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Volumn 9, Issue 3, 1997, Pages 277-310

Why No National Health Insurance in the U.S.? The Limits of Social Provision in War and Peace, 1941–1948

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EID: 85022424190     PISSN: 08980306     EISSN: 15284190     Source Type: Journal    
DOI: 10.1017/S0898030600006035     Document Type: Article
Times cited : (20)

References (224)
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    • Inthelate 1940s, an AMA-sponsored comicbook lampooned socialized medicine in these terms: “When do we get free ice cream and marbles?” asked one character, “I wanna free doll carriage and roller skates!” demanded another. In the early 1950s, the Chamber of Commerce echoed this logic, arguing that “apparently, many people want other things far more than they want medical care. For example, we spend in total more for TV sets, cosmetics, recreation, [and] tobacco.” And even some workers, when faced with the establishment of a company-initiated health insurance plan, objected “on the theory that a purchaser has a right to know the price he is expected to pay on an article before accepting it” and reasoned that “after all, you or anyone working with your company wouldn't buy a pair of shoes without seeing them or trying them on to see if you like them of if they fit.” See “The Sad Case of Waiting Room Willie” (1949), OF 286A, Box 931, HST Papers
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    • H 79A-38.2, RG 27 June Records of the House Committee on World War Veterans, National Archives. My thanks to Roger Horowitz for pointing out the importance of this debate
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    • For variations on the institutionalist view, see quote 330
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    • Progress of the Campaign
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    • on the morass of legislative-administrative relations, see Columbia, Missouri
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    • Reel
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    • Welfare Legislation Luncheon
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    • Summary of RNC document in Official File 103G, Box 177 NPC Statement of Income and Expenditures (9 January
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  • 118
    • 85022654225 scopus 로고
    • Box 27 Oct Series II
    • Margaret Stein Memo (27 Oct. 1948), Box 45:288, Series II, Falk Papers
    • (1948) Falk Papers , vol.45 , pp. 288
    • Stein Memo, M.1
  • 119
    • 85022675672 scopus 로고
    • NPC Statement of Income and Expenditures
    • January
    • NPC Statement of Income and Expenditures (January 1949), Reel 8
    • (1949) Reel , pp. 8
  • 120
    • 85022658891 scopus 로고
    • Contributions by Large Drug Companies to the NPC
    • Davis Papers. Support from drug companies, as Paul Starr notes, reflected “the strategic location [doctors] held in the marketing of drugs; their gatekeeper function allowed them to collect a toll for use in political agitation.”
    • “Contributions by Large Drug Companies to the NPC” (1948), Reel 7, Davis Papers. Support from drug companies, as Paul Starr notes, reflected “the strategic location [doctors] held in the marketing of drugs; their gatekeeper function allowed them to collect a toll for use in political agitation.”
    • (1948) Reel , pp. 7
  • 122
  • 123
    • 85022638790 scopus 로고    scopus 로고
    • To Newspaper Advertising Directors …
    • CNH Release (25 Sept 1950) all in Box 60
    • CNH Release (25 Sept 1950); “To Newspaper Advertising Directors …” all in Box 60, Ware Papers
    • Ware Papers
  • 124
    • 85022644623 scopus 로고    scopus 로고
    • Editor and Publisher (Sept. 1950) clippings, Box 209
    • Editor and Publisher (Sept. 1950) clippings, Box 209, Witle Papers
    • Witle Papers
  • 125
    • 85022725736 scopus 로고
    • The Plot Against the W-M-D Bill
    • Box Secretary-Treasurer UAW 17 Feb Series II
    • George Addes, Secretary-Treasurer UAW, “The Plot Against the W-M-D Bill” (17 Feb. 1944), Box 60:519, Series II, Falk Papers.
    • (1944) Falk Papers , vol.60 , pp. 519
    • Addes, G.1
  • 126
    • 85022711714 scopus 로고
    • 22 June Box
    • John Peters to Allan Butler (22 June 1939), Box 1:24
    • (1939) , vol.1 , pp. 24
    • Peters, J.1    Butler, A.2
  • 127
    • 85022670996 scopus 로고
    • Financial Report
    • Box Series I Sterling Library
    • Financial Report (1952), Box 2:43, Series I, John Peters Papers, Sterling Library
    • (1952) John Peters Papers , vol.2 , pp. 43
  • 128
    • 85022650186 scopus 로고
    • Box 7 Dec Series III Sterling Library
    • Robert Goor to Esselstyn (7 Dec 1960), Box 55:53, Series III, Caldwell Esselstyn Papers, Sterling Library.
