Instructions:

Discuss, with particular reference to the roles of (a) organized medicine, (b) the middle class, and (c) American beliefs and values, why reform efforts to bring in national health insurance have historically been unsuccessful in the United States.

  • Begin with a clear introduction that provides context on national health insurance proposals in the U.S., highlighting at least one historical attempt at reform.
  • Organize your response into sections addressing each of the three factors (label the factors clearly):
  • Organized Medicine: Explain the influence of medical professional organizations (e.g., the American Medical Association) on policy, decisions, public opinion, and lobbying efforts.
  • The Middle Class: Analyze how the priorities, fears, and political influence of the middle class have affected national health insurance initiatives.
  • American beliefs and values: Discuss the cultural and societal beliefs (such as individualism, self-reliance, and skepticism toward government intervention) that have shaped public attitudes and policy outcomes.
  • Examine how the interaction of these factors have contributed to the repeated failure of national health insurance reform. Use examples from historical and contemporary policy debates to support your points.
  • Use at least one credible, supporting source. Use proper APA formatting and citations.

Word Count Requirement: 150 words minimum, 500 words maximum

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