Interest group influence 

In the 1910s’s The American Labor Legislation offered the idea of healthcare for low-class and working-class citizens

In the 1920s’s The predecessor of the Blue Cross was made.

In 1935 The Social Security Act was passed

In the 1950’s The cost of medical care doubled. 

In the 1960s The extension of the Social Security Act gave the blueprint for Medicare and Medicaid

In 1973, The Health Maintenance Organization Act was passed. 

In 1986 The Consolidated Omnibus Budget Reconciliation Act was passed

In the 1990s’s The Health Insurance Portability and Accountability was passed as well as the Children’s Health Insurance Program

In 2010 The Patient Protection and Affordable Act was passed

Population Growth

Population Aging

Disease prevalence or incidence

Service utilization

Service price and intensity 

Interest groups in the U.S. do not want universal health care and influence the political process. They profit off the amount of insurance money Americans pay. They know that people have the “you never know mindset” so they charge outrageous prices for coverage.

Fee-for-Service (FFS) Model

Managed Care Model

Accountable Care Organization (ACO)

Patient-Centered Medical Home (PCMH)

Telehealth and Telemedicine

Retail Health Clinics

Integrated Care Model

Direct Primary Care (DPC)