A client living in the 1920s received health care services. Which of the following would have been the most likely form of payment?
a. Patients paid out of their pockets for whatever care the provider charged.
b. Public health employees gave care to those who needed it.
c. There was little health care to be had, regardless of a person's wealth.
d. Workers who belonged to a union had their bills paid by insurance.
ANS: A
Until the 1930s, the predominant method of health care financing was self-payment. Health care providers charged a fee for the services they rendered, and the patient paid the out-of-pocket expense. The assumption was that those who could pay would pay and those who could not pay should receive care and pay what they could. Insurance companies did not exist in the 1920s.
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