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The Democratic Strategist

Political Strategy for a Permanent Democratic Majority

Medicare at 60 – A Case for Expanding Eligibility to All Americans

In “Medicare, Imperiled by Trump, Turns 60,” F. Douglas Stephenson provides an analysis of the threatened program’s accomplishments, and makes a compelling case  for expanding eligibility for its benefits to all Americans at juancole.com: An excerpt:

Gainesville, Fl. (Special to Informed Comment; Feature) – Sixty years ago, July 30, 1965, at the Harry S. Truman Presidential Library in Independence, Missouri, former President Harry S. Truman and his wife, former First Lady Bess Truman, became the first recipients of the new Medicare health insurance program. President Lyndon Johnson and the U.S. Congress enacted Medicare under Title XVIII of the Social Security Act to provide health insurance to people age 65 and older, regardless of income or medical history and Medicaid for those whose incomes were below specific levels.

Medicare was a momentous act because it provided new health insurance for people ages 65 and older and the disabled regardless of income or medical history. In the sixty years since, Medicare has become living proof that public, universal health insurance is superior to private insurance in every way. Medicare is more efficient than private health insurance and is administered at a cost of 3 percent to 4 percent, as opposed to private, for-profit health insurance, which has administrative costs above 15 percent.

Following the successful 1965 grassroots campaign to enact Medicare, many also believed that the dream of a full national, single-payer health insurance system that included all age groups, “Medicare for All”, was right around the corner. Unfortunately decades later, Medicare still has not been expanded. Most of the changes have been contractions with higher out-of-pocket costs for beneficiaries and repeated attempts at privatization by Big Pharma, Big health insurance industry companies/oligarchs/profiteers and their champions in the White House and Congress.

Big insurance and Big Pharma continue opposing legislation for the new, improved Medicare for All because these resistant, self-serving industries have the most to lose if their huge profits are redirected to direct patient care for all. Individual and corporate predators regard democracy, government and community as obstacles to their greed and avarice, always placing profits over individual patients, families and public health. It’s no wonder so many beholden members of Congress want to protect the interests of Big Insurance and Big Pharma, industries who spent $371 million on lobbying in 2017 alone.

Read more here.

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