    • (1960) Caldwell Esselstyn Papers , vol.55 , pp. 53
    • Goor, R.1    Esselstyn2
  • 130
    • 85022598206 scopus 로고
    • Report of January 14, 1944 Meeting at the Hotel Barclay
    • 19 June and both in Reel 11
    • Davis to Marion Hedges (19 June 1944), and “Report of January 14, 1944 Meeting at the Hotel Barclay,” both in Reel 11, Davis Papers
    • (1944) Davis Papers
    • Davis1    Hedges, M.2
  • 131
    • 85022723053 scopus 로고
    • Report of Meeting of Informal Health Insurance Conference Group
    • Sept Box A:15, Research Files SHSW
    • “Report of Meeting of Informal Health Insurance Conference Group” (Sept. 1945), Box A:15, Research Files, American Federation of Labor Papers, SHSW
    • (1945) American Federation of Labor Papers
  • 134
    • 85022715557 scopus 로고
    • Confidential Progress Report
    • 23 Dec 31 March 1948
    • Davis Memo (23 Dec 1947), “Confidential Progress Report” (31 March 1948), Reel 1
    • (1947) Reel , pp. 1
    • Memo, D.1
  • 135
    • 85022701102 scopus 로고
    • 15 Oct
    • Davis Memo (15 Oct. 1948), Reel 8
    • (1948) Reel , pp. 8
    • Memo, D.1
  • 136
    • 85022666640 scopus 로고
    • CNH Activities in 1950
    • 27 Jan. 1950) and January Davis Papers
    • Davis Memo (27 Jan. 1950) and “CNH Activities in 1950” (January 1951), Reel 2, Davis Papers
    • (1951) Reel , pp. 2
    • Memo, D.1
  • 137
    • 85022722185 scopus 로고
    • Rep. Biemiller (WI) to William Green (30 November 1949) 16 January
    • Rep. Biemiller (WI) to William Green (30 November 1949), AFL Committee on Social Security Meeting (16 January 1950)
    • (1950) AFL Committee on Social Security Meeting
  • 138
    • 85022680060 scopus 로고
    • 12 November Box 16
    • AFL Committee on Social Security Meeting (12 November 1953), Box 16, Cmikshank Papers
    • (1953) Cmikshank Papers
  • 139
    • 85022685172 scopus 로고
    • 2 July Reel 4
    • Robin to Executive Committee (2 July 1952), Reel 4, Davis Papers
    • (1952) Davis Papers
  • 141
    • 85022737044 scopus 로고
    • Box CNH memo to Directors (25 January Series III
    • CNH memo to Directors (25 January 1956), Box 156:2254, Series III, Falk Papers.
    • (1956) Falk Papers , vol.156 , pp. 2254
  • 143
    • 85022695872 scopus 로고    scopus 로고
    • HST Library
    • Oscar Ewing OH, p.193–4, HST Library
    • Oscar, O.H.1
  • 146
    • 84883992217 scopus 로고    scopus 로고
    • NICB: Studies in Individual and Collective Security
    • Elizabeth Wilson, Compulsory Health Insurance (NICB: Studies in Individual and Collective Security, 1947), 3–24
    • (1947) Compulsory Health Insurance , pp. 3-24
    • Wilson, E.1
  • 150
    • 85022695969 scopus 로고
    • Administration's Health Program
    • 12 Oct Stowe
    • David Stowe, “Administration's Health Program” (12 Oct 1951), SMOF (Stowe) 2
    • (1951) SMOF , pp. 2
    • Stowe, D.1
  • 153
    • 85022666222 scopus 로고
    • Luncheon Meeting on The Return of the Veteran to Civilian Life
    • April Box 1:9, Chamber of Commerce Papers
    • Luncheon Meeting on The Return of the Veteran to Civilian Life, Chamber Proceedings, 34th Annual Meeting (April 1946), 172, Box 1:9, Chamber of Commerce Papers.
    • (1946) Chamber Proceedings, 34th Annual Meeting , pp. 172
  • 155
    • 85022696560 scopus 로고
    • 24 June Testimony of Box 96 HST Library: Statements of E. Murnane (WI-UAW), David Burgess (GA-CIO), Anthony Remuglia (CA-CIO), Box 55, Records of the President's Commission on the Health Needs of the Nation, HST Library
    • Testimony of Harry Becker (24 June 1946), Box 96, Papers of the Cooperative League of the United States of America, HST Library: Statements of E. Murnane (WI-UAW), David Burgess (GA-CIO), Anthony Remuglia (CA-CIO), Box 55, Records of the President's Commission on the Health Needs of the Nation, HST Library.
