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Essay / Research Paper Abstract
This 5+ page paper discusses some of the problems and issues facing the managers of managed care programs. Bibliography lists 20 sources.
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5 pages (~225 words per page)
File: D0_HVMgCare.rtf
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also a vital issue. This paper discusses the history of managed care, and the issues facing those who manage such programs. History of Managed Care The idea behind managed
care is really an egalitarian one: "Managed care as it was originally conceived offers a possible conceptual foundation for a healthcare system that is managed, democratic and accessible" (Zoloth,
1999, p. 466). The earliest systems were "based on the efficacy of compassion, not the efficacy of the marketplace" (Zoloth, 1999, p. 466). In addition, managed care is
not a new idea, but goes back to the 1800s, and reflects a definite mindset-that health care is not necessarily a concern of family, but of the community (Zoloth, 1999).
There was a link "between progressive era political reform and early struggles to conceptualize and theorize the establishment of managed care as part of a larger vision of public citizenship,"
and it finds its clearest example in the organization called Group Health of Puget Sound (Zoloth, 1999, p. 466). Group Health was inspired by a Lebanese immigrant named Michael
Shadid, a socialist who believed that "profit taking and private ownership of health care services is wrong and detrimental to the best interests of mankind" (Zoloth, 1999, p. 466).
By the early 1930s, the issue had become politically viable and in 1938 "the struggle over control of health care spilled over into the congressional races" (Zoloth, 1999, p. 466).
By 1941, the "Stage Grange Association [in Washington State] took up a proposal to consider the formation of medical cooperatives" and by 1945, "Seattle cooperative enthusiasts encountered Dr. Shadid (Zoloth,
1999, p. 466). It opened its first clinic in 1947 (Zoloth, 1999). Thus we see that managed care as we know it has actually been around since
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