United States Managed care organizations - Essay Example

Despite the federal government having some public funds to compensate the public on sickness and death, there lacked public programs and legislations that would facilitate the realization of these efforts by the government. The raising concerns of wage loss were because of failure to be paid in the event of illness. This led to the introduction of insurance schemes (sickness funds) to cover against loss of wages due to illnesses by workers. There arose evolutionist reformers in the progressive era of the early 20th century whose motives were to address social concerns especially for the working group (Palmer para 4-5).

The efforts of the reformers received great support by the government of Roosevelt who equally highly esteemed the health of the people. The early period of the century, saw combined efforts by the AMA (American Medical Association) and the AALL (American Association of Labor Legislation) design and formulate legislations and health care bills that were meant for effecting the universal accessibility of health care to the U.S citizens. Shortly after these moves, the reformers introduced the concept of cost of illness as against concentrating on the lost wages through which they brought about the concept of ‘sickness’ insurance.

Health sector regulations were not left behind as well in the reforms with the end of great depression (1935) marking the introduction of social security act. The great depression had serious implication to every American as well as the various departments such as the health care sector with general low finances in circulation within the entire economy. This therefore encouraged the insurance sector to introduce the medical covers through which medical expenses to the public would be easily met.

Latter on some employers took to their role to provide health care to their employee, which equally marked great steps. By the mid century, over two thirds of the U.S citizens enjoyed some form of medical coverage over the private insurance schemes. However, the achievement of compulsory national health insurance as were the efforts of the reformers failed due to the opposition s that resulted from the doctors, business, insurance sector as well as some labor groups. However, by the year 1965, great steps had been taken within the sector and there was assenting to the legislation to universal health care in the United States (Palmer para 16-20).

According to a brief by the Maine Health Access Foundation, the last thirty years have seen great efforts by the state government to improve on the accessibility of health care support through insurance especially to the uninsured. Notable efforts and progress has actually been experienced in three leading states in the efforts of reforming the health sector; Vermont, Massachusetts and Maine. The states have undertaken multiple roles in the health care provision system of America by serving as a regulator, administrator and a purchaser among other roles.

The comprehensive health care reform has been a great phenomenon to be implemented within many of the U.S states. The guiding factor to these notable reforms has been to provide universal, quality and affordable services in health care to all her citizens. Therefore, individual states have been responsible in developing and