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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").
In this conversation, Daniel Belkin and Mitch Belkin speak with Professor Christy Chapin, who is an Associate Professor of History at University of Maryland Baltimore County. We discuss how the American insurance company-based model of healthcare developed in the first half of the 20th century. Specifically, we explore the role of some of the major actors who created the fragmentary and expensive US healthcare landscape: the American Medical Association (AMA), Blue Cross and Blue Shield, as well as private insurance companies. Prefer video? Watch the interview on Youtube.In this episode, Professor Chapin defines what she terms the “insurance company model” of healthcare. We explore various competing models at the turn of the 20th century, including prepaid physician groups, which were an early multi-specialty group practice. (This model of healthcare delivery, which Professor Chapin argues, could have become the dominant model of US healthcare, was effectively banned by the American Medical Association in 1938). We discuss the organizational history of the AMA, its rise to prominence, and how it influenced the development of American healthcare. While the AMA attempted to maintain physician autonomy in the 1920s, concerns of government involvement prompted a 1938 deal with insurance companies that produced our current model of 3rd party financed healthcare. By insisting on a fee-for-service payment structure, this led to vast increases in the cost of care. Overtime, increasing insurance company regulation and government involvement (Medicare, the ACA, etc.) have attempted to reduce costs with limited success.Professor Chapin argues that the US healthcare system is not a free market. Rather, it is a product of warped incentives brought about by historical negotiations between insurance companies, hospitals, government agencies, and special interest groups. Cost containment measures instituted by insurance companies to reduce costs have led insurers to effectively control the practice of medicine.Who is Christy Chapin?In addition to being an Associate Professor of History at UMBC, Professor Chapin is a visiting scholar at Johns Hopkins. Her professional interests include 20th century U.S. political, business, and economic history. She's also the author of Ensuring America's Health: The Public Creation of the Corporate Health Care System, which was published in 2015.______________________Follow us @ExMedPod and subscribe to our Youtube channel.Daniel Belkin, MD, and Mitch Belkin, MD, are brothers and resident physicians. The External Medicine Podcast is a podcast exploring nontraditional medical ideas and innovation.
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/
Tuesday, June 30, 2020The Hoover Institution and the Stanford Institute for Human-Centered Artificial Intelligence (HAI) hosting Ensuring America’s Innovation in Artificial Intelligence with Condoleezza Rice and Dr. Fei-Fei Li on Tuesday, June 30, 2020 at 11AM PT/ 2PM ET.Artificial Intelligence (AI) has the potential to radically transform every industry and every society. Such profound changes offer great opportunities to improve the human condition for the better, but also pose unprecedented challenges. As this new era arrives, the creators and designers of AI must account for diversity of thought and ensure systems are built to properly reflect what it means to be human. Guiding the future of AI in a responsible way that translates American values of equality, opportunity and individual freedom will be paramount to ensuring our shared dream of creating a better future for all of humanity.
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/
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
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