Podcast appearances and mentions of christy ford chapin

Dr. Christy Ford Chapin is Associate Professor of twentieth-century U.S. political, business, and economic history as well as capitalism studies at the University of Maryland-Baltimore County. Chapin has published articles in the Journal of Policy History, Studies in American Political Development, and the Business History Review. Her book, Ensuring America's Health: The Public Creation of the Corporate Health Care System (Cambridge University Press, 2015) won the 2016 Ralph Gomory Prize from the Business History Conference.  In this episode, we talk about the history of health insurance in the United States: from its inception in a smoky room in 1940s Chicago to its evolution into its most recent instantiation, the ACA ("Obamacare").

Host Dr. Nick van Terheyden, aka Dr. Nick, talks to Christy Ford Chapin, Associate Professor Department of History UMBC. Her book Ensuring America’s Health: The Public Creation of the Corporate Health Care System explains why the US health care system offers world-class medical services to some patients but is also exceedingly costly with fragmented care, poor distribution, and increasingly bureaucratized processes. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play HealthcareNOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

My guest for the latest episode is Christy Ford Chapin, Associate Professor of History at the University of Maryland, Baltimore County. Christy wrote *Ensuring America's Health: The Public Creation of the Corporate Health Care System*, which covers in enormous detail the historical origins of the US Health Insurance system. The central thesis of the book is that the American Medical Association was the linchpin player in warding off alternative payment systems for healthcare in the US. It's a fascinating idea and also serves as an excellent excuse to tour the origins of our system today. We cover much more including how hard it is to categorize the AMA's political stance in today's language, the variety of alternative systems in the early 20th century, how fraternal associations were the original insurers, whether the political diversity of the US was really to blame, whether Medicare would have been passed if JFK hadn't been assassinated and when the first worries about the cost of healthcare started to emerge.Show notes:https://notunreasonable.com/2022/01/10/christy-ford-chapin-on-the-history-of-health-insurance-in-america/

We spend more on medical care than any other developed country in the world - almost twice the average - but the U.S. lags behind many other wealthy nations on outcomes such as infant mortality and life expectancy. How did we get here? Christy Ford Chapin, a historian at the University of Maryland Baltimore County and author of “Ensuring America's Health: The Public Creation of the Corporate Health Care System,” explains how what she calls “the insurance company model” was invented. And although reducing health care costs is a priority for voters, Jonathan Cohn, a senior national correspondent at HuffPost and author of the book “Sick: The Untold Story of America's Health Care Crisis - and the People Who Pay the Price,” says forces that have hindered reform efforts in the past will almost certainly present pitfalls again in the future.

Starting in the 1930’s, the American Medical Association (AMA) reluctantly agreed to accept a health insurance model because they feared the federal government would overreach into the health care sphere. They decided that the best way to protect themselves was to have only the insurers finance health insurance. A huge component of this was that every physician would be paid for each service they provided during a patients’ visit. Essentially, the AMA drove health care costs up by incentivizing physicians to provide any relevant tests because they would be paid for every service during each appointment. To the physician, they were charging a faceless third party somewhere, for each service, rather than thinking they are charging their patients for each service. Therefore, costs were already a huge problem before Medicare passed in the 1965. Today, we have to look at how hospitals and doctors are incentivized in order to analyze our overall health care system. Essentially, the AMA enabled government intervention in the health care system, when they originally agreed upon the creation of a health insurance market to prevent government interference.When was the discovery of germ theory and how did it change the sphere of health care? How did the American Medical Association increase the professionalization of doctors? Are we rationing health care or are we over-providing it? What percentage of the GDP does the U.S. spend on health care? Do we demand more out of health insurance than insurance can handle?Further Reading:Ensuring America’s Health: The Public Creation of the Corporate Health Care System, written by Christy Ford ChapinThe History of Germ Theory, written by Jemima HodkinsonHow does health spending in the U.S. compare to other countries?, by Bradley Sawyer and Cynthia CoxPresident Johnson signs Medicare bill on July 30, 1965, written by Andrew GlassRelated Content:Health Care without Health Insurance, Building Tomorrow PodcastWhy Can’t You Email Your Doctor, Free Thoughts PodcastHow to Fix Health Care, Free Thoughts Podcast See acast.com/privacy for privacy and opt-out information.

Christy Ford Chapin, an associate professor of history at the University of Maryland, Baltimore County, has written a history of the funding of America's health care system: Ensuring America's Health: The Public Creation of the Corporate Health Care System (Cambridge University Press, 2015).  She begins with an account of the development of physicians' practices in the mid-nineteenth century and traces the evolution of the American Medical Association's role in shaping how physicians practiced medicine and how it was financed.  The advent of the insurance model for funding health care was a creation of the Progressive period and became dominant in the late 1930s, during the New Deal.  Chapin provides an account of the pitfalls of the insurance funding mechanism and recounts the battles between vested, competing interests, such as the AMA, independent physicians, corporate employers, labor unions, insurance companies (nonprofit and commercial), and the state and federal governments.  Each of these entities shaped the health care system we have today.  Chapin's book helps explain how we got here and her critique of the insurance model suggests possible alternatives to our contemporary system of paying for health care.

