By Sue A. Blevins
Blevins examines the program's origins, its evolution, and destiny coverage innovations.
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Extra info for Medicare's Midlife Crisis
Example text
78 The chairman of the Commission was Dr. Paul B. Magnuson, a noted surgeon, a Republican, and an outspoken opponent of national health insurance. Ironically, he would help devise the strategy that eventually created the Medicare program. ’’ The report emphasized Cohen and Falk’s incremental approach. Instead of focusing on the entire population, as Democrats had been doing over the years, the Commission proposed a much narrower program: prepaid health benefits for people on Social Security—that is, the elderly, the widowed, and the disabled.
However, supporters of national health care consistently produced studies, public opinion polls, and testimony that eventually swayed the Democrats and nearly half of all Republicans in Congress to support the final Medicare bill in 1965. ’’ Consequently, today even Republicans vow to ‘‘protect and preserve’’ Medicare, with the misunderstanding that seniors wouldn’t have access to health care without it. Do policymakers and most Americans truly understand what is being protected and preserved under the Medicare program?
In 1932, there were about 100 national or international trade unions providing medical benefits to members, and there were a few large industrial organizations that had staffs of salaried physicians, dentists, nurses, and laboratory workers who provided complete medical services for workers and their families. This arrangement concerned organized medicine because it used contracts and competitive bidding. 65 Another type of coverage that was commonly sought among workers during the early 1900s was ‘‘industrial’’ insurance.