    • (1946) Papers of the Cooperative League of the United States of America
    • Becker, H.1
  • 156
    • 85022725947 scopus 로고    scopus 로고
    • On the wartime developments, see misc. correspondence in OF 981–2
    • On the wartime developments, see misc. correspondence in OF 981–2, FDR Papers
    • FDR Papers
  • 157
    • 0024472528 scopus 로고
    • The Politics of Employment Based Insurance in the United States
    • Clifford Staples, “The Politics of Employment Based Insurance in the United States,” International Journal of Health Services 19:3 (1989): 419–420
    • (1989) International Journal of Health Services , vol.19 , Issue.3 , pp. 419-420
    • Staples, C.1
  • 161
    • 0026836899 scopus 로고
    • The Origins of Private Social Insurance: Public Policy and Fringe Benefits in America, 1920–1950
    • Frank Dobbin, “The Origins of Private Social Insurance: Public Policy and Fringe Benefits in America, 1920–1950,” American Journal of Sociology 97:5 (1992): 1428–1431
    • (1992) American Journal of Sociology , vol.97 , Issue.5 , pp. 1428-1431
    • Dobbin, F.1
  • 163
    • 85045367406 scopus 로고
    • The Hidden Side of the American Welfare State
    • On tax expenditures, see
    • On tax expenditures, see Christopher Howard, “The Hidden Side of the American Welfare State,” Political Science Quarterly 108 (1993): 406–7, 414.
    • (1993) Political Science Quarterly , vol.108
    • Howard, C.1
  • 164
    • 85022739357 scopus 로고
    • NICB Proceedings
    • May Box 1:33, National Industrial Conference Board Papers, Hagley Museum
    • NICB Proceedings, “The Insurance Drive: What's Ahead at the Bargaining Table” (May 1950), p. 35, Box 1:33, National Industrial Conference Board Papers, Hagley Museum
    • (1950) The Insurance Drive: What's Ahead at the Bargaining Table , pp. 35
  • 165
    • 85022711384 scopus 로고
    • Subjects for Meeting
    • 15 Apr Reel 1
    • Davis, “Subjects for Meeting” (15 Apr. 1948), Reel 1, Davis Papers
    • (1948) Davis Papers
    • Davis1
  • 170
    • 85022702061 scopus 로고
    • Byrl Salsman Oral History
    • University of California, Berkeley, Regional Oral History Project
    • Byrl Salsman Oral History in Earl Warren and Health Insurance, 1943–1949 (University of California, Berkeley, Regional Oral History Project, 1971), p. 12
    • (1971) Earl Warren and Health Insurance, 1943–1949 , pp. 12
  • 172
    • 85022732228 scopus 로고
    • Cruikshank Memorandum (16 April 1945); Bittner Memorandum (12 April both in Box 60:533, Series II
    • Cruikshank Memorandum (16 April 1945); Bittner Memorandum (12 April 1945), both in Box 60:533, Series II, Falk Papers
    • (1945) Falk Papers
  • 173
    • 85022673254 scopus 로고
    • Notes for Use by Mr. Watt … September Radio Forum
    • Files of the Director of Research, Box 3, Series 8E
    • “Notes for Use by Mr. Watt … September Radio Forum” (1944), Files of the Director of Research, Box 3, Series 8E, AFL Papers
    • (1944) AFL Papers
  • 178
    • 85022633644 scopus 로고
    • 20 Dec
    • Green to Wagner (20 Dec 1944)
    • (1944)
    • Green1    Wagner2
  • 179
    • 85022610003 scopus 로고
    • 19 Dec
    • Murray to Wagner (19 Dec. 1944)
    • (1944)
    • Murray1    Wagner2
  • 180
    • 85022662994 scopus 로고
    • 20 Dec all in Box 60:528, Series II
    • A.F. Whitney to Wagner (20 Dec. 1944), all in Box 60:528, Series II, Falk Papers.
    • (1944) Falk Papers
    • Whitney, A.F.1    Wagner2
  • 184
    • 85022610580 scopus 로고
    • Health and Income”
    • Files of the Director of Research, Box 2, Series 8E
    • Health and Income” (1941), Files of the Director of Research, Box 2, Series 8E, AFL Papers.
