneducated about the concept of health insurance. Hospital, nursing, and public health interests expressed some support for health insurance but were largely passive. Organized labor was not united. Some business groups argued that if any public action were taken it should be in behalf of public health measures, which would do more to increase productivity than would sickness benefits.


Economic elites were not spurred by the specter of socialism to establish state welfare programs, and the U. Altogether, opposition from commercial insurance companies who were primarily protecting related lines of business, because medical expense insurance was almost nonexistent , the medical profession, big business, and drug companies overwhelmed the labor interests at the state level and the economists, lawyers, political scientists, and other "do-gooders" who made up the AALL Anderson, , p.

Much of the motivation for the next major push for public—and private—medical expense insurance in the United States came from another private committee, the Committee on the Costs of Medical Care CCMC.

Protecting the Health of Young Workers in Wartime Protecting the Health of Young Workers in Wartime
Protecting the Health of Young Workers in Wartime Protecting the Health of Young Workers in Wartime
Protecting the Health of Young Workers in Wartime Protecting the Health of Young Workers in Wartime
Protecting the Health of Young Workers in Wartime Protecting the Health of Young Workers in Wartime
Protecting the Health of Young Workers in Wartime Protecting the Health of Young Workers in Wartime
Protecting the Health of Young Workers in Wartime Protecting the Health of Young Workers in Wartime
Protecting the Health of Young Workers in Wartime Protecting the Health of Young Workers in Wartime
Protecting the Health of Young Workers in Wartime Protecting the Health of Young Workers in Wartime

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