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Blue Cross plans arose in the 1930s in the middle of the great depression. The hospitals were desperate for a steady stream of income. In exchange, they provided a way for school teachers and other governmental employees to pay hospital expenses if they became sick. So, hospitals stayed in business and governmental employees could go to the hospital when they became sick. Soon Blue Shield plans were added to pay the doctor. Private industry needed health plans. Kaiser developed its own health care plan. Other companies developed their own plans. Today in the United States, there are many different health care companies and many plans.

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