The Academic Health Center History Project documents and preserves the institutional memory and historical events that chronicle the development of health sciences education and research at the University of Minnesota.

Gopher1892History.jpgThe student view of the Medical School has changed as the years progressed. Only three years after the opening of the Medical School, the 1892 Gopher Yearbook (page 77) proclaimed the Medical School's positives, including the high standard it set for its students. Some other aspects of the Medical School that the Gopher Yearbook touted were the great clinical facilities, the large number of students, and the faculty who had previous experience in teaching or managing medical schools.

Gopher1961Study.jpgToward the end of the production of Gopher Yearbooks, the observations about the Medical School were less glowing. The comments were still positive, however they were aimed more toward commiserating with the current students on how much work it was to study for a medical degree. In the 1961 Gopher Yearbook (pages 123-125), for instance, an article entitled "Medical School Means Study" explained that "Medical school has a reputation for being rough. This is no idle talk. Every hour of lecture means at least two in the lab." In 1964, the Gopher Yearbook (pages 339-343) Gopher1964Demanding.jpg had an article about how the work of a medical student was demanding and required determination. While this article has many pictures and explanations about what a medical student does during their years of training, it has nothing as complimentary as what was written in the 1892 Gopher Yearbook.

In 1909, when the University Hospitals first opened their doors in an old fraternity house,FratHospital.jpg patients were offered care for free. In the Report of the Medical School to the President of 1912-1913, Dr. Richard Olding Beard expressed concern pertaining to the growth of both the inpatient and outpatient services. The hospital had a waiting list that ranged between 20 and 30, while the clinic was congested. Dr. Beard stated that it was not possible to treat all of the patients who presented at the clinic or hospital. In the 1913-1914 Report of the Medical School to the President, the Outpatient Department cited 13,575 new patients and 47,347 visits, averaging around 155 visits per day.


ElliotHospital.jpgThis congestion led to a $0.10 per patient per ambulatory visit charge to be instated beginning July 1, 1915. There was also a prescription fee for patients requiring prescriptions. The inpatient wards were not far behind in leaving the "free for service" model, with approval from the Board of Regents coming in the 1918-1919 school year for 50 beds in Elliot Memorial Hospital to be used by patients who would pay a per diem charge.

In 1921, the County-State plan for caring for indigent patients who were residents of Minnesota was passed into law, requiring that patients be referred by their family physicians and be certified for care by the Judge of Probate of the county of residence prior to visiting the clinic. In 1923, this was amended to designate the county commissioner as the official authorized to certify eligibility for care, which meant that the University Hospitals could now bill the county for half of the patient's bill. The balance was billable to the state because of state appropriations.

Whether the cost was free, $0.10 per patient per visit, or a small per diem, visiting the University Hospitals was a pretty good deal.

Primary source of information was Masters of Medicine by J. Arthur Myers.

The Community University Health Care Center (CUHCC) opened in 1966 to provide the children of South Minneapolis with a comprehensive medical-dental care program. Now, CUHCC is the primary medical and dental clinic for patients of all different ages and locales. CUHCC was first opened under a protocol of offering eligible children a program of total medical and dental care with emphasis on prevention. Eligibility depended on the total income for the family to which the child belonged and whether the child lived within the geographic limits of CUHCC.

The total income eligibility requirement was based on whether the family fell under the Social Security Act's guidelines for poverty level. The clinic used a sliding fee scale so patients who could not pay much could still get complete health care, with the reasoning behind opening a clinic where money was of a lesser concern was based on a National Advisory Committee on Health Manpower report that concluded that medical costs would soon exceed the general cost of living increases.

Soon after CUHCC opened, the specialists served what some considered to be the largest Native American population in the country, with up to 9,000 Native Americans living in the area at certain times during the year. In 1974, the director of the clinic estimated proportions to the Minnesota Daily, listing 44 percent of the clientele as Native American, five to 10 percent black, and the rest white. In 2009, 64% of the patients seen at CUHCC were people of color, immigrants, or refugees: 31% were black, African, or African American; 16% were Asian or Pacific Islander; 12% were Latino; and 5% were Native Americans.

In 1975, CUHCC began to treat adults. These adults were originally the parents and family members of children already being seen at CUHCC, but that soon changed to any adults living in the geographic boundary. When CUHCC moved to its new location on Bloomington Avenue, the geographic limits originally imposed on patients were removed, so now any patient who falls below the poverty line can be seen at CUHCC.

Thumbnail image for CUHCC.jpgCUHCC.pdf

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