0
ARTICLE |

1965-1995: Medicare at a Crossroads

Bill Thomas
JAMA. 1995;274(3):276-278. doi:10.1001/jama.1995.03530030096044.
Text Size: A A A
Published online

How Medicare Grew  In 1965, after years of debate, Republicans and Democrats joined to pass legislation establishing the Medicare program. Designed originally to provide health insurance coverage for America's low-income elderly, the program has since been expanded beyond its initial scope. Medicare now covers nearly all Americans over the age of 65 and includes benefits not envisioned by the original intent of the program, which have increased costs to the taxpayer and skewed the original sharing formula between the government and beneficiary. We are to the point now where on the 30th anniversary of the establishment of Medicare we are faced with a fundamental challenge: how to make the Medicare Hospital Trust Fund solvent and improve the program through additional choices for our Medicare beneficiaries.Medicare Part A was designed originally in 1965 to pay for the in-hospital expenses of America's seniors. It was set up to be a self-supporting

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();