Introduction to Health Insurance in the USA
? ? ? ? ? ? ? Health insurance in the United States is a complex and multifaceted system that has evolved significantly over the past century. Unlike many other developed nations that have centralized, government-run health insurance systems, the U.S. operates on a predominantly private, market-based system. This note will explore the historical development, current structure, types of health insurance, major policies and reforms, challenges, and the future outlook of health insurance in the United States. Historical Development Health insurance in the United States began in the early 20th century. The first significant form of health insurance was established in 1929 when a group of teachers in Dallas, Texas, contracted with Baylor Hospital to provide 21 days of hospital care for a fixed, prepaid fee. This model laid the groundwork for Blue Cross plans, which offered hospital insurance. In the 1930s, the Blue Shield plans emerged, providing coverag