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Trends in Health Programs for Workers in Industry
- LEMUEL C. MCGEE, PH.D., M.D., F.A.C.P.
- Requests for reprints should be addressed to Lemuel C. McGee, M. D., Hercules Tower, 910 Market Street, Wilmington 99, Delaware.
Excerpt
During the westward expansion of America's economic development, employers in lumbering, mining, railroading, or other activities which brought workers into isolated unsettled areas found it necessary to provide medical facilities. In some instances, the employer assumed the cost, in other instances he devised a method of payment by the recipients for the medical care. One such device was the "check-off" for the doctor and the hospital out of each pay envelope. Sawyer (1) stated that the Southern Pacific Railroad in 1868 organized the first major industrial prepayment program for medical care. During subsequent decades, fraternal organizations, lumber and mining companies,
This 100-word excerpt has been provided in the absence of an abstract.
Summario in Interlingua
Cento vinti-octo milliones americanos—72 pro cento del statounitese population civil—habeva in un forma o un altere un assecurantia anti maladia per voluntari organisationes de assecurantia secundo statisticas pro 1960. Quasi 22 milliones esseva assecurate contra major expensas medical.
Le orientation de iste disveloppamento es marcate per le comenciamento con assecurantias contra expensas hospitalari, progredente via assecurantias contra le expensas pro operationes chirurgic e contra perdita de revenito verso assecurantias contra le expensas major pro servicios medical. Le primas de assecurantia contra maladia recipite per omne typos de voluntari organisationes de assecurantia in 1959 attingeva un total de 6,7 milliardos. In le mesme anno, beneficios de assecurantia contra maladia pagate a assecuratos attingeva 5,2 milliardos. Le organisationes de assecurantia includeva 737 companias de assecurantia, 78 pianos de Cruce Blau, 68 pianos de Scudo Blau, e plus que 300 planos independente.
Partitas representante assistentia medical in le Indice de Precios pro le Consumente (con 1947 a 1949 como base de 100) monstra un fluctuante ascendita in le curso del passate decennio. Le costo de cameras al hospital cresceva per 109 pro cento, le honorarios del practicante de medicina general per 44 pro cento, le facturas de dentista per 35 pro cento, le remuneration de chirurgos per 26 pro cento, e le costo de prescriptiones e pharmacos per 23 pro cento.
Programmas sanitari deveni de plus in plus costose. Companias industrial con plure fabricas e brancas cerca un plus juste homogeneitate in le prepagate primas de assecurantia pro lor empleatos. Es omne le costos de assistentia medical justificabile? Qual acceptabile mesuras pro regular le costos pote esser prendite sin impericular le qualitate del assistentia medical?
Le trends del disveloppamento in programmas sanitari es influentiate per multiple factores, incluse inflation, acceptation del responsabilitate individual per le assecurato e le fornitores de assistentia medical, le utilisation del installationes de rehabilitation, le application de principios de medicine preventive, e le crescentia de nostre thesauro de cognoscentias e habilitates medical.
Article and Author Information
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- Received September 5, 1962.
- Accepted October 19, 1962.
