HCI 301 Evolution of Healthcare in the United States • 5 Cr.


To understand the complexities and nuances of the US healthcare systems we look to the past to discover how war, policy changes, and reforms have shaped the US healthcare system of today. We look at how healthcare is delivered to patients, how it is financed, and how providers are paid. We compare the US to international healthcare systems. The purpose of this course is to provide a solid basis of understanding of the US healthcare system: we examine its strengths and weaknesses, how it is financed and governed, and how it compares to other nations. Prerequisite: Admission to any baccalaureate program at Bellevue College.


After completing this class, students should be able to:

  • Relate current issues and controversies in healthcare to historical development of the United States (US) healthcare system 
  • Debate the US healthcare system and compare to healthcare systems in other countries 
  • Outline the role of federal, state and local governments in provision of healthcare in the US, including healthcare information technology (HIT) and healthcare informatics initiatives 
  • Summarize the roles and structure of the types of healthcare organizations responsible for providing healthcare and the professionals who provide healthcare in the US 
  • Debate the strengths and limitations of current mechanisms for financing healthcare in the US including challenges moving forward 
  • Analyze current and pending legislation, accreditation, licensure and certification standards that affect and/or regulate healthcare delivery systems in the US