Origins of American Health Insurance
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A History of Industrial Sickness Funds
John E. Murray
How did the United States come to have its distinctive workplace-based health insurance system? Why did Progressive initiatives to establish a government system fail? This book explores the history of health insurance in the United States from its roots in the nineteenth-century sickness funds offered by industrial employers, fraternal organizations, and labor unions to the rise of such group plans as Blue Cross and Blue Shield in the mid-twentieth century.
Historians generally view the failure to establish universal health insurance during the first half of the twentieth century as an indicator of the political clout of insurers, employers, unions, and physicians who thwarted Progressive efforts. But the explanation is actually simpler, John Murray contends in this book. Careful analysis of the workings of industrial sickness funds suggests that workers rejected plans for compulsory state insurance because they were largely content with existing private plans. Murray revises our understanding of the evolution of health care insurance in the United States and discusses the implications of that history for the ongoing debates of today.
John E. Murray is professor of economics, University of Toledo. He lives in Toledo, OH.
"Murray offers us a revisionist history of Progressive-era health care reforms, marshalling evidence from a treasure trove of sources."—Howard Bodenhorn, Lafayette College
“John Murray’s Origins is a strikingly original reconsideration of Progressive-era industrial sickness funds—their track record, their appeal for high-mobility American workers, and their political implications. Good books on health policy history are sorely needed these days, both for economists and the general public. This one is highly recommended.”—Gavin Wright, Stanford University
“John Murray offers a compelling explanation for the defeat of governmental health insurance in the United States during the early twentieth century. Murray finds that voters rejected governmental plans because they saw no reason to change the status quo. This book is a devastating retort to the dominant interpretation which holds that this movement fell prey to the power of special interests and hysterical propaganda.”—David T. Beito, University of Alabama
"Murray’s superb history of sickness insurance and the demise of attempts to enact a government substitute during the Progressive Era is a must-read for anyone interested in the current health insurance debates."—Price V. Fishback, co-author of A Prelude to the Welfare State: The Origins of Workers’ Compensation
Publication Date: November 13, 2007
22 b/w illus.