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The Compromise and the AfterthoughtMedicare and Medicaid After 30 Years
Emily Friedman
JAMA. 1995;274(3):278-282.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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IT HAS BEEN an eventful time since, on July 30,1965, then-President Lyndon Baines Johnson signed Public Law (PL) 89-97, the Social Security amendments that brought into being the Medicare and Medicaid programs. The legislation represented an unrivaled turning point in American health policy. It embroiled the American Medical Association (AMA) in the fight of its political life—which it lost. It changed how hospital, medical, and other health care services were financed; altered the shaky relationship between the federal government and the states; and spawned a long parade of political, financial, social, and moral events that continues to unfold today.
Deep Roots
Its roots ran deep.1-5 Politically, they reached back to the unsuccessful presidential campaign of Theodore Roosevelt in 1912; he included in his Progressive ("Bull Moose") platform a call for "health insurance for industry" that would guarantee coverage for working Americans. He lost the election to Woodrow Wilson.
That
. . . [Full Text PDF of this Article]
Footnotes
Ms Friedman is contributing editor of Hospitals and Health Networks and the Healthcare Forum Journal and is a contributing writer for Health Management Quarterly.
Reprint requests to 851 W Gunnison, Unit G, Chicago, IL 60640 (Ms Friedman).
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