In 1933, before universal health insurance, Ruth Cook Wilson co-founded the organization that became known as the Maritime Blue Cross-Blue Shield Association. Ruth Cook Wilson served as Executive Director until 1958, by which time Maritime Blue Cross had a total of 331,689 members and Maritime Blue Shield had 199,863 subscribers.
En 1944, avant le création de l’assurance-maladie universelle, Ruth Cook Wilson a contribué à la fondation de l’organisme qui est devenu le Maritime Blue Cross-Blue Shield Association. Ruth Cook Wilson a occupé le poste de chef de la direction jusqu’en 1958, période à laquelle l’organisme Maritime Blue Cross avait plus de 331 689 membres abonnés et Maritime Blue Shield en avait 199 863.