Disjointed Community Efforts To Organize the Delivery of Health Care
Voluntary health organizations are supported by private or nontaxable funds and have few legal powers. There may be as many as 100,000 separate voluntary agencies in the United States. The fund-raising activities of these voluntary agencies are important and sometimes costly—10 to 36¢ per dollar raised. There is an increasing trend toward joint fund-raising efforts. The United Fund, a once-a-year community effort, raises funds for member organizations, whose local, state, and national offices receive specified amounts. Toward the end of the 1950s, a number of national agencies, notably those concerned with cancer, poliomyelitis, tuberculosis, and crippled children, forbade their local chapters to participate in the United Fund or community chest campaigns. Reform has been slow in coming. In 1961, Robert H. Hamlin published a study of the voluntary health and welfare agencies in the United States and recommended the development of a uniform accounting and financial reporting system for voluntary agencies.