The Stepansky Medical Encyclopedia View in Timeline →

1920

Passage of Civilian Vocational Rehabilitation Act (CVRA), an expansion of WRIA to civilian sector that sought to make worker protection a federal matter. But the bill only paid vocational counselors to make home and worksite visits to injured industrial workers (for occupational training and job placement), it did not make health care services available to the industrially disabled. As a result, US provided medical and vocational rehabilitation to disabled soldiers but only the latter to nonmilitary disabled citizens: “America’s two-tier system of socialized medicine for soldiers and privatized health care insurance for the rest of its citizens persisted for the remainder of the twentieth century” (Linker, 148-149, 164-165).