public and professional concerns about painful and demeaning terminal medical care
The event that contributed most significantly to the decline of the charitable or social mission of voluntary hospitals was:
specialization of clinical practice
passage of Medicaid and Medicare
development of high-technology hospital care
passage of HMO legislation in 1973
Payers will contract with one party for a broad continuum of care (ambulatory, hospital, rehab, etc.)
Any willing provider laws, prevent deliberate exclusion of a physician from participation in a mc plan when the physician meets the qualifications
· Right to Treatment
· Right to make your own decisions
· Informed consent, Doctor informs you of risks and benefits of a procedure.
· Second Opinion
1965 was when President Johnson passed Medicare and Medicaid programs off of the Social Security Act. Hospitals boomed in business after that.