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Hi everyone, welcome to
week two, or module two.

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I hope you're enjoying the
course and you're finding

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the materials interesting.

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I find the dual history
of law and medicine

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to be pretty fascinating.

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And this might be the
only time in the program

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we get to think about it and
talk about it, especially

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when we think about what
is modern medicine today.

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Modern medicine is
basically a new construct

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from the middle to the
late 20th century onward.

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As you see in your readings this week,

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modern medicine's fairly
new over the last 100 years.

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The way we think about
the delivery of medicine,

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the modern systems of
care, the way insurance

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overlays our healthcare
system and how it impacts

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it is all pretty new
when you think about it.

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The law as well, by no
means, is the same as it was

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1000 years ago or a
couple hundred years ago.

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However, the law has
remained quite a bit more

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similar, has not gone
through major evolutions

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over the last 100 years that medicine has.

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The two disciplines have
evolved in very similar ways

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and in some very different ways.

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The practice of both, both came out

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of a way of mentorship
and then became formalized

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education, and then became
very rigid practices

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with oversight licenses.

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So, there's a lotta similarities,

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but I think the differences
are also interesting.

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The readings this week will contrast

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the long history of law, which extends

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thousands of years, with
the recent developments

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in modern medicine.

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And none of this is to
say that historically,

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medicine was not effective.

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Some practices were not effective,

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just like law, some practices of law

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were not effective.

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From the time of Aristotle, roughly til

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the Civil War, medical knowledge

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was fairly limited.

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The text will talk about the four humours

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or humourism and how that
idea of treating the body

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remained fairly stagnant for a long time.

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So, there's going to be
quite a bit of nuance here,

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some theories have certain changed,

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practices have remained somewhat similar.

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But, it's just an
interesting thing to compare

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to one another.

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The text and the power point slides trace

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the birth of modern health policy

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from about Theodore Roosevelt

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through the enactment of
Medicare and Medicaid,

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on to the Affordable Care Act.

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In other courses, in my other courses,

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we do talk about how medicine changed

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at the start of the century.

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If you're not familiar with
the history of Medicare

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and Medicaid, Social Security, you should

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just do a little background research

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'cause it really informs you
how these systems developed.

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We talk about the Affordable Care Act

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in a lot of public health classes.

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You probably have some
experience with that

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or you will gain some experience.

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But, if you think about
it, Medicare, Medicaid,

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private insurances is fairly new.

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Following World War II
when wages were kept,

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the government kept wages capped,

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so you could not increase wages.

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Employers had to think
of really creative ways

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to bring in new workers
without offering more money.

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And so, one of the
things that they did was

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offer health insurance.

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That was not a new,
health insurance existed,

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but it was just in a very limited way.

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So, following World War II, you just got

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sort of this explosion
of health insurance.

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But, it became for basically
the working population,

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and the country was
seeing that many people,

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once they stopped working,
'cause they were older,

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people with disabilities,
or young children

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who were too young to enter the workforce,

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they didn't have this health insurance

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and they were slowly losing
access to health, healthcare.

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And the result of that
was multiple attempts

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at a national health insurance system,

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which didn't really work out,

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and you saw Medicare and Medicaid grow,

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and Social Security.

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The 1960s is really the explosion.

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Now, the reason I'm telling you this is

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because what a profound impact it had

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on healthcare to have these huge, huge,

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kind of insurance systems
that could implement rules.

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Before that, the practice of medicine

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had, had not had this
other player in the game,

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kinda controlling, guiding, forcing,

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how the practice worked.

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And so, over the last 60, 70 years

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you've really seen that major impact.

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Now, one of the fascinating
things for me is

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the legal industry has not had insurance

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as a major player.

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Legal insurance does exist for sure,

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and it does play a part.

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But it has not become this kinda colossal,

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third player like it has in medicine.

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So, that's one of the things that I just

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wanted to point out because I think

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that is a substantial difference

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between the law and medicine.

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So, this week is mostly a historical look.

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Nothing is terribly difficult.

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I find it very interesting.

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So, I'll put in some additional readings

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in your announcement tab.

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But, feel free to explore around.

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There's some videos located below

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that you can watch

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and certainly there's a lot of historical

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information out there that
you can find yourself.

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So, let's dive in to the history,

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similarities and differences between

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law and medicine over the
last couple centuries.