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Alinsky was one of the first of the modern politicians who realized the growing control over peoples’ lives that the health care was assuming. Getting decent health care at an affordable price was getting more and more difficult for the working class unless provided by an employer, and the poor were already at the mercy of whatever system there was in the area as they could go nowhere else.


The ruling allowed GE's employee disability insurance plan to exclude conditions arising from pregnancy. Many critics argue that the same policies paid for Viagra for men which is also significantly different.


At the time being a seaman was a very dangerous job with a high rate of injury and disease from foreign ports. Congress passed and President John Adams signed this law which provided some marine health services for seaman. However, the reason it is politically most interesting is that it is the first Federal mandate on private citizens. Further it actually required that sailors who were privately employed purchase health insurance. The Federal government was the single payer in what many conservatives would call “socialized medicine.” What is fascinating is that in the huge political debate of the Obama administration over the mandate to buy health insurance this precedent virtually never appeared in the arguments, court cases, news media and political debates. Forbes Magazine ran an article about it in 2011 (http://www.forbes.com/sites/rickungar/2011/01/17/congress-passes-socialized-medicine-and-mandates-health-insurance-in-1798/2/ ) As passionate as everyone else was, they just didn’t know the political history of our own country enough to use the example in the debate. This was also the first example of Federal “withholding” where the employer collects the money from the individual by withholding it from his pay and turns it over to the federal government.