    • (1941) AFL Papers
  • 185
    • 85022673254 scopus 로고
    • Notes for Use by Mr. Watt… September Radio Forum
    • Files of the Director of Research, Box 3, Series 8E
    • “Notes for Use by Mr. Watt… September Radio Forum” (1944), Files of the Director of Research, Box 3, Series 8E, AFL Papers
    • (1944) AFL Papers
  • 188
    • 84883901042 scopus 로고    scopus 로고
    • New Jersey Medical Society official quoted in
    • New Jersey Medical Society official quoted in Siegel, Caring for New Jersey, 43
    • Caring for New Jersey , pp. 43
    • Siegel1
  • 189
    • 85022598343 scopus 로고    scopus 로고
    • et al Brief Submitted by the United Steel Workers In Re NWLB 111–6230-D, Box 124 FDR Library
    • Brief Submitted by the United Steel Workers In Re: United Steel Workers of America and United States Steel Corporation et al, NWLB 111–6230-D, Box 124, Alexander Sachs Papers, FDR Library
    • Alexander Sachs Papers
  • 190
    • 85022607815 scopus 로고
    • Association of Labor Health Administrators (March 28
    • Preliminary Draft of Proceedings, Association of Labor Health Administrators (March 28, 1957)
    • (1957) Preliminary Draft of Proceedings
  • 191
    • 85022656706 scopus 로고
    • History of Local 119 Health Fund of the Male Apparel Industry of Allentown
    • both in Box 37:212, Series II Sterling Library
    • “History of Local 119 Health Fund of the Male Apparel Industry of Allentown” (1957), both in Box 37:212, Series II, Lorin Kerr Papers, Sterling Library
    • (1957) Lorin Kerr Papers
  • 194
    • 0002008002 scopus 로고
    • Divide and Conquer: Further “Reflections on the Character of American Labor Laws'
    • Joel Rogers, “Divide and Conquer: Further “Reflections on the Character of American Labor Laws'” Wisconsin Law Review 1 (1990): 29–59
    • (1990) Wisconsin Law Review , vol.1 , pp. 29-59
    • Rogers, J.1
  • 197
    • 85022605655 scopus 로고
    • Clinic on Health in Industry
    • In Box 21 Hagley Museum
    • In Mahoning Valley Industrial Council, “Clinic on Health in Industry” (1940), Box 21, NAM IRD Papers, Hagley Museum
    • (1940) NAM IRD Papers
  • 198
    • 85022670256 scopus 로고
    • American Beveridge Plan and American Business
    • OF 1710:3
    • “American Beveridge Plan and American Business” (1943), OF 1710:3, FDR Papers.
    • (1943) FDR Papers
  • 199
    • 85022709461 scopus 로고    scopus 로고
    • Control of Employee Benefit Plans During World War II
    • Box IV:109
    • Control of Employee Benefit Plans During World War II, Box IV:109, NAM Papers
    • NAM Papers
  • 200
    • 85022693265 scopus 로고
    • Resolutions, Chamber Proceedings, 35th Annual Meeting
    • April Box 1:10
    • Resolutions, Chamber Proceedings, 35th Annual Meeting (April 1947), p. 132–135, Box 1:10, Chamber of Commerce Papers
    • (1947) Chamber of Commerce Papers , pp. 132-135
  • 202
    • 85022605655 scopus 로고
    • Clinic on Health in Industry
    • Box 21
    • Mahoning Valley Industrial Council, “Clinic on Health in Industry” (1940), Box 21, NAM IRD Papers
    • (1940) NAM IRD Papers
  • 203
    • 85022609313 scopus 로고
    • Notes on the Coal Agreement
    • 7 June Box 123 Sachs went on to note that union welfare funds, “under the absence of legislative democratic regulations, becomes a pocket borough so far as the power of the funds, as distinguished from diversion to personal use, is concerned.” This reasoning set the stage for the Landrum-Griffith campaign against union corruption, in many respects a backhanded attack on union-controlled welfare funds
    • Sachs, “Notes on the Coal Agreement,” (7 June 1946), Box 123, Sachs Papers. Sachs went on to note that union welfare funds, “under the absence of legislative democratic regulations, becomes a pocket borough so far as the power of the funds, as distinguished from diversion to personal use, is concerned.” This reasoning set the stage for the Landrum-Griffith campaign against union corruption, in many respects a backhanded attack on union-controlled welfare funds.
