The History Of Medicare

In order to understand current health delivery services changes and formulate predictions, one must thoroughly comprehend the three developmental eras of the health care system. The evolution of our current health care system began in 1850, and has metamorphosed in three time periods, 1850 to 1900, 1900 to World War II (WW II), and WW II to 2009. Significant distinct and overlapping trends in disease prevalence, availability of health care resources, social organizations, and the public's knowledge and perception of health and illness and technology.

Medicare is a federally governed insurance program, primarily serving Americans over the age of 65, younger disabled meeting specific disability criteria, and dialysis

Over the course of our countries history, the delivery of our health care system has tried to meet the needs of our growing and changing population. However, we somehow seem to fall short in delivering our goals of providing quality, affordable and accessible healthcare to our citizens. The history of our delivery system will show we continuously changed the delivery of our system however never mange to control cost. If we can come up with efficient ways to cut cost, the delivery of quality care will follow.

There are four evolutionary phases in healthcare. The first phase was the preindustrial era, which started in the middle 18th century to the beginning of the 19th century. At this time, American medicine was not developing as fast as other countries; in Britain, France, and Germany, medical science and research was much more advanced than America. The postindustrial era began in the late 19th century, physicians in America were becoming more successful than others in the world. The third phase was the corporate era, which was marked by the growth of managed care, organizational integration, the information revolution and globalization. Finally, the fourth phase is the one in which we are in today, it is still fairly new and is characterized by the health care reform, which was brought about by the Affordable Care Act.

In order to qualify for Medicaid individuals must meet certain regulations. Eligibility depends on each state, age and whether the individual is a U.S. Citizen, blind, pregnant, single parent, or suffers from any disabilities; all of this plays a huge role in the Medicaid eligibility criteria. Although, some immigrants may be able to benefit from this program, if the immigrant is a woman whose labor and delivery of child is taken care of inside the U.S. that is enough to make them eligible for Medicaid (Medicaid, 2012). Even though the states are allowed to provide their own regulation guidelines along with other decisions for this health program, there are certain mandatory federal requirements that must be met by each state in order to receive funding. Some of those requirements include; inpatient hospital service, prenatal care, vaccines for children, rural health clinic services, transportation services and many others that according to the federal government are extremely essential for the management of this program ("What is medicare/medicaid?," 2012).

I have to include this for the sake of completeness. Most people know what Medicare is because they have been paying into it for years. This is something you will qualify for when you turn 65. The main thing to be said about Medicare is that it is the best deal for senior around, so you need to sign up for it as soon as you become eligible. Also, during the enrollment period, you need to consider buying a supplemental insurance policy. Medicare only pays approximately 80% of your medical bills. A good supplemental policy will help pay much of the rest of the bill. If you are too poor to buy a supplemental policy, you may qualify for Medicaid. If you are currently enrolled in Medicare, it is possible to use Medicaid as supplemental

Person eligible for Medicare include individuals ages sixty-five and over, those with disabilities, and those with end-stage renal disease (Hammaker, 2011). here are three basic entitlement categories: persons 65 years of age or over who are eligible for retirement under Social Security or the railroad retirement system, persons under 65 years of age who have been entitled for at least 2 years to disability benefits under Social Security or the railroad retirement system, and persons with ESRD who do not otherwise meet the age or disability requirements. The latter two groups together are known as the "under 65" enrollees (Petrie, 1992).

On July 30, 1965, President Lyndon B. Johnson signed into law the bill that led to the establishment of Medicare and Medicaid. Medicaid is a social protection program that was enacted to provide medical assistance to United States citizens who meet certain eligibility requirements and is jointly operated by the Federal and State government. Although each state is responsible for operating its own Medicaid system, it must comply with established Federal guidelines in order to receive matching funds.

Medicare was created in 1965 for individuals who were over the age of 65 that found it impossible to find affordable healthcare. The creation of Medicare has given access to healthcare to all Americans once they reached the age of 65. This program was created in the era of limited hospital access so a big worry they had was that individuals would have this healthcare but not be able to receive care fast enough (National Academy of Social Insurance, 2001).

Medicare is considered a federal health insurance program that covers individuals who are 65 years old or older, people who have certain young disabilities, and/or with End-Stage Renal Disease (ESRD). It is under federal law through the United

Medicare is a federally administered health insurance program that was started in 1965 by President Lyndon B. Johnson, taking effect in 1966. The Medicare program was aimed at aiding the high percentage of elderly individuals who were without health insurance coverage and thus improve their health. Originally, Medicare provided health insurance coverage for retirees and their spouses 65 years and older. However, in 1972 Richard Nixon signed the first change to Medicare, allowing for certain disabled persons under the age of 65 to participate in the program. Additionally, Nixon’s changes allowed anybody diagnosed with kidney failure who required dialysis or an organ transplant to receive coverage under the program.

Medicare, enacted on 1965 is a government funded health insurance program which covers the elderly, the disabled and people with end stage renal diseases. With Medicare covering specifically the elderly and the disabled, the cost is usually on the higher side. Medicare has been in action since the last 50 years. Many even approve of expanding Medicare instead of ACA, as Medicare is government funded while ACA has much commercial involvement. Medicare is heavily subsidized and is universally

Medicare is a federal government program that attempts to medically cover individuals 65 years and older and those with permanent disabilities, the most difficult population to serve. For fifty years, Medicare has provided economic and health security for older Americans, providing access to essential medical benefits including acute, chronic, and preventive health services. While the implementation of the Affordable Care Act improved Medicare by providing additional preventive services and brand name prescription drugs for less, there are still many flaws in Medicare, such having gaps in coverage, lack of supplemental costs, structural complexity, and large out of pocket expense that prevent the program from effectively offering health coverage to many individuals. As the Baby Boom Generation ages and the longevity of the population increases, Medicare costs will rise and constitute more and more of the federal budget, crowding out other important sectors.

Medicare is a federal program that was created to serve people who are over the age of 65 and don’t have private insurance. There is no financial requirement for Medicare; it is public health insurance offered to anyone over the age of 65. Medicaid is different because it a state and federal program; and there is also the financial aspect to it. In order to be eligible for Medicaid a person must have a low monthly income to receive the subsidized health care plans. A person can be eligible for both and those people receive dual eligibility according to Medicare Interactive (2017). These two programs have served the people in need for over 50 years and the creation of Obamacare has directly affected these programs.

Medicare is a federal health insurance program. This program pays for a variety of health care expenses for people who are 65 and older, adults with approved medical conditions such as Lou Gehrig’s disease, qualifying permanent disabilities may be eligible. It is financed by payroll taxes, premiums paid by voluntarily beneficiaries, income taxes paid on Social Security benefits and interest earned on the trust fund investments.