Florence Nightingale's Perspective on US Health Insurance Evolution

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What would Florence Nightingale think of the United States health insurance today? The availability of health insurance in 1860 to 1900 was virtually nonexistent. In 1798, The United States Congress established the U.S. Marine Hospital that serviced military seaman. This was the earliest form of coverage for health insurance. Soon after this time, the Travelers Insurance Company established our first form accident insurance in 1863 (Scofea, 1994). During this time, the Civil War was taking place in our country. The astounding number of deaths due to disease and illness helped pave the way for advancing medical practice in the United States. With the help of the American Red, the development of health care organizations progressed (American …show more content…

This is very similar to what is now known as disability insurance. Established in 1850, the Franklin Health Assurance Company of Massachusetts offered the first form of medical insurance to cover nonfatal injuries in the United States (Scofea, 1994). The company provided protection against lost income due to railway or steamboat accidents, rather than covering health services (Scofea, 1994). The policy would pay the injured worker two hundred dollars for a fifteen cent premium (Scofea, 1994). In the case of total disability, the policy would pay up to four hundred dollars. Although the Franklin Health Assurance Company of Massachusetts did not provide insurance for health services, this company paved the way for accident related health insurance in the United …show more content…

Unfortunately, insurance underwriters were convinced that health was impractical due to the restricted coverage to a limited number of qualifying diseases. In the very beginning doctors had to practice on their own and use their own money to fund the care they provided (Chapin, 2015). Health insurance was established so late in American history due to many factors; One being that there was not an advanced medical technology early on. People who were sick stayed at home to heal and receive medical attention. In the beginning health insurance was designed for a person who became sick and was unable to work and earn money (Chapin, 2015). During the late 1800’s and early 1900’s there were many medical advances that led to new public images of medicine and allowed for people to gain trust in institutions. In 1904 there was regulation introduced by the American Medical Association that created standards for medical licensure, which led to accreditation of medical schools. There was a decrease in medical schools in 1910 -1912 from 131 to 95 with this decrease there were a more talented supply of licensed physicians produced. (Yale,

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