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mining industries and the railroads were typical of the industrial developments, while the medical centers of the International Ladies Garment Workers were large-scale union prototypes in this field. The financing of these programs was usually quite inadequate The programs never developed the kind of broad financial base that voluntary health insurance acquired during and after World War II. Furthermore, they never succeeded in becoming integrated with voluntary health insurance when it began to expand rapidly. A number of group practice ventures, however, started off on a prepaid basis. Group Health Association in Washington, D. C., which fought the primary legal battle against organized medicine regarding the right of such organizations to survive, was an organization developed by a group of government employees in Washington that involved a regular prepayment or insurance scheme from the beginning. The Health Insurance Plan of Greater New York, originating in the administration of Mayor LaGuardia, is over twenty years old; it too had many difficult battles. The most spectacularly successful of all the group practice prepayment programs is the Kaiser Foundation Health Plan in California, Oregon, and Hawaii. Beginning as an industrial medical program in 1938 at the Grand Coulee Dam construction site
American Journal of Public Health – American Public Health Association
Published: Jan 1, 1969
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