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Maintenance Of Health: Other news of medicine during 1967 and early 1968 reflected a radically changed con¬ception of the practice of medicine in the U.S. The objective was no longer merely the care of the sick but the maintenance of health and the enhancement of the quality of life, not just for individuals but for all of society.
Like all such changes this one was attended by severe growing pains, among them rapidly increasing costs for professional services, an even steeper rise in costs of hospitalization, and a growing lack of physicians and other health personnel qualified to provide comprehensive care. (See Year in Review: PUBLIC HEALTH AND HYGIENE.)
In 1968 the Public Health Service was reor¬ganized into three separate health agencies: the Health Services and Mental Health Administra¬tion, the National Institutes of Health, and the Consumer Protection and Environmental Health -Service, including the Food and Drug Adminis¬tration, one of the agencies originally transferred into the Federal Security Agency in 1939. These three health agencies are directed by the assistant secretary for health and scientific affairs, who is aided by the surgeon general of the Public Health Service.See Also Which Health And Immigration:YOUR VACCINATION CERTIFICATE When you receive your pass-port through the mail you will find enclosed in it a vaccination certificate, the standard government-approved one which health and immigration authorities favor. Even without this you may get your physician to vac¬cinate you against smallpox, for such vaccination is an absolute require¬ment of the United States Public Health Service if you travel abroad. It must have been done within three years of the date of your return to the States. A combination health and vaccination certificate of your physician, if you do not have the usual standard form, may be as follows (typed or written on his printed stationery).
A health manpower report prepared by the National Commission of Community Health Services showed that the U.S. hospitals and health organizations were maintaining the ratio of 150 doctors per 100,000 population only by filling out one-fifth of their needs with physicians from other countries. The demand for health care had also created serious shortages of nurses and other paramedical personnel. Among the solutions being suggested were new methods of health care organization and govern¬ment support for new or expanded education programs in the health sciences.
On The Other Hand See Public Health Experts:Many public health experts felt that there ere still two great deficiencies in the Medicare [program. The first was the lack of encourage¬ment to use medical services for the purpose of Iconserving and maintaining good health; the Mecond deficiency was the failure to provide for Ithe payment of drug bills except while the pa-[flentwas in the hospital.
The Partnership for Health program was the product of this growing dissatisfaction. The main features of the law were: comprehensive state-wide health planning, participation on a majority basis of nonprofessional citizens in the planning process, and federal financial support for public health programs defined by the state planning agencies. These few ground rules represented a tremendous potential for making public health services responsive to the needs of people in local communities.
Another major public health development in the U.S. was the passage of the Regional Medi¬cal Centers Act. |
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