By 1910 American hospitals had become modernized with antiseptics, cleanliness and use of medication for pain relief. There was growing cultural influence for the medical profession. Physicians’ incomes were higher and had become prestigious. By the 1930’s the Depression era pushed for unemployment and “old age” benefits. Social Security Act was passed but did not include medical benefits. Blue Cross Blue Shield began offering private coverage in several states. In the 1960’s, President Lyndon Johnson signed Medicare and Medicaid into law. Prior to that is was found that 56% of Americans over the age of 65 did not have health insurance. In the 1990’s …show more content…
The “four R’s” appear to have a positive approach in the way that it doesn’t come out at talk about the dissatisfaction or resistance. “Follower’s emotions are the fuel for organizational change and change often requires a considerable amount of fuel.” (Hughes, Ginnett, & Curphy, 2015, p. 564) In order to orchestrate change employees need to know the reasons for change and understand the end result and how it will benefit them in the end. The “four R’s” does this in the result step. In many business situations change isn’t an option; employees would need to accept and embrace