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During the Progressive Era, President Theodore Roosevelt was in power and although he supported health insurance because he believed that no country could be strong whose people were sick and poor, most of the initiative for reform took place outside of government.

In the Progressive Era, which occurred in the early 20th century, reformers were working to improve social conditions for the working class.

This marked the end of the compulsory national health debate until the 1930’s.

Opposition from doctors, labor, insurance companies, and business contributed to the failure of Progressives to achieve compulsory national health insurance.

On several occasions, advocates believed they were on the verge of success; yet each time they faced defeat.

The evolution of these efforts and the reasons for their failure make for an intriguing lesson in American history, ideology, and character.

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