Medicare and Medicaid – a brief US History

nurse, woman, medical-37322.jpg

Introduction

Medicare and Medicaid are government-sponsored programs that provide health insurance to seniors, people with disabilities, and low-income families. Medicare covers U.S. citizens and permanent residents age 65 or older who have been issued social security numbers. It was signed into law by President Lyndon Johnson in 1965 under the Great Society initiatives. In 1966, Medicaid provided federal matching payments to states for health care coverage for needy people. Medicare benefits began in 1966 and Medicaid benefits began in 1967; both programs were signed into law by President Johnson as part of his “War on Poverty” campaign.[2] Before Medicare, income was not a factor in determining eligibility—only age was required.[3] After 1975 state legislatures could require Medicaid recipients to apply for Supplemental Security Income (SSI).[4] By 2012 there were 55 million people enrolled in Medicare[5] and 57 million enrolled in Medicaid.[6]

Medicare and Medicaid were spawned by the Great Society initiatives

Medicare and Medicaid were spawned by the Great Society initiatives of the 1960s, which aimed to help those in need. Medicare was created in 1965 to provide healthcare for retirees age 65 and older. Medicaid was also established that year, but it was designed for low-income people who couldn’t afford other coverage. Both are social insurance programs funded by payroll taxes on employees (and their employers), as well as from general revenue funds.

The 1965 Social Security Act promoted health insurance to older Americans and was a result of coverage gaps in the private market.

The 1965 Social Security Act promoted health insurance to older Americans and was a result of coverage gaps in the private market. The act established Medicare and Medicaid as public programs, but each program has its own eligibility requirements and benefits.

Medicare is a social insurance program funded by federal payroll taxes that provides healthcare benefits to individuals age 65 and over.

Medicare is a social insurance program funded by federal payroll taxes that provides healthcare benefits to individuals age 65 and over. Medicare is a federal program and was established under the Social Security Act of 1965.

In 1966, Medicaid provided federal matching payments to states for health care coverage for needy people.

Medicare is a federal health insurance program for the elderly and people with disabilities. It was created in 1965 to provide health insurance for retired people who paid into the system through their working years. Medicaid is a joint federal-state program that provides medical assistance to certain individuals and families with low incomes and resources. Medicaid was created as part of President Lyndon Johnson’s “War on Poverty,” which was launched in 1964 after his landslide victory over Barry Goldwater in that year’s presidential election.

Medicaid plays an important role in providing access to health care, especially for children and pregnant women who cannot afford private insurance policies or whose employer does not offer them coverage through their jobs (or if they don’t have jobs). Medicaid was originally intended as a temporary program until all Americans had access to affordable health care coverage through Medicare, but it has become an integral part of our nation’s social safety net system since its inception over 50 years ago

Medicare benefits began in 1966 and Medicaid benefits began in 1967.

Medicare benefits began in 1966 and Medicaid benefits began in 1967. Medicare is a social insurance program funded by federal payroll taxes, while Medicaid is a means-tested public assistance program that provides medical coverage to low-income people. Both programs were created by the Social Security Amendments of 1965, which was signed into law on July 30th, 1965 by President Lyndon Johnson. This legislation was intended to help those who were elderly or disabled pay for medical expenses they could not otherwise afford themselves; however it also expanded health care coverage to all Americans regardless of age or income level

Before Medicare, income was not a factor in determining eligibility, only age.

Medicare and Medicaid are both federal social insurance programs funded by payroll taxes. Medicare benefits began in 1966, while Medicaid benefits began in 1967. Both programs were created to provide health care coverage to America’s elderly and poor populations, respectively.

The two programs are not insurance: they are government-funded assistance programs that help cover medical expenses for those who qualify based on income levels, age or other factors (such as disability status). While many people refer to Medicare and Medicaid as “insurance,” they actually aren’t insurance at all but rather a form of financial aid that can help pay for your medical bills.

After 1975, state legislatures could require Medicaid recipients to apply for Supplemental Security Income (SSI).

In 1975, state legislatures could require Medicaid recipients to apply for Supplemental Security Income (SSI). SSI is a federal income supplement program for the aged, blind and disabled. This means that if you receive SSI, you will not be eligible for Medicaid even though it would be your right to do so under the original rules of the Medicare law.

If you are an adult under 65 years old who receives SSI benefits, then you may still receive Medicaid coverage if your state provides non-institutional long-term care services (LTSS) at home or in an adult foster care home setting. If you are over 65 years old and have been receiving SSI benefits for at least 24 months before becoming eligible for Medicare Parts A and B coverage, then you may keep your Medicare Part A prescription drug coverage through the Medicare Part D Special Enrollment Period (SEP).

By 2012 there were 55 million people enrolled in Medicare and 57 million enrolled in Medicaid.

By 2012 there were 55 million people enrolled in Medicare and 57 million enrolled in Medicaid.

Medicare is a social insurance program that provides health insurance coverage to people who are 65 or older, those who have certain disabilities and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant). Medicaid provides medical assistance to households and individuals with low incomes and resources. The Affordable Care Act made significant changes to both programs, including expanding eligibility for “essential health benefits” coverage under Medicare Part A, implementing work requirements for able-bodied adults without children receiving Medicaid as of January 1st 2019, raising premiums for higher income beneficiaries on Medicare Part B from 35% today to 50% by 2023 among other changes.

It is good to know about the history of these programs.

Knowing the history of these programs helps us understand how they were created, as well as how they evolved over time. It also helps us to understand how they are funded and administered today.  To learn more about the government programs, please visit the Federal Medicare and Medicaid websites.  To learn more about the US Health System and its history, please visit our post of the topic.  

Conclusion

Of course, Medicare and Medicaid are not without their critics. The programs have been criticized for being inefficient, overly complicated and bureaucratic. Some also argue that they contribute to rising health care costs in the US by raising demand for services.

Michael Brethorst, MS

Chief Contributor

We provide practical and usable real world solutions to common and complex Healtcare and Human Resource questions. All of our articles are based in fact.

Michael Brethorst

My personnel Favorites

Sponsor

Grammarly Writing Support