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American Medical Association (AMA) becomes a powerful national force

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AMA reorganizes as  the national organization of state and local associations. Membership increases from about 8,000 physicians in 1900 to 70,000 in 1910. ( have the physicians in the country at that point in time)

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Surgery is now common especially for the removal of tumors, infected tonsils, appendectomies. and gynecological operations

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Doctors are no longer expected to provide free services to all hospital patients

America lags behind European country in finding value in insuring against illness

railroads are the leading industry to develop extensive employee medical program

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American hospitals are now modern scientific institutions valuing antiseptics and cleanliness and using medications for the relief of pain

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American Association for Labor Legislation organizes first national conference on Social Insurance

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progressive reformers argue for health insurance seems to be gaining support.

opposition from physiciansand other interest groups and the entry ofthe US into the warin 1917 undermined reforeeffors

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consistent with the general mood of political complacency change health insurance
Reformers now emphasize the cost of medical care instead of wageslost to sickness - the realtivelu higher cost of medical care is a new and dramatic development

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growing cultural influence of the medical profession - physicians' income

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rural health facilities are clearly inadequiate
general motors sign sa contract with metropolitan life to insure 180,000 workers
penicillin is discovered but it will be 20 years be for useto combat infections

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this changes priorities withgreater emphasis onunemployment insurance and " old age

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is passed omitting health insurance

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push for health insurance within the Roosevelt Administration, but politics begin to be influenced by internal government conflicts over priories

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penicillin comes into use

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prepaid grou[ healthcare begins seen as radical

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President Roosevelt asked congress for an  economic bill of rights 

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President Roosevelt asked congress for an  economic bill of rights 

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Many medications are now available now to treat a range of diseases including infections, glaucoma, and arthritis, and new vaccines become available that prevent childhood diseases including polio, the first successful organ trans plant

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concern about a doctor shortage and they have a need for more health manpower leads to federal measures to expand

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over 700 insurance companies selling health insurance

major medical insurance endorses high cost medicine

president Lyndon Johnson signs medicare and medicaid into law

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Richard Nixon remained the prepaid groups for health care as ( HMO) or health maintenance organization

president Nixion's plan for national health insurance was rejected by liberals & labor unions, but the "war n cancer" centralized research at the NIH

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raised dramatically, in 1970, 9% of the medical students are women by the end of the decade

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begin to integrate the hospital system ( previously a decentralized structure) enter many other healthcare- related businesses and consolidate control

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reagent,medicare shift to payments by diagnosis (DRG) instead of by treatment. privet plans quickly follow suit

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bu June 1990 139765 peole in the USA have hiv/aids with 60 % mortality rate

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the Human Gnome Project to identify all of the more than 100,000 genes in the human dna

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Health care icosts are on the Rose again

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medicare is viewed by some as unsustainable under the present structure and must be rescued 

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medicare is viewed by some as unsustainable under the present structure and must be rescued 