By Roma Harris, Nadine Wathen, Sally Wyatt (eds.)
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Extra info for Configuring Health Consumers: Health Work and the Imperative of Personal Responsibility
Like Bevan in the UK, he sought to socialise medicine. Douglas had introduced universal hospital care to Saskatchewan in 1947, and by 1948, about a third of the province’s population also had medical coverage (Naylor, 1986). Federal contributions for hospital insurance in 1957 allowed Saskatchewan to cover all physician services. Anticipating that Saskatchewan’s programme would become the nation-wide Leslie Bella 17 prototype, doctors campaigned against it. The province offered to pay them according to a fee-for-service model, rather than by capitation or salary, but the physicians still feared loss of professional autonomy and closed their offices on the day the programme came into effect.
Once war was declared against Germany, support for a Bismarck-style health insurance bill was further eroded by anti-German sentiment. However, as in the UK and Canada, interest re-emerged in the 1930s. A presidential committee proposed comprehensive social security, including unemployment insurance, old-age security and public health insurance. However, ‘a substantial segment of the medical profession’ expressed their opposition in medical journals and through a ‘torrent’ of representations to Congress (Hamowy, 2001, p.
Hospitals and MCOs all have websites to inform patients, competing to become ‘the consumer’s most trusted website and portal for managing the patient’s or enrollee’s health needs’ (Coile, 2001, p. 139). To keep costs down, MCOs want to minimise their enrollees’ use of services and therefore benefit if their enrollees use health information to Leslie Bella 27 engage in a healthier lifestyle. For example, Kaiser Permanente’s ‘Living Healthy’ pages provide information needed to avoid the services of health care professionals.