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What Aspects and Characteristics of American Health Care of the 18th and 19th Centuries Have Had a Major Impact on Shaping Today’s U.S. Health Care System

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What aspects and characteristics of American health care of the 18th and 19th centuries have had a major impact on shaping today’s U.S. health care system?”

The main historical developments that have shaped the health care delivery system in the United States. Knowledge of the history of health care is essential for understanding the main characteristics of the system as it exists today. For example, the system’s historical foundations explain why health care delivery in the United States has been resistant to national health insurance, which has been adopted by Canada and most European nations. Traditionally held American cultural beliefs and values, technological advances, social changes, economic constraints, and political opportunism are the main historical factors that have shaped health care delivery Because of these factors, health care in the United States is mainly a private industry, but it also receives a fairly substantial amount of financing from the government. However, government financing is used mainly
▪ Cultural beliefs and values
• Self-reliance

▪ • Welfare assistance only for the most needy

▪ Social factors
• Demographic shifts • Immigration
• Health status• Urbanization
▪ Advances in science and technology • New treatments
• Training of health professionals • Facilities and equipment

Major changes driven by social, cultural, technological, economic, and political forces will be instrumental in shaping the future of medical services in the United States. These forces interact in a complex manner. Therefore, it is not always easy to attribute a change in health policy or the creation of a new program to any single factor. The beliefs and values espoused by the majority of Americans, however, have been primarily responsible for shielding the health care system from a major overhaul.
Prior to 1800, medicine in the United States

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