ABSTRACT

Ironically,eventsthatoccurredin1929formedthestructureandconceptualbasisforfinancingthe U.S.healthcaresystem.AsStarr(1982,p.20)notes,“1929markedtheemergenceofcommercialhealth insurance”orthird-partyreimbursement.Oneeventthatmarkedthestartofmanagedcaretookplace inCaliforniaattheRoos-LoosClinic.NearlysimultaneouslyatBaylorHospitalinTexas,thefoundationsthateventuallyformedthebasisoftheBlueCrosssystemwerelaid(https://www.futureofchildren. org/, Palo Alto Medical Foundation, a Sutter Health Affiliate 2010, Ÿomasson 2003).