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Evan M. Melhado

In: Guide to U.S. Health and Health Care Policy

Chapter 11: Evolution of Health Planning (1920s–1970s)

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Evolution of Health Planning (1920s–1970s)
Evolution of health planning (1920s–1970s)
Evan M.Melhado

Exploring the history of health planning in the United States serves at least three purposes: it exhibits features of policymaking that broadly characterized health care from the early twentieth century into the 1970s; it suggests how skepticism of government and commitment to markets ushered in new approaches; and, in the most recent period, it shows how altered policy contexts have created new settings for planning.1 Planning ideas extend back into the 1920s; then gained influence in health care during the 1940s; took wing as a coalition-secured passage of the federal Hill-Burton Act (1946), which prepared the ground for a postwar expansion of the hospital sector; and flourished during the 1960s and 1970s as health care ...

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