{"id":139068,"date":"2025-01-08T10:50:00","date_gmt":"2025-01-08T14:50:00","guid":{"rendered":"https:\/\/www.shortform.com\/blog\/?p=139068"},"modified":"2025-01-08T15:53:16","modified_gmt":"2025-01-08T19:53:16","slug":"right-to-healthcare","status":"publish","type":"post","link":"https:\/\/www.shortform.com\/blog\/right-to-healthcare\/","title":{"rendered":"The Right to Healthcare in the US: A Brief Timeline"},"content":{"rendered":"\n<p>Should everyone have the right to healthcare, or is it a privilege? How has the idea of healthcare in the US evolved over the years?<\/p>\n\n\n\n<p>The top cause of bankruptcy in the US is healthcare-related debt. According to a <a href=\"https:\/\/www.kff.org\/health-costs\/poll-finding\/kff-health-tracking-poll-economic-views-and-experiences-of-adults-who-struggle-financially\/\" target=\"_blank\" rel=\"noreferrer noopener\">KFF survey<\/a>, most US adults worry about paying for health care, whether they\u2019re financially comfortable or struggling. <\/p>\n\n\n\n<p>Here&#8217;s what the healthcare system looked like in the past and a glimpse of what might come in the future.<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-a-history-of-us-healthcare\"><strong>A History of US Healthcare<\/strong><\/h2>\n\n\n\n<p>The idea of healthcare as a right in the US traces back to the early 20th century. In 1912, Theodore Roosevelt and the Progressive Party <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10810293\/\" target=\"_blank\" rel=\"noreferrer noopener\">endorsed social insurance, including health insurance<\/a>, as part of their platform.<\/p>\n\n\n\n<p>In 1944, President Franklin D. Roosevelt included the right to adequate medical care in his proposed Economic Bill of Rights, laying the groundwork for future discussions on the fundamental right to healthcare.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-post-world-war-ii-changes\"><strong>Post-World War II <\/strong>Changes<\/h3>\n\n\n\n<p>In 1945, President <a href=\"https:\/\/www.trumanlibrary.gov\/education\/presidential-inquiries\/challenge-national-healthcare\" target=\"_blank\" rel=\"noreferrer noopener\">Harry S. Truman proposed a national health program to Congress<\/a>. Though the American Medical Association (AMA) denounced it as \u201cCommunist,\u201d his effort paved the way for future healthcare initiatives.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-medicare-and-medicaid\"><strong>Medicare and Medicaid<\/strong><\/h3>\n\n\n\n<p>A breakthrough came in 1965 when President <a href=\"https:\/\/sidecarhealth.com\/blog\/a-brief-look-at-american-health-cares-long-complicated-history\/\" target=\"_blank\" rel=\"noreferrer noopener\">Lyndon B. Johnson signed the Medicare and Medicaid Act<\/a>. This legislation provided healthcare coverage to the elderly and those with low incomes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-recent-developments\"><strong>Recent Developments<\/strong><\/h2>\n\n\n\n<p>In 1971, Senator Ted Kennedy introduced the <a href=\"https:\/\/sidecarhealth.com\/blog\/a-brief-look-at-american-health-cares-long-complicated-history\/\" target=\"_blank\" rel=\"noreferrer noopener\">Health Security Act<\/a>, calling for healthcare coverage for all US citizens and documented permanent residents. While this bill didn\u2019t pass, it fueled ongoing discussions about healthcare as a right.<\/p>\n\n\n\n<p>In 2010, Congress passed the <a href=\"https:\/\/www.americanbar.org\/groups\/crsj\/publications\/human_rights_magazine_home\/the-state-of-healthcare-in-the-united-states\/healthcare-in-us-aca\/\" target=\"_blank\" rel=\"noreferrer noopener\">Patient Protection and Affordable Care Act (ACA)<\/a>. Though it didn\u2019t establish healthcare as an explicit right, the ACA greatly expanded Americans\u2019 access to health insurance.&nbsp;<\/p>\n\n\n\n<p>Key changes since then include:<\/p>\n\n\n\n<p><strong>1. Implementation of healthcare provisions in President Biden\u2019s <a href=\"https:\/\/www.shortform.com\/blog\/inflation-reduction-act-drug-prices\/\">Inflation Reduction Act<\/a>:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Negotiation of some Medicare drug prices.<\/li>\n\n\n\n<li>A $35 monthly cap on insulin costs for Medicare beneficiaries.<\/li>\n\n\n\n<li>A requirement that drug manufacturers pay rebates if their prices exceed inflation.