Medicare's Midlife Crisis by Sue A. Blevins

By Sue A. Blevins

Blevins examines the program's origins, its evolution, and destiny coverage strategies.

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Fact: This is probably the greatest myth surrounding Medicare. S. Department of Health, Education, and Welfare (HEW) claiming that only 54 percent of seniors had hospital insurance coverage. However, the survey is very misleading. It does not consider the fact that insurance does not equal access to health care. In fact, many persons had access to health care through other means. 71 Politicians who tout the 1964 HEW report conveniently overlook an important historical fact. 76 (continued next page) 20 Don’t Know Much about Medicare?

Johnson Supports Expanded Medicare Soon after Kennedy’s death, President Johnson vowed to make Medicare a priority. The Democrats’ landslide election of 1964 44 Medicare’s Enactment in the United States significantly increased the likelihood of passing a national health care program. Some people involved in the Medicare debate suggest that public mourning for Kennedy provided Johnson a unique opportunity to pass legislation. Dr. ’’28 In January 1965, during his State of the Union address, Johnson urged Congress to pass Medicare.

35 Closed-Door Meetings and Mills’ ‘‘Three-Layered Cake’’ After spending all of February with ‘‘a parade of medical lobby groups moving through his closed committee room, probing exhaustively into the detailed operations of hospitals, nursing homes, visiting nurse associations and the like,’’36 Mills surprised nearly everyone by recommending combining all three health care proposals: King-Anderson (which became Medicare Part A), ‘‘Bettercare’’ (which became Medicare Part B), and ‘‘Eldercare’’ (which became Medicaid).

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