Preview

Medicare

Powerful Essays
Open Document
Open Document
5354 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Medicare
Medicare: Past, Present, and Future
The History of Medical Insurance
The idea for a national health plan was not something considered to be a priority of American government prior to the 1940’s. President Harry S. Truman was the first president to push the issue to the United States Congress in 1945. Truman called for the creation of a national health insurance plan that would be aviailable to all Americans. He envisioned coverage for hospital visits, dental care, nursing care, and doctor’s visits. The plan would cover any medical expenses that were considered typical medical expenses. Although Truman envisioned this plan, he was unsuccessful in getting Congress to approve such a vast undertaking during his term (2).
President John F. Kennedy also made an unsuccessful attempt at persuading Congress to enact a national health care coverage plan during his term in the 1960’s (2). The push for a national health care coverage plan, especially for the elderly, came from the economic problem that health care costs increase as a person ages, and income declines within this same period. Prior to medicare, only a little over half of those aged 65 or older had some type of health care coverage. Additionally, those who did have health care coverage were at risk for being terminated from that coverage once they reached a certain age limit. Older individuals were considered to be in a high risk category for health problems, therefore insurace companies did not want to insure them (3).
Health care coverage was not a pressing issue in the 1920’s and the years prior. This was due to realtively low medical expenditures for individuals and families. In 1918, the Bureau of Labor Statistics conducted a survey of 211 families in the Columbus, Ohio area. They found that only 7.6% of a family’s medical expenditures were paid for hospital care. The families reported that the largest cost of medical care was that a sick person could not work. It was discovered that lost wages due

You May Also Find These Documents Helpful

  • Powerful Essays

    Medicare Overview

    • 1393 Words
    • 6 Pages

    This paper is an overview of the Medicare system and how it works. The document is intended…

    • 1393 Words
    • 6 Pages
    Powerful Essays
  • Best Essays

    In order to evaluate the present and plan for the future, we must understand the past. The philosophy applies to health care reform. According to Ramachandran (2010), the idea of national health insurance emerged around 1915 when the American Association for Labor Legislation attempted to introduce a medical insurance bill to some state legislatures. These attempts were not successful, and…

    • 3981 Words
    • 16 Pages
    Best Essays
  • Best Essays

    Created by Congress in 1965, under President Lyndon B. Johnson, Medicare is an insurance program sponsored by the United States government. The purpose of Medicare is to guarantee access to health insurance for US citizens of age 65 and over and to people of any age with disabilities. In 2011, 48.7 million people were covered by Medicare with a total expenditure of $549.1 billion1 from which $182.7 billion was used to cover 15.3 million inpatient admissions; this represents 47.2 percent of total hospital’s admission costs in the US. Medicare falls under the category of a single-payer health care program;2 which means that a single public or semi-public agency organizes the healthcare finances; however, the delivery of care remains under private authority.…

    • 2040 Words
    • 5 Pages
    Best Essays
  • Satisfactory Essays

    The system was designed to create a system of unemployment insurance, old age pensions, and aid to the disabled, the elderly poor, and those with dependent children. Although this wasn’t the administration original design, which envisioned a national system of health insurance, but this idea was dropped because of the opposition from the…

    • 182 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    Single-Payer Reform

    • 160 Words
    • 1 Page

    Introduction Proposals U.S. single-payer reform have long history. A 1943 bill subsequently endorsed by president Harry Truman in 1945 envisioned national health insurance funded through payroll taxes.…

    • 160 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    National Reform Dbq

    • 308 Words
    • 2 Pages

    During the early 1900s, the national reform was the American Association for Labor Legislation and President Theodore Roosevelt supported a traditional European social insurance platform that consists of health insurance, workers, unemployment, etc. However, the barriers and challenges of this reform were from several areas. For example, the American Federation of Labor believed people should be able to rely on their economic strength. Employers also opposed this bill because they were afraid of malingering. President Franklin Roosevelt and his administrators attempted reform was to push for national health insurance. Moreover, the medical care committee’s wanted to propose under the Social Security for expanding maternal, public health and…

    • 308 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    The purpose of this essay is to discuss why Clinton’s Health Plan was unsuccessful. It will detail the features of the plan, explain why it failed and describe the influence of the various interest groups and government entities in the process. It will also discuss the policy process and the key players involved and other circumstances that shaped this policy-making effort. As with most presidents once they enter into office as Commander in Chief, they set out to leave their mark in U.S. history by doing something profound and worthy of being mentioned in history books.…

    • 991 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    In the US Medicare is a national social insurance program. The program was born in 1965 under title XVIII of the Social Security Act, but while it was created under Social Security, the program is ran by the Centers for Medicare and Medicaid Services, which is part of the Department of Health and Human Services. Medicare uses 30-50 private insurance companies across the United States under contract for administration. United States Medicare is funded by a Payroll Tax. It provides health insurance for Americans aged 65 and older who have worked and paid into the system through the payroll tax. Medicare is one of the largest health insurance programs in the world. Providing nearly universal health insurance to the elderly as well as many disabled,…

