promote the general welfare........................
On Aug. 13, 1946, Law 725, known as the "Hill-Burton Act," went into effect, as an amendment to the existing Public Health Service Act. Only nine pages long, the Hill-Burton Act mandated Federal and local cooperation and funding, to achieve the goal of having a community hospital in every county, and to guarantee hospital and related care to all citizens. In rural areas, the mandate was a ratio of 5.5 beds per 1,000 (sparsely settled regions require redundancy); and in urban areas, the ratio was set at 4.5 beds per 1,000. During the initial years, 1946-50, 600 new general hospitals opened, with an average of 40 hospitals added per year through the mid-1960s.
At the same time that this hospital construction boom was providing many of the 3,089 U.S. counties with their first hospital ever, various public-health services and applied medical R&D programs were expanded. Polio and TB were all but eliminated, and other diseases were reduced. By the mid-1970s, the Hill-Burton goal of 4.5 beds per 1,000 was nearly reached as the national average. Amendments to the Hill-Burton Act in 1954 authorized funds for chronic care facilities, and, in 1965, the Medicare and Medicaid health insurance programs were begun.
Richard Nixon repealed this in 1973 with the support of Democrats...................
"health maintenance organizations" program?a for-profit, cost-cutting medical intervention, as a foot-in-the-door to replace the existing, workable U.S. public-health and hospital system. Over the next decades, the HMO system has had its intended outcome: undermining U.S. medical infrastructure to the point of today's health-care crisis.