    • (1946) Sachs Papers
    • Sachs1
  • 206
    • 85022661137 scopus 로고
    • To Members of Health and Benefits Committee
    • 2 March Box 1:23
    • “To Members of Health and Benefits Committee” (2 March 1962), Box 1:23, NAM Papers.
    • (1962) NAM Papers
  • 207
    • 85022705218 scopus 로고
    • Discussion on Developments, Trends, and Outlook in Collective-Bargaining Welfare Plans
    • Nov Box 77:839, Series II
    • “Discussion on Developments, Trends, and Outlook in Collective-Bargaining Welfare Plans” (Nov. 1949), Box 77:839, Series II, Falk Papers
    • (1949) Falk Papers
  • 208
    • 85022711384 scopus 로고
    • Subjects for Meeting
    • 15 Apr Reel 1
    • Davis, “Subjects for Meeting” (15 Apr. 1948), Reel 1, Davis Papers
    • (1948) Davis Papers
    • Davis1
  • 209
    • 85022627571 scopus 로고
    • Some issues Raised by Union Health and Welfare Plans
    • [CNH] Oct Box 67:655, Series II
    • John Brumm [CNH], “Some issues Raised by Union Health and Welfare Plans” (Oct. 1954), Box 67:655, Series II, Falk Papers
    • (1954) Falk Papers
    • Brumm, J.1
  • 210
    • 85022693962 scopus 로고
    • Medicine's Campaign Objectives for 1951
    • Dec Reel 6
    • Clem Whitaker, “Medicine's Campaign Objectives for 1951” (Dec. 1950), Reel 6, Davis Papers
    • (1950) Davis Papers
    • Whitaker, C.1
  • 211
    • 85022679122 scopus 로고    scopus 로고
    • files on Steel and Coal in Boxes 79 and 80, Series II
    • files on Steel and Coal in Boxes 79 and 80, Series II, Falk Papers
    • Falk Papers
  • 212
    • 85022626247 scopus 로고
    • Bear Mountain Conference
    • correspondence re July Box 156:2255, Series III
    • correspondence re “Bear Mountain Conference” (July 1955), Box 156:2255, Series III, Falk Papers
    • (1955) Falk Papers
  • 216
    • 85022701656 scopus 로고
    • Consumers' Cooperatives and Labor Unions
    • Box 103
    • E. R. Brown, “Consumers' Cooperatives and Labor Unions” (1940), Box 103, Papers of the Cooperative League
    • (1940) Papers of the Cooperative League
    • Brown, E.R.1
  • 218
    • 85022629524 scopus 로고
    • Relating Cooperative and Community Prepaid Group Practice Health Plans to Labor Health Programs
    • July quote Reel 5
    • (quote) John Brumm, “Relating Cooperative and Community Prepaid Group Practice Health Plans to Labor Health Programs” (July 1955), Reel 5, Davis Papers
    • (1955) Davis Papers
    • Brumm, J.1
  • 219
    • 85022623374 scopus 로고
    • Preliminary Proposals for a Labor-Federal Government Partnership for Improving Health Care
    • Box 38:229, Series II
    • “Preliminary Proposals for a Labor-Federal Government Partnership for Improving Health Care” (1966), Box 38:229, Series II, Kerr Papers
    • (1966) Kerr Papers
  • 220
    • 85022707925 scopus 로고
    • CNH Bulletin
    • Sept Box 67:655, Series II
    • CNH Bulletin (Sept. 1954), Box 67:655, Series II, Falk Papers
    • (1954) Falk Papers
  • 222
    • 85022693818 scopus 로고
    • Address of Frederick Mott to the Economic Club of Detroit
    • For these reasons, the UAW, which had originally been a strong supporter of community care, dug in against efforts to turn the Detroit Community Health Association into a full-fledged community-based program. See 10 Feb Box 4 (Mss 400)
    • For these reasons, the UAW, which had originally been a strong supporter of community care, dug in against efforts to turn the Detroit Community Health Association into a full-fledged community-based program. See Address of Frederick Mott to the Economic Club of Detroit (10 Feb 1958), Box 4 (Mss 400), Altmeyer Papers
    • (1958) Altmeyer Papers
  • 224
    • 85022679122 scopus 로고    scopus 로고
    • The USWA, for example, proposed using pension funds to improve facilities in steel communities. See background materials and clippings in Box 110, Series II
    • The USWA, for example, proposed using pension funds to improve facilities in steel communities. See background materials and clippings in Box 110, Series II, Falk Papers.
    • Falk Papers


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