This course will explore the history of modern American medicine from 1910 to the present. How did we end up with the health care system we have? Can it be improved or does it need fundamental change?

Topics will include:

• The ways in which medical education and training changed profoundly after the Flexner Report in 1910.
• Unique features of the U.S. that have influenced our government and societal values.
• The role of Federalism and the reluctance by the federal government to pass sweeping legislation except during times of profound economic or social upheaval.
• The development of private insurance and the corporatization of American medicine.
• Attempts to expand access to healthcare, particularly after Medicare and Medicaid.
• The introduction of Medicare for All legislation and support for and resistance to expanding access to healthcare.

Is there is a gradual solution to mitigate cost and expand affordable access to healthcare or do we need another major social upheaval?