denced by action taken in California and in New York City where health insurance proposals have assumed major importance within the past year. In California, the executive director of the State Nurses' Association declared that members of the association believed that a health insurance plan should furnish nursing services when the services are deemed necessary by the physician in charge and that the association was prepared to offer an amendment to any health insurance bill coming before the California Legislature to provide for such services. The director declared further that the nursing profession should have a place on the board of the proposed health service authority or on the executive body of any other approved system.2 In New York, while discussing Mayor LaGuardia's health insurance plan for Greater New York, the executive director of the Visiting Nurse Service of New York, in an address before the New York Counties Registered Nurse Association, similarly expressed the hope that nursing services would be included in the New York health insurance plan and suggested that professional nurses consider the value of such inclusion and look toward representation on the board of directors.3 Interest by the nursing profession in the provision of nursing services through insurance is not new. Studies of health insurance have been made by the National Organization for Public Health Nursing and American Nurses' Association committees at regular intervals for many years. Actually, nursing care has been provided through insurance since 1909 when the initial experiment was made by the Metropolitian Life Insurance Co. More than 70 companies now offering health and accident policies issue a variety of policies which provide some type of nursing service. There are also in operation in the United States more than 200 prepayment medical care organizations of which nearly half regularly employ registered professional nurses as members of their staffs. Approximately 45 percent of the 5,000,000 persons eligible for medical care through association with these organizations are entitled to receive the services of either special nurses or visiting nurses or both, and more than 2,000 registered professional nurses are regularly employed members of the staffs of these prepayment organizations which offer nursing services. SURVEY OF PREPAYMENT MEDICAL CARE In 1943 the Bureau of Research and Statistics of the Social Security Board prepared a digest of information received during the spring of that year from 214 prepayment medical care organizations. A new study, based on information received in January-May 1945, will soon be published. Nearly all organizations which furnished data for 1943 are included in the 1945 digest which also contains information on prepayment medical care organizations established since 1943. In the following pages information on nursing services received from the 229 organizations supplying data in 1945 is compared with similar data for 214 organizations in 1943. Organizations furnishing information have been classified by type as follows: industrial, medical society, private group clinic, consumer-sponsored, and Government. Prepayment plans associated with industrial establishments are more numerous and their membership is larger than those of any other type. These plans are financed in three ways: by employers, by employees, and jointly by employers and employees. Medical society plans are those which have been organized by either State or county medical societies. Medical services in plans of this type are provided by physicians in private practice who have chosen to participate in the plan. The majority of the new organizations furnishing information in 1945 were of the medical society type. The term "private group clinic" has been used to designate organizations owned and managed by one or more physicians. Services are usually provided by physicians practicing as a group. 2 Nurses Association Asks Health Plan, Examiner (San Francisco, Calif.), March 1, 1945. 3 New York Times, November 9, 1944. Health Insurance Studied by American Nurses' Association, American Journal of Nursing. December 1943, p. 1061. 5 Klem, Margaret C.: Prepayment Medical Care Organizations, Social Security Board, Bureau of Research and Statistics, Memorandum No. 55, 3d ed. in press. American Nurses' Association membership, December 31, 1945in the United States of America Ratio of nurses to population, 1940-1 nurse to 357 people. National Survey of registered nurses, USPHS, 1943 (did not inc over 36,000 nurses serving with the armed forces): United States of America: Classification of nurses: Number of classified nurses (June 30, 1945): Total, United Sta of America___. Number of nurses enrolled in the American Red Cross service re 30): Total, 1945 Military recruitment program: Number volunteered and certifial (military service, total__. World War II: Number of nurses assigned to military service December 1, 1942-June 30, 1945, total number serving or assigned.. NURSING CARE IN PREPAYMENT MEDICAL CARE ORGANIZATION (By Margaret C. Klem*) Nursing associations throughout the United States are not only with methods of providing adequate nursing services during the pr gency, but are also carefully studying the outlook for professional postwar era. Developments in all fields of medical care are being fo vữn much interest. Important action indicating the trend of opinion with