HISTORY This Week

When America Almost Had Universal Healthcare

Feb 10, 2025
In this engaging discussion, Marcella Alsan, a Harvard professor specializing in public policy and health, delves into a pivotal moment in 1935 when the American Medical Association faced off against the prospect of universal healthcare proposed by FDR. Topics include the AMA's innovative tactics to combat government involvement in healthcare, the widespread public push for national insurance in the mid-20th century, and the long-lasting effects of the AMA's fear-based messaging on public perception and policy. A fascinating journey through America's healthcare history!
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ANECDOTE

AMA's Emergency Meeting

  • In 1935, the AMA held an emergency meeting at the Palmer House in Chicago.
  • They panicked over potential national health insurance, fearing government control over doctors' pay and patient care.
INSIGHT

Complexity of US Healthcare

  • The US health insurance system is complex, with private and government programs.
  • Marcella Alshon's research suggests this complexity resulted from interest group influence, not efficiency.
ANECDOTE

Rise of Specialists and AMA

  • The AMA gained power in the 1930s as medical advancements led to specialization.
  • Specialists, with higher incomes, joined the AMA to protect their interests.
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