The Medicare program, a vital component of the United States' healthcare system, was conceived under the administration of President Lyndon B. Johnson. The program was signed into law on July 30, 1965, as an amendment to the Social Security Act. Its primary objective was to provide health insurance coverage to Americans aged 65 and older, ensuring that they had access to affordable medical care. Private health insurers were hesitant to ensure older populations and few resources existed outside of traditional employer insurance coverage.
Initially, the program was expected to provide healthcare benefits for a period of five years, starting in 1966. However, it quickly became evident that the program was essential and necessary, and therefore its tenure was extended indefinitely. The original Medicare program, known as Medicare Part A, covered hospital care, while Medicare Part B was added in 1966 to cover medical services and doctor visits.
When Medicare was first implemented, approximately 19 million people enrolled in the program. This number gradually increased as the population aged and the program gained more recognition. Today, Medicare has become one of the largest healthcare programs in the country, serving as a vital lifeline for millions of Americans. As of the most recent data, the present enrollment in Medicare exceeds 62 million beneficiaries, including individuals aged 65 and older as well as those with qualifying disabilities.
Medicare has undergone several changes and expansions in recent years to enhance its coverage and address evolving healthcare needs. It continues to play a significant role in providing accessible healthcare services to the elderly and disabled population in the US.
Learn more about the history of Medicare here on CMS.gov.
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