American Issues Connector: Social Problems and Reforms

A photo of a doctor examining a woman on a gurney and a nurse standing close by on the right.

Healthcare costs are a major issue.

TRACK THE ISSUE

Checkpoint What are the most pressing problems, and how can we solve them?

There have been many movements for social reform in the United States. But Americans do not always agree on the need for reform or on the best way to achieve it. In fact, some reform ideas face strong opposition. Why do some reform movements win support, while others do not? Use the timeline below to explore this enduring issue.

  • 1790s–1820s Second Great Awakening

    Revival of Christian faith sparks moral and spiritual reform.

  • 1830s–1850s Abolitionism

    Antislavery forces demand an end to the slave system.

  • 1890–1920 Progressivism

    Reformers urge a broad range of social and political changes.

  • 1950s–1960s Civil Rights

    African Americans lead movement for racial equality.

  • 1990s–2000s Healthcare Reform

    Reformers combat the spiraling costs of healthcare and insurance.

A photo of children lined up to get vaccinations.

Young children line up to receive vaccinations in a school clinic.

DEBATE THE ISSUE

Health Insurance Medical costs are soaring. Many Americans lack health insurance and cannot pay their bills. Some reformers want the government to provide universal health insurance, also known as a single-payer system. Others say this approach will cause more harm than good.

“… Everybody has … to be covered. There’s only three ways of doing it. You can have a single-payer system, you can require employers, or you can have individual responsibility. My plan combines employers and individual responsibility, while maintaining Medicare and Medicaid. The whole idea of universal health care is … a core Democratic principle …”

—Senator Hillary Clinton, 2008

“A single-payer system promotes higher taxes, limits technology, produces waiting lists, rations care, and prolongs suffering…. A universal healthcare system run by government will reduce the quality and access to health care for all Americans. It’s a prescription for disaster.”

—Sally Pipes, President, Pacific Research Institute

TRANSFER Activities

  1. Compare Why does Hillary Clinton support universal health care? Why does Sally Pipes oppose it?
  2. Analyze Do you think Sally Pipes would support the efforts of some Progressive Era city governments to purchase public utilities? Explain.
  3. Transfer Use the following Web site to see a video, try a WebQuest, and write in your journal. Web Code: neh-7702

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Table of Contents

Prentice Hall: United States History CHAPTER 1 Many Cultures Meet (Prehistory–1550) CHAPTER 2 Europeans Establish Colonies (1492–1752) CHAPTER 3 The American Colonies Take Shape (1607–1765) CHAPTER 4 The American Revolution (1765–1783) CHAPTER 5 Creating the Constitution (1781–1789) CHAPTER 6 The New Republic (1789–1816) CHAPTER 7 Nationalism and Sectionalism (1812–1855) CHAPTER 8 Religion and Reform (1812–1860) CHAPTER 9 Manifest Destiny (1800–1850) CHAPTER 10 The Union in Crisis (1846–1861) CHAPTER 11 The Civil War (1861–1865) CHAPTER 12 The Reconstruction Era (1865–1877) CHAPTER 13 The Triumph of Industry (1865–1914) CHAPTER 14 Immigration and Urbanization (1865–1914) CHAPTER 15 The South and West Transformed (1865–1900) CHAPTER 16 Issues of the Gilded Age (1877–1900) CHAPTER 17 The Progressive Era (1890–1920) CHAPTER 18 An Emerging World Power (1890–1917) CHAPTER 19 World War I and Beyond (1914–1920) CHAPTER 20 The Twenties (1919–1929) CHAPTER 21 The Great Depression (1928–1932) CHAPTER 22 The New Deal (1932–1941) CHAPTER 23 The Coming of War (1931–1942) CHAPTER 24 World War II (1941–1945) CHAPTER 25 The Cold War (1945–1960) CHAPTER 26 Postwar Confidence and Anxiety (1945–1960) CHAPTER 27 The Civil Rights Movement (1945–1975) CHAPTER 28 The Kennedy and Johnson Years (1960–1968) CHAPTER 29 The Vietnam War Era (1954–1975) CHAPTER 30 An Era of Protest and Change (1960–1980) CHAPTER 31 A Crisis in Confidence (1968–1980) CHAPTER 32 The Conservative Resurgence (1980–1993) CHAPTER 33 Into a New Century (1992–Today) Reflections: Enduring Issues Five Themes of Geography Profile of the Fifty States Atlas Presidents of the United States Economics Handbook Landmark Decisions of the Supreme Court Documents of Our Nation English and Spanish Glossary Index Acknowledgments