    • 225 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    President Bill Clinton attempted to enforce The Health Security Act. This was to bring universal health care coverage to the United States. The intention of the President was to enhance the healthcare system and to provide universal health care coverage to Americans just like those of other countries that already have this system working. The Health Security Plan did fail. There were both good and bad parts of the plan and had too many issues to even come before congress for a vote. The Health Security Plan had many problems. It was argued that the health care reform plan was too large and too complex. (Piffner) The American people were skeptical of healthcare reform and campaigning against the bill relied on those insecurities. The public feared that the bill would mean more big government and socialized medicine. (Piffner) Americans did not want to be told what doctor they could nor could not use and what medical treatments they were allowed to have, even though current insurance plans have similar restrictions and limits to what is covered in network. Another factor that contributed to the demise of the Health Security Act was that Americans did not want a single payer system. The greatest factor that contributed to the fail of Presidents Clinton's health care reform was over ambition. The plan attempted simultaneously to secure universal coverage, regulate the private insurance market, change health care financing through an employer mandate, control costs to levels enforced by a national health board, and transform the delivery system through managed care. (Oberlander, 2007)…

    • 719 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Another benefit of enacting a national healthcare insurance program for elderly people, is that they will be able to receive medical care, medical supplies, and medications needed through a Medicare or Medicare program. When I interviewed my client Mrs. Landon, I asked her, “If enacting a national healthcare insurance program would reduce your out-of-pock expenses for medical supplies and medications monthly?” She responded, “Yes, because I spend over a thousand dollars a month just in my diabeties…

    • 620 Words
    • 2 Pages
    Good Essays
  • Better Essays

    was the Clinton Health Care plan, which failed to get approval from the Congress. However,…

    • 2165 Words
    • 9 Pages
    Better Essays
  • Good Essays

    Medicare and Ssi

    • 887 Words
    • 4 Pages

    The history of SSI started in 1935 under President Franklin Delano Roosevelt. Since then almost every administration has made changes to this program. “This trend began with Old-Age Insurance, followed by Survivors Insurance in 1939, and Disability Insurance, which was signed by President Eisenhower in 1956. In 1974, President Nixon added Supplemental Security Income (SSI) for low-income workers. The original Social Security mandate was also expanded to include Medicare and Medicaid (Advance).” Some other changes more recently have added more benefits to this well known plan. “The most significant legislative change to Medicare--called the Medicare Modernization Act or MMA--was signed into law by another President from Texas, George W. Bush, on December 8, 2003. This historic legislation adds an outpatient prescription drug benefit to Medicare and makes many other important changes (Cms).”…

    • 887 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Medicaid

    • 553 Words
    • 3 Pages

    Title XIX of the Social Security Act is a federal and state entitlement program that pays for medical assistance for certain individuals and families with low incomes and resources. This program is known as Medicaid. Medicaid is the nation’s publicly financed health and long-term care coverage program for low-income individuals. Medicaid was created by the United States government to provide health care to people who have low incomes and cannot afford health services or health insurance on their own.…

    • 553 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Advocacy of government managed care in the United States began in the early 1900s. Theodore Roosevelt made national managed care one of the major planks of the Progressive party during the 1912 presidential campaign, and in 1915 a model bill for managed care was presented, but defeated, in numerous state legislatures. After 1920 opposition to government-sponsored plans was led by the American Medical Association and was said to be motivated by the fear that government participation in medical care might lead to socialized medicine. (Birenbaum, 1997)…

    • 901 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Individual payments for health care services received have undergone many changes over the past one hundred and fifty years in this country. For many years a fee for service system was in place. This was acceptable at the time because costs were low. However, as costs began to rise, changes in the system occurred as well. Private insurance companies started to form in the 1920s to help consumers afford medical care when needed. Through several evolutions over the years and due to increased costs of medical care, we saw new market oriented public policy initiatives starting to form by the 1980s. In 1970 health care spending represented 7% of the national income, but by 1993 it grew to 13.4% (White, 2004). Health care costs were starting to get out of hand and something needed to be done to address it. "In the public sector, important initiatives included the introduction of the Medicare Prospective Payment System, a range of state reform efforts, and the Clinton administration 's health reform initiative. At the same time, private insurers introduced changes that set in motion a fundamental restructuring of relationships in the health care market place, ultimately giving rise to managed care" (White, 2004). This paper will discuss the rationale, effectiveness, strengths, and weaknesses behind this relatively young reimbursement payment system called managed care.…

    • 1167 Words
    • 5 Pages
    Powerful Essays