ing profession regarding health insurance was taken in June 1944 joint board of the National Organization for Public Health Nursing, the Nurses' Association, and the National League of Nursing Educat record as favoring "the expansion of prepayment health insurance provision for nursing service, including nursing care in the home." That local as well as national associations are following present health insurance with interest and are voicing their desire to narti *Miss Klem is Chief. Medical Economics Section, Division of Health an Studies, Bureau of Research and Statistics, Social Security Board. The opin in this article are those of the writer and do not necessarily represent the w 1 Nursing Associations Endorse Health Insurance, Medical Care, August 14 Social Security Board. ed by action taken in California and in New York City where health Insurance osals have assumed major importance within the past year. In California, xecutive director of the State Nurses' Association declared that members of association believed that a health insurance plan should furnish nursing ices when the services are deemed necessary by the physician in charge and the association was prepared to offer an amendment to any health insurance coming before the California Legislature to provide for such services. The tor declared further that the nursing profession should have a place on the d of the proposed health service authority or on the executive body of any r approved system. In New York, while discussing Mayor LaGuardia's th insurance plan for Greater New York, the executive director of the Visiting e Service of New York, in an address before the New York Counties. Regis-1 Nurse Association, similarly expressed the hope that nursing services would acluded in the New York health insurance plan and suggested that professe ́ ́il nurses consider the value of such inclusion and look toward representaon the board of directors terest by the nursing profession In the provision of nursing services through rance is not new. Studies of health insurance have been made by the National nization for Public Health Nursing and American Nurses' Association compes at regular intervals for many years Actually, nursing care has ben ided through insurance since 109 when the initial experime it was made by Metropolitian Lite Insurance Co. More than 70 compantes now off 'ring th and accident policies issue a variety of policies which provide some type arsing service.' There are also in operation in the United States more than жrepayment medical care organizations of which nearly half regularly cha, oy stered professional nurses as me, bets of their stalls. Approximately 45 nt of the 5,000,000 persons eligible for medical care through #sscelation these organizations are entitled to receive the services of either special es or visiting nurses or both, and more than 200 registered professional es are regularly employed mer bets of the staffs of these pa pay inert arations which offer nursing services, SURVEY OF PREPAYMENT MEDICAL CARE 1943 the Bureau of Research and Statisties of the Social Security Board ared a digest of information received during the spring of that year from prepayment medical care organizations. A new study, based on received in January May 1945, wil soon be published Nearly all organiza which furnished data for 1943 are included in the 1915 dust which a so uns information on prepayment medical care organizations estab' sled s nev In the following pages information on nursing services received from 220 organizations spying data in 1945 is compared with s mear da'n for organ zations in 1993 Organizations furnishing it form on have been ified by type as follows; Industrial, medical society, private group clime, ther sponsored, and Government. eistyment plans associated with industrial establishments are more numernd their membership is larger than those of any other tyre. These plans hanced in three ways: by etoployers, by ergloyees, and Jointly by employers employees. d cal society plans are those which have been organized by either State "nty medical societies. Medical services in plans of this type are provided Vecians in private practice who have chosen to particij a'e in the plan Te tity of the new organizations furnishing Information in 195 were of the cal society type. e term "private group ¿linie” has been used to design ite organizations owned managed by one or more physic ans. Services are usually provided by cians practicing as a group. res Association Asks Health Plan, Exanirer (San Francisco, Calif ), March 1, "York Times November 9 1944 ith Insurance Styled by American Nurses' Association, American Journal of Nurs mber 1941, p 101 Margaret C Prepayment Medical Care Orrartrations Social Security Board, 1 of Research and Statistics Memorandum No 55 34 ed in press American Nurses' Association membership, December 31, 1945–181. in the United States of America The U. S. Census: 1940: Total: Number Percent_ Women: Number Percent Men: Number_ Percent. Ratio of nurses to population, 1940-1 nurse to 357 people. National Survey of registered nurses, USPHS, 1943 (did not incide over 36,000 nurses serving with the armed forces): United States of America: Classification of nurses: Number of classified nurses (June 30, 1945): Total, United Sta of America______ Number of nurses enrolled in the American Red Cross service 30) Total, 1945 Military recruitment program: Number