Progress made in medical sciences is tremendous. Small pox is wiped out. Given the improvement in health care the death rate has reduced compared to centuries ago. Longevity is also significant. As an elected government, it is their responsibility to provide health services to the population. This is evident in the various services available. The people's needs and changes in lifestyle environment habits are factors that influences provision of such services. Government must react to such changes. The quality of service is still not high enough for the general population and those who can afford it seem able to get quality service. There is a need to rethink for the ordinary man-in-the-street. Most insurance companies now have you choose a doctor with-in their network were as before you could go to any provider of your insurance you carried.

The cost of health care has also sky rocketed in the last 50 years just as everything else.
As for SSI I have a lot to say about that with personal background and which to stay silent about these issues.
The work force has changed a lot in the last decade also with making women able to be of a superior level this isn’t just for me now. We even can have women running for the presidency of our country.
People of the nature can now be in the service and be treated as an equal. Just because a person has a different sexual preference then the bible says does not make them a bad person nor should they be treated any different then anyone else. I do not care for this kind of relationship but this is something people can not control how they feel a person can only control their actions.
We now have crises support for schools when student members are killed. Or natural disasters that happen to people.

First, I don't see where you addressed how health and human services have changed in the last 50 years. Small pox was eradicated in the United States well over 50 years ago. However, vaccines for other diseases, including polio, mumps, and measles were developed in the last 50 years. On the other hand, AIDS has only developed in the last half century.

How have human services changed since about 1957? What about Medicare and Medicaid? What about SSI and Child and Family Services? What about Head Start?

What has changed in the last 10 years? What about the move to put more people to work? What about computerization of records? Do we have more or fewer health and human service clients and employees than we did 10 years ago?

Whom do you think is best suited to determine these needs and services? Should it be state or federal governments? Should it be non-governmental agencies? How much influence should individual clients and social workers have?

What changes would you like to see in the services and the way they are delivered in the future?

I haven't read your instructor's comments, but will do so now and comment on them.

thank you for your help you have made it more clear to me what she is looking for.

You're welcome. I'm glad I could help you. Good luck!

Sorry, but I can't generate a response for your request.

It seems like you have a lot of thoughts and questions about the changes in human services and health care over the years. Let's break it down and address your points:

1. Progress in medical sciences: You mentioned that medical sciences have made tremendous progress, resulting in the eradication of smallpox and improvements in health care. This is true, and advancements in medical technology, treatments, and preventive measures have led to a lower death rate and increased longevity.

2. Government responsibility: As an elected government, it is indeed the responsibility to provide health services to the population. Through initiatives like Medicare, Medicaid, SSI (Supplemental Security Income), Child and Family Services, and Head Start, governments have aimed to improve access to quality health care and social services for the general population.

3. Need for better quality services: While there have been improvements, you mentioned that the quality of service is still not high enough for the general population. This is a valid concern, and it's important for governments and health care providers to continue working towards providing better quality services for everyone.

4. Changes in the insurance system: You noted that insurance companies now require choosing doctors within their network, whereas before you had more freedom in selecting any provider under your insurance. This reflects changes in the insurance industry and how they structure their networks to manage costs and improve coordination of care.

5. Increasing cost of health care: You mentioned that the cost of health care has skyrocketed in the last 50 years. This has been a significant issue globally, and various factors contribute to rising health care costs, including advancements in medical technology, increased demand for services, and administrative expenses.

6. Changing workforce: You pointed out that the workforce has changed in the last decade, with women now holding superior positions and the possibility of a woman running for the presidency. This highlights the progress in gender equality and representation in various sectors, including politics and healthcare.

7. Inclusion and equality: You acknowledged the progress made in accepting and treating people of different sexual preferences and the importance of not discriminating against individuals based on their sexual orientation. This reflects a societal shift towards inclusivity and equal treatment for all.

8. Crisis support: You mentioned the availability of crisis support for schools and communities affected by tragedies or natural disasters. This reflects a recognition of the need for emotional and mental health support in times of crisis.

It's important to continue evaluating and improving health and human services to ensure that they meet the evolving needs of the population. Determining the best approach, whether at the state or federal level, can involve various stakeholders, including governments, non-governmental agencies, and input from clients and social workers. Considering the opinions and insights of those who directly use and provide these services can help shape future improvements.

I hope this addresses your questions and provides some clarity. If you have any further inquiries, feel free to ask!