Medicare is a federal health insurance program in the United States for people age 65 or older and younger people with disabilities, including those with end stage renal disease and amyotrophic lateral sclerosis. It was begun in 1965 under the Social Security Administration and is now administered by the Centers for Medicare and Medicaid Services (CMS).
Socialized medicine is a term used in the United States to describe and discuss systems of universal health care—medical and hospital care for all by means of government regulation of health care and subsidies derived from taxation. Because of historically negative associations with socialism in American culture, the term is usually used pejoratively in American political discourse. The term was first widely used in the United States by advocates of the American Medical Association in opposition to President Harry S. Truman's 1947 health care initiative. It was later used in opposition to Medicare. The Affordable Care Act has been described in terms of socialized medicine, but the act's objective is rather socialized insurance, not government ownership of hospitals and other facilities as is common in other nations.
The American Medical Association (AMA) is an American professional association and lobbying group of physicians and medical students. Founded in 1847, it is headquartered in Chicago, Illinois. Membership was 271,660 in 2022.
John Berlinger Breaux is an American lobbyist, attorney, and retired politician from Louisiana. He served in the U.S. House of Representatives from 1972 to 1987 and as a United States Senator from 1987 to 2005. A Southern Democrat, he was considered one of the more conservative national legislators from the Democratic Party. Breaux was a member of the New Democrat Coalition.
AARP, formerly the American Association of Retired Persons, is an interest group in the United States focusing on issues affecting those over the age of fifty. The organization, which is headquartered in Washington, D.C., said it had more than 38 million members as of 2018. The magazine and bulletin it sends to its members are the two largest-circulation publications in the United States.
Single-payer healthcare is a type of universal healthcare in which the costs of essential healthcare for all residents are covered by a single public system.
The Social Security Amendments of 1965, Pub. L.Tooltip Public Law 89–97, 79 Stat. 286, enacted July 30, 1965, was legislation in the United States whose most important provisions resulted in creation of two programs: Medicare and Medicaid. The legislation initially provided federal health insurance for the elderly and for financially challenged families.
The Tax Equity and Fiscal Responsibility Act of 1982, also known as TEFRA, is a United States federal law that rescinded some of the effects of the Kemp-Roth Act passed the year before. Between summer 1981 and summer 1982, tax revenue fell by about 6% in real terms, caused by the dual effects of the economy dipping back into recession and Kemp-Roth's reduction in tax rates, and the deficit was likewise rising rapidly because of the fall in revenue and the rise in government expenditures. The rapid rise in the budget deficit created concern among many in Congress. TEFRA was created to reduce the budget gap by generating revenue through closure of tax loopholes; introduction of tougher enforcement of tax rules; rescinding some of Kemp-Roth's reductions in marginal personal income tax rates that had not yet gone into effect; and raising some rates, especially corporate rates. TEFRA was introduced November 13, 1981 and was sponsored by US Representative Pete Stark of California. After much deliberation, the final version was signed by President Ronald Reagan on September 3, 1982.
The Association of American Physicians and Surgeons (AAPS) is a politically conservative non-profit association that promotes conspiracy theories and medical misinformation, such as HIV/AIDS denialism, the abortion–breast cancer hypothesis, and vaccine and autism connections, through its official publication, the Journal of American Physicians and Surgeons. The association was founded in 1943 to oppose a government attempt to nationalize health care. The group has included notable members, including American Republican politicians Ron Paul, Rand Paul and Tom Price.
The Alliance for Retired Americans (ARA) is a 501(c)(4) non-profit organization and nonpartisan organization of retired trade union members affiliated with the AFL-CIO, which founded it in 2001. The group's membership also includes non-union, community-based activists. Its predecessor organization was known as the National Council of Senior Citizens (NCSC).
Nelson Hale Cruikshank was known nationally in the United States as an expert on Social Security, Medicare and policy on aging. He was a Methodist minister, labor union activist and the first director of the Department of Social Security at the AFL–CIO before entering government service in his mid-60s.
Ronald Reagan Speaks Out Against Socialized Medicine is a 1961 LP featuring the actor and future U.S. president Ronald Reagan. In this ten-minute recording, Reagan "criticized Social Security for supplanting private savings and warned that subsidized medicine would curtail Americans' freedom" and that "pretty soon your son won't decide when he's in school, where he will go or what he will do for a living. He will wait for the government to tell him." Roger Lowenstein called the LP part of a "stealth program" conducted by the American Medical Association.
Ronald Reagan was the 40th president of the United States from 1981 to 1989. Previously, he was the 33rd governor of California from 1967 to 1975 and acted in Hollywood films from 1937 to 1964, the same year he energized the American conservative movement. Reagan's basic foreign policy was to equal and surpass the Soviet Union in military strength, and put it on the road to what he called "the ash heap of history". By 1985, he began to cooperate closely with Soviet leader Mikhail Gorbachev, with whom he became friends and negotiated large-scale disarmament projects. The Cold War was fading away and suddenly ended as the Soviets lost control of Eastern Europe almost overnight in October 1989, nine months after Reagan was replaced in the White House by his vice president, George H. W. Bush, who was following Reagan's policies. The dissolution of the Soviet Union took place in December 1991. In terms of the Reagan Doctrine, he promoted military, financial, and diplomatic support for anti-communist insurgencies in Afghanistan, Nicaragua, and numerous other countries. For the most part, local communist power collapsed when the Soviet Union collapsed.
"There you go again" was a phrase spoken during the second presidential debate of 1980 by Republican presidential candidate Ronald Reagan to his Democratic opponent, incumbent President Jimmy Carter. Reagan would use the line in a few debates over the years, always in a way intended to disarm his opponent.
Edward R. Annis was a Florida surgeon who served as president of the American Medical Association and as president of the World Medical Association. He was one of the most foremost critics of the United States Medicare program.
The history of health care reform in the United States has spanned many decades with health care reform having been the subject of political debate since the early part of the 20th century. Recent reforms remain an active political issue. Alternative reform proposals were offered by both of the major candidates in the 2008, 2016, and 2020 presidential elections.
The healthcare reform debate in the United States has been a political issue focusing upon increasing medical coverage, decreasing costs, insurance reform, and the philosophy of its provision, funding, and government involvement.
The proposed America's Affordable Health Choices Act of 2009 was an unsuccessful bill introduced in the U.S. House of Representatives on July 14, 2009. The bill was introduced during the first session of the 111th Congress as part of an effort of the Democratic Party leadership to enact health care reform. The bill was not approved by the House, but was superseded by a similar bill, the proposed Affordable Health Care for America Act, which was passed by the House in November 2009, by a margin of 220-215 votes but later abandoned.
The Independent Payment Advisory Board (IPAB) was to be a fifteen-member United States government agency created in 2010 by sections 3403 and 10320 of the Patient Protection and Affordable Care Act which was to have the explicit task of achieving specified savings in Medicare without affecting coverage or quality. Under previous and current law, changes to Medicare payment rates and program rules are recommended by MedPAC but require an act of Congress to take effect. The system creating IPAB granted IPAB the authority to make changes to the Medicare program with the Congress being given the power to overrule the agency's decisions through supermajority vote. The Bipartisan Budget Act of 2018 repealed IPAB before it could take effect.
The Protecting Access to Medicare Act of 2014 is a law that delayed until March 2015 a pending cut to Medicare physician payment, a cut that had been regularly delayed for over a decade. Because the law only delayed and did not repeal the physician payment cut, it was a source of controversy.