<\/li>\n<\/ul>\n\n\n\n<p><strong>2. Expansion of Telehealth by <\/strong>extending Covid-19 pandemic telehealth flexibilities through 2024, loosening some requirements, and pausing some reimbursement prohibitions.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-what-a-second-trump-administration-might-mean\"><strong>What a Second Trump Administration<\/strong> Might Mean<\/h3>\n\n\n\n<p>Trump\u2019s administration is expected to push for <a href=\"https:\/\/www.pwc.com\/us\/en\/industries\/health-industries\/library\/election-2024-trump-health-agenda.html\" target=\"_blank\" rel=\"noreferrer noopener\">market-driven policies<\/a> that could further significantly <a href=\"https:\/\/www.shortform.com\/blog\/blackcat-hack\/\">change healthcare<\/a> access, costs, and coverage, particularly for those relying on public health insurance programs (Medicare and Medicaid) and ACA marketplace plans. Major proposals include:<\/p>\n\n\n\n<p><strong>1. Medicare Changes<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Making Medicare Advantage plans the default enrollment option for Medicare recipients<\/li>\n\n\n\n<li>Scaling back or repealing Medicare\u2019s drug price negotiation program established by the Inflation Reduction Act<\/li>\n\n\n\n<li>Changes in physician fee payment<\/li>\n<\/ul>\n\n\n\n<p><strong>2. <a href=\"https:\/\/www.shortform.com\/blog\/affordable-healthcare-act\/\">Affordable Care Act<\/a> (ACA) Modifications<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Allowing the enhanced ACA premium subsidies to expire at the end of 2025<\/li>\n\n\n\n<li>Expanding Health Savings Account flexibilities and alternative health coverage options like Short-Term Limited Duration Insurance plans<\/li>\n\n\n\n<li>Reducing funding to help people enroll in healthcare plans and allowing \u201cnoncompliant\u201d plans<\/li>\n<\/ul>\n\n\n\n<p><strong>3. Medicaid Overhaul<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Implementing work requirements for Medicaid recipients<\/li>\n\n\n\n<li>Considering block grants or per-capita caps for Medicaid funding to states<\/li>\n\n\n\n<li>Establishing lifetime caps or time limits on receiving Medicaid benefits<\/li>\n\n\n\n<li>Implementing stricter eligibility determinations for Medicaid<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-a-glimpse-of-the-future\"><strong>A Glimpse of the Future<\/strong><\/h3>\n\n\n\n<p>In any case, Gallup expects healthcare to remain a key issue, predicting in its <a href=\"https:\/\/news.gallup.com\/opinion\/gallup\/654479\/gallup-trends-watch-2025.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Trends to Watch in 2025<\/a> preview that the murder of UHC\u2019s CEO will continue to fuel debate over healthcare access and costs. The firm plans to release a \u201cMood of the Nation\u201d poll on American satisfaction with healthcare availability and affordability in January, plus further detail in 2025 on consumers\u2019 views on the healthcare industry and ratings on <a href=\"https:\/\/news.gallup.com\/poll\/654044\/view-healthcare-quality-declines-year-low.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">healthcare coverage and quality<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Should everyone have the right to healthcare, or is it a privilege? How has the idea of healthcare in the US evolved over the years? The top cause of bankruptcy in the US is healthcare-related debt. According to a KFF survey, most US adults worry about paying for health care, whether they\u2019re financially comfortable or struggling. Here&#8217;s what the healthcare system looked like in the past and a glimpse of what might come in the future.<\/p>\n","protected":false},"author":8,"featured_media":139076,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[16,39,275],"tags":[727],"class_list":["post-139068","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-history","category-politics","tag-articles","","tg-column-two"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.3) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Right to Healthcare in the US: A Brief Timeline - Shortform Books<\/title>\n<meta name=\"description\" content=\"In the US, healthcare as a right has been debated many times over the years. 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