How WWII wage controls created US employer-sponsored health

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Todd Smith

·2 years ago
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The surprising backstory of American health insurance: • In the 1800s hospitals were religious and charitable organizations - Detroit Mercy, Mount Sinai, etc. • Around the 1870’s hospitals became the center of education and medical practice • Before 1920’s costs weren’t that high yet, you mostly paid out of pocket • People bought insurance privately (like how you buy auto insurance), still not employer-sponsored • During WW2 to curb inflation from impacting the war efforts, Roosevelt introduces wage + price controls • Companies resort to competing on health insurance because fringe benefits were not affected by these controls • After the war wage controls were lifted, but employer-sponsored plans stuck around -> introducing the dynamic of not being able to get healthcare if you’re unemployed Crazy how FDR's decision 80 years ago still dictates access to healthcare today
The surprising backstory of American health insurance:

• In the 1800s hospitals were religious and charitable organizations

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