D393 History of Healthcare in America
exam Study Questions with Correct
Solutions
William Welch - ANSWER Physician and founding professor at John Hopkins Hospital ; The first
dean of the John Hopkins School of Medicine and founder of the first school of public health
in the nation, the John Hopkins School of Hygiene and Public Health
American Medical Association (AMA) - ANSWER Founded in 1847 with the goals of advancing
science, supporting medical education, upholding medical ethics, and improving public
health
Mayo Clinic - ANSWER Founded by brothers William, James, and Charles in 1889 focusing on
clinical excellence, research and the application of that research to patient care, the use of
sterile technique (which had previously been neglected by many practitioners), clear
organization, and collaborative group practice. The first (and one of, if not the, only) facilities
to pay providers a salaried wage.
1. Increased emphasis on Public Health
2. Unsuccessful efforts to contain it represented an important learning opportunity whereby
halthcare providers, organizations, the scientific community, and policymakers need to
respect the nature of disease and be truthful with the public about what they know and do
not know. - ANSWER Two reasons the Spanish Flu of 1918 were important to the development
of healthcare policy and delivery
Sick Funds - ANSWER established to provide compensation to workers who became ill
or injured on the job - prior to the establishment of workers' compensation laws
Workers' Compensation laws - ANSWER Enacted by 32 states between 1910-1915 to provide
remuneration for injured workers
Blue Cross - ANSWER The first "true" insurance established at Baylor University Hospital
in Dallas, TX in 1929. The plan only covered hospital care.
, Blue Shield - ANSWER The first medical service plan to cover physician services established in
California in 1939
Commercial Insurance - ANSWER Indemnity-style insurance plans that began offering hospital
coverage in 1934 and surgeon coverage in 1938
Indemnity plan - ANSWER A health insurance plan in which the subscriber is reimbursed by
the insurance company and left to pay the provider their fees
Medicare - ANSWER Enacted in 1965 through Title XVIII of the Social Security Act originally
intended to provide insurance for the elderly (65+)
Medicaid - ANSWER Enacted in 1965 through Title XIX of the Social Security Act intended to
provide insurance to the poor. Paid for by matched federal and state funds
Smallpox - ANSWER a virus that emerged during the 1800s-1900s causing severe pus-filled
blisters that were contagious and often led to death.
The Progressive Era - ANSWER A time of social awakening that lasted from 1883-1912 that paid
greater attention to the plight of the working class
Theodore Roosevelt - ANSWER President during the progressive era in support of health
insurance, believing that adequate healthcare was required for a strong country and healthy
workforce
Fee-for-service - ANSWER a healthcare approach that charges based on the number and
types of services rendered
for-profit hospital - ANSWER an institution that runs to generate cash for stakeholders
and business partners
exam Study Questions with Correct
Solutions
William Welch - ANSWER Physician and founding professor at John Hopkins Hospital ; The first
dean of the John Hopkins School of Medicine and founder of the first school of public health
in the nation, the John Hopkins School of Hygiene and Public Health
American Medical Association (AMA) - ANSWER Founded in 1847 with the goals of advancing
science, supporting medical education, upholding medical ethics, and improving public
health
Mayo Clinic - ANSWER Founded by brothers William, James, and Charles in 1889 focusing on
clinical excellence, research and the application of that research to patient care, the use of
sterile technique (which had previously been neglected by many practitioners), clear
organization, and collaborative group practice. The first (and one of, if not the, only) facilities
to pay providers a salaried wage.
1. Increased emphasis on Public Health
2. Unsuccessful efforts to contain it represented an important learning opportunity whereby
halthcare providers, organizations, the scientific community, and policymakers need to
respect the nature of disease and be truthful with the public about what they know and do
not know. - ANSWER Two reasons the Spanish Flu of 1918 were important to the development
of healthcare policy and delivery
Sick Funds - ANSWER established to provide compensation to workers who became ill
or injured on the job - prior to the establishment of workers' compensation laws
Workers' Compensation laws - ANSWER Enacted by 32 states between 1910-1915 to provide
remuneration for injured workers
Blue Cross - ANSWER The first "true" insurance established at Baylor University Hospital
in Dallas, TX in 1929. The plan only covered hospital care.
, Blue Shield - ANSWER The first medical service plan to cover physician services established in
California in 1939
Commercial Insurance - ANSWER Indemnity-style insurance plans that began offering hospital
coverage in 1934 and surgeon coverage in 1938
Indemnity plan - ANSWER A health insurance plan in which the subscriber is reimbursed by
the insurance company and left to pay the provider their fees
Medicare - ANSWER Enacted in 1965 through Title XVIII of the Social Security Act originally
intended to provide insurance for the elderly (65+)
Medicaid - ANSWER Enacted in 1965 through Title XIX of the Social Security Act intended to
provide insurance to the poor. Paid for by matched federal and state funds
Smallpox - ANSWER a virus that emerged during the 1800s-1900s causing severe pus-filled
blisters that were contagious and often led to death.
The Progressive Era - ANSWER A time of social awakening that lasted from 1883-1912 that paid
greater attention to the plight of the working class
Theodore Roosevelt - ANSWER President during the progressive era in support of health
insurance, believing that adequate healthcare was required for a strong country and healthy
workforce
Fee-for-service - ANSWER a healthcare approach that charges based on the number and
types of services rendered
for-profit hospital - ANSWER an institution that runs to generate cash for stakeholders
and business partners