volunteered and certifi military service, total_ World War II: Number of nurses assigned to military service Dece 1, 1942-June 30, 1945, total number serving or assigned.. NURSING CARE IN PREPAYMENT MEDICAL CARE ORGANIZATION (By Margaret C. Klem*) Nursing associations throughout the United States are not on with methods of providing adequate nursing services during the pr gency, but are also carefully studying the outlook for professional rus postwar era. Developments in all fields of medical care are being fo much interest. Important action indicating the trend of opinion with ing profession regarding health insurance was taken in June 1944 joint board of the National Organization for Public Health Nursing, the Nurses' Association, and the National League of Nursing Educat record as favoring "the expansion of prepayment health insurance pla provision for nursing service, including nursing care in the home." That local as well as national associations are following presen health insurance with interest and are voicing their desire to parti *Miss Klem is Chief, Medical Economics Section, Division of Health and Studies, Bureau of Research and Statistics, Social Security Board. The opi in this article are those of the writer and do not necessarily represent the r Social Security Board. 1 Nursing Associations Endorse Health Insurance, Medical Care, August 19 jewed by action taken in California and in New York City where health insurance , osals have assumed major importance within the past year. In California, ¿xecutive director of the State Nurses' Association declared that members of association believed that a health insurance plan should furnish nursing ices when the services are deemed necessary by the physician in charge and the association was prepared to offer an amendment to any health insurance coming before the California Legislature to provide for such services. The stor declared further that the nursing profession should have a place on the d of the proposed health service authority or on the executive body of any r approved system. In New York, while discussing Mayor LaGuardia's th insurance plan for Greater New York, the executive director of the Visiting se Service of New York, in an address before the New York Counties. Regis1 Nurse Association, similarly expressed the hope that nursing services would acluded in the New York health insurance plan and suggested that profesal nurses consider the value of such inclusion and look toward representaon the bourd of directors. ' ferest by the nursing profession In the provision of nursing services through tance is not new. Studies of health insurance have been made by the National dization for Public Health Nursing and American Nurses' Association comees at regular intervals for many years Actually, nursing care has ben ided through Insurance since 1500 when the initial experime it was made by Metropolitian Life Insurance Co. More than 70 companies now off ring th and accident policies issue a variety of policies which provide some type ansing service. There are also in operation in the United States more ti an жepayment medical care organizations of which nearly half reg ilarly cm, cy tered professional nurses as me, bets of their staffs. Approximately 45 nt of the 5,000,000 persons eligible for medical care through association these organizations are entitled to receive the services of either special es or visiting nurses or both, and more than 200 registered professional TM are regularly employed mer hers of the staffs of these prepavinent nizations which offer nursing services, SURVEY OF PREPAYMENT MEDICAL CARE 1943 the Bureau of Research and Statistics of the Social Security Board ared a digest of information received during the spring of that your from prepayment medical care organizations. A new study, based on Intermareceived in January May 1945 wid soon be published". Nearly all oʻgınıza- which furnished data for 1943 are included in the 1415 d. ost which a'so ins information on prepayment med cal care orgini-zations estab' shed » nee In the following pages information on nursing services received from 229 organizations supp`ying data in 1945 is compared with similar du'a for organizations in 1983. Organizations furnishing it formation Lave been if d by type as follows: Industrial, medical society, private group clinic, her sponsored, and Government. payment plans associated with industrial establishments are mire numernd their membership is larger than those of any other tyne These p'ans inanced in three ways: by elaployers, by employees, and jointly by employers employees. deal society plans are those which have been organised by either State ny medical societies, Medical services in plans of this type are provided ysicians in private practice who have chosen to participate in the flan Te tity of the new organizations furnishing information in 195 were of the cal society type. e term “private group ¿linie" has been used to designate organizations owned managed by one or more physic anis – Services are usually provided by cians practicing as a group. * Association Asks Health Plan. Examiner (San Francisco, Calif.), March 1, "York Times. November 9 1944. Oh Insurare Styled by American Nurses' Association, American Journal of Nurs mer 1941. p 1061 Margaret C Propayment Medical Care Organizations. Social Security Board, of Research and Statistics, Memorandum No 55 3d ed in preas, |