Christy Ford Chapin, an associate professor of history at the University of Maryland, Baltimore County, has written a history of the funding of America’s health care system: Ensuring America’s Health: The Public Creation of the Corporate Health Care System (Cambridge University Press, 2015).  She begins with an account of the development of physicians’ practices in the mid-nineteenth century and traces the evolution of the American Medical Association’s role in shaping how physicians practiced medicine and how it was financed.  The advent of the insurance model for funding health care was a creation of the Progressive period and became dominant in the late 1930s, during the New Deal.  Chapin provides an account of the pitfalls of the insurance funding mechanism and recounts the battles between vested, competing interests, such as the AMA, independent physicians, corporate employers, labor unions, insurance companies (nonprofit and commercial), and the state and federal governments.  Each of these entities shaped the health care system we have today.  Chapin’s book helps explain how we got here and her critique of the insurance model suggests possible alternatives to our contemporary system of paying for health care. Learn more about your ad choices. Visit megaphone.fm/adchoices

Christy Ford Chapin, an associate professor of history at the University of Maryland, Baltimore County, has written a history of the funding of America’s health care system: Ensuring America’s Health: The Public Creation of the Corporate Health Care System (Cambridge University Press, 2015).  She begins with an account of the development of physicians’ practices in the mid-nineteenth century and traces the evolution of the American Medical Association’s role in shaping how physicians practiced medicine and how it was financed.  The advent of the insurance model for funding health care was a creation of the Progressive period and became dominant in the late 1930s, during the New Deal.  Chapin provides an account of the pitfalls of the insurance funding mechanism and recounts the battles between vested, competing interests, such as the AMA, independent physicians, corporate employers, labor unions, insurance companies (nonprofit and commercial), and the state and federal governments.  Each of these entities shaped the health care system we have today.  Chapin’s book helps explain how we got here and her critique of the insurance model suggests possible alternatives to our contemporary system of paying for health care. Learn more about your ad choices. Visit megaphone.fm/adchoices

Christy Ford Chapin, an associate professor of history at the University of Maryland, Baltimore County, has written a history of the funding of America’s health care system: Ensuring America’s Health: The Public Creation of the Corporate Health Care System (Cambridge University Press, 2015).  She begins with an account of the development of physicians’ practices in the mid-nineteenth century and traces the evolution of the American Medical Association’s role in shaping how physicians practiced medicine and how it was financed.  The advent of the insurance model for funding health care was a creation of the Progressive period and became dominant in the late 1930s, during the New Deal.  Chapin provides an account of the pitfalls of the insurance funding mechanism and recounts the battles between vested, competing interests, such as the AMA, independent physicians, corporate employers, labor unions, insurance companies (nonprofit and commercial), and the state and federal governments.  Each of these entities shaped the health care system we have today.  Chapin’s book helps explain how we got here and her critique of the insurance model suggests possible alternatives to our contemporary system of paying for health care. Learn more about your ad choices. Visit megaphone.fm/adchoices

Christy Ford Chapin, an associate professor of history at the University of Maryland, Baltimore County, has written a history of the funding of America’s health care system: Ensuring America’s Health: The Public Creation of the Corporate Health Care System (Cambridge University Press, 2015).  She begins with an account of the development of physicians’ practices in the mid-nineteenth century and traces the evolution of the American Medical Association’s role in shaping how physicians practiced medicine and how it was financed.  The advent of the insurance model for funding health care was a creation of the Progressive period and became dominant in the late 1930s, during the New Deal.  Chapin provides an account of the pitfalls of the insurance funding mechanism and recounts the battles between vested, competing interests, such as the AMA, independent physicians, corporate employers, labor unions, insurance companies (nonprofit and commercial), and the state and federal governments.  Each of these entities shaped the health care system we have today.  Chapin’s book helps explain how we got here and her critique of the insurance model suggests possible alternatives to our contemporary system of paying for health care. Learn more about your ad choices. Visit megaphone.fm/adchoices

Christy Ford Chapin, an associate professor of history at the University of Maryland, Baltimore County, has written a history of the funding of America’s health care system: Ensuring America’s Health: The Public Creation of the Corporate Health Care System (Cambridge University Press, 2015).  She begins with an account of the development of physicians’ practices in the mid-nineteenth century and traces the evolution of the American Medical Association’s role in shaping how physicians practiced medicine and how it was financed.  The advent of the insurance model for funding health care was a creation of the Progressive period and became dominant in the late 1930s, during the New Deal.  Chapin provides an account of the pitfalls of the insurance funding mechanism and recounts the battles between vested, competing interests, such as the AMA, independent physicians, corporate employers, labor unions, insurance companies (nonprofit and commercial), and the state and federal governments.  Each of these entities shaped the health care system we have today.  Chapin’s book helps explain how we got here and her critique of the insurance model suggests possible alternatives to our contemporary system of paying for health care. Learn more about your ad choices. Visit megaphone.fm/adchoices

Christy Ford Chapin, an associate professor of history at the University of Maryland, Baltimore County, has written a history of the funding of America's health care system: Ensuring America's Health: The Public Creation of the Corporate Health Care System (Cambridge University Press, 2015).  She begins with an account of the development of physicians' practices in the mid-nineteenth century and traces the evolution of the American Medical Association's role in shaping how physicians practiced medicine and how it was financed.  The advent of the insurance model for funding health care was a creation of the Progressive period and became dominant in the late 1930s, during the New Deal.  Chapin provides an account of the pitfalls of the insurance funding mechanism and recounts the battles between vested, competing interests, such as the AMA, independent physicians, corporate employers, labor unions, insurance companies (nonprofit and commercial), and the state and federal governments.  Each of these entities shaped the health care system we have today.  Chapin's book helps explain how we got here and her critique of the insurance model suggests possible alternatives to our contemporary system of paying for health care. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Historian Christy Ford Chapin of University of Maryland Baltimore County and Johns Hopkins and author of Ensuring America's Health talks with EconTalk host Russ Roberts about her book--a history of how America's health care system came to be dominated by insurance companies or government agencies paying doctors per procedure. Chapin explains how this system emerged from efforts by the American Medical Association to stop various reform efforts over the decades. Chapin argues that different models might have emerged that would lead to a more effective health care system.