Fifty years ago today President Lyndon B. Johnson created two of our most important safety net programs, Medicare and Medicaid. Medicare gave many seniors the health care access and financial security they lacked, and Medicaid gave many children a stable start in life. To help celebrate the occasion we decided to share several historical and policy-minded blog posts about these critical programs from some of our favorite national partners.
Community Catalyst says that we should celebrate the achievements of Medicare and Medicaid but notes that now is no time to rest:
At the time of enactment, roughly half of all older adults in the United States had no health insurance. Today, Medicare and Medicaid cover nearly 1 out of every 3 Americans – more than 100 million people. But there are still millions more without coverage of any kind, or with coverage, but inadequate access to care and services they vitally need.
While a pause for celebration is in order today, complacency is not.
The United States continues to spend almost twice as much per capita on health care as any other western democracy, with far less “bang for our buck,” in terms of health status and outcomes to show for it. Significant health disparities and unequal access to quality care continue to be hallmarks of our health system. These issues pose a threat to the sustainability of Medicare and Medicaid, as well as new programs established under the Affordable Care Act.
The Georgetown Center for Children and Families is celebrating because Medicaid has made a critical difference in the lives of so many kids (They even have a bonus video!):
With 50 years of experience serving growing numbers of America’s children, a new body of research is able to take a look at the long-term effects of childhood Medicaid coverage. Medicaid expansions in the 1980s and 1990s provided a natural experiment for researchers to evaluate how Medicaid eligibility affects children later in life. This longitudinal research tells us that children eligible for Medicaid grow up to be healthier, more academically successful, and financially secure adults than their non-Medicaid-eligible peers. We released a report that summarizes these findings earlier this week.
The Center on Budget and Policy Priorities has a post with 10 facts about Medicaid and Medicare. You should read them all but for our purposes number 9 is especially important:
9. Health reform’s Medicaid expansion is saving states money. The federal government will pay the entire cost of health care for newly eligible beneficiaries through 2016, and many states that have expanded Medicaid have found that it has produced net savings for their budgets. States will spend just 1.6 percent more on Medicaid and CHIP with the expansion than they would have without health reform, CBO estimates. Hospitals in expansion states are treating fewer uninsured patients, and the amount of uncompensated care they are providing is declining steeply. Meanwhile, hospitals in the states that have not expanded Medicaid continue to provide large amounts of uncompensated care, and the states are missing the opportunity to leverage billions of dollars in new federal funding through the expansion.
And, to commemorate the occasion, FamiliesUSA posted its many resources on Medicaid expansion with a reminder that Medicaid protects people from every walk of life.
Medicare and Medicaid were signature health care and anti-poverty achievements that we must work everyday to protect and strengthen. In our state that means pushing to expand the benefits of health care access to 500,000 more of our neighbors to give them a fair shot at living full, productive lives. Fifty years of experience tells us that’s the right thing to do.