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The University of Texas Medical Branch

Employer-based health insurance in the United States from 1920-present: The fall of an empire

Abstract

dc:description.abstract

The United States is the only industrialized nation that relies almost exclusively on private employers to fund health care. As this thesis will set out to demonstrate, the ability of private employers to fund this burden has been slowly eroding to the point that the system is on the brink of collapse. Without viable alternatives in place our health-care system will begin to fail the people who most rely on it: wage earners who work for private companies. How did we get to this point? Historically, the establishment of employer-based health insurance evolved largely outside the political arena, and the federal government’s involvement was initially relegated to sustaining the system - not fixing it. Thus, presidential administrations that attempted to change how health care was funded have been unsuccessful in their campaigns. The reasons for these failures will be explored in the context of recommending solutions that acknowledge the malfunctions in the current system, as well as the foundation of that very system which has kept employer-based health insurance the backbone of the health-care industry of America.

Degree

thesis:*
Name thesis:degree_name
Master ofArts
Level thesis:degree_level
Master
Grantor
The University of Texas Medical Branch
Year dc:date.issued
2006

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Rebecca B Lunstroth
Advisor dc:contributor.advisor
  • William Winslade, Ph.D., J.D
Committee members dc:contributor.committeemember
  • Ronald A. Carson, Ph.D.
  • Kyriakos Markides, Ph.D.

Subjects

dc:subject × 2

Rights

dc:rights
Statement dc:rights
  • Copyright © is held by the author. Presentation of this material on the TDL web site by The University of Texas Medical Branch at Galveston was made possible under a limited license grant from the author who has retained all copyrights in the works.
Language dc:language.iso
eng

Identifiers

dc:identifier.*
Dc Identifier Other
etd-12122006-171716
OAI identifier oai:identifier
oai:utmb-ir.tdl.org:2152.3/291

Chain of custody

source
Harvested from
University of Texas Medical Branch
Base URL
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Last updated
2026-07-24
Source record
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citation

Rebecca B Lunstroth. Employer-based health insurance in the United States from 1920-present: The fall of an empire. Master thesis, The University of Texas Medical Branch, 2006. http://hdl.handle.net/2152.3/291