Policy Process

Running Head: Health Care Policy: The Past and the Future


Shanta Searles


HCS 455: Health Care Policy: The Past and the Future

June 16, 2010

Lance E. Danko, MSM, RHIA, CTR

        Medicare the Beginning

The 20th century had seen a transformation of unprecedented magnitude in health care industry.   Significant controls over health care markets are now under governments’ control. Medicare dramatically influenced the transformation that made the government the biggest purchaser of health care services.   This paper investigates how and why Medicare began, and the three stages that are involved with Medicare becoming law. The following stages that will be examined are formulation stage the beginning. How Medicare was debated before the general body of legislature, the legislation stage.   Finally, how Medicare was implemented into law, the implementation stage.

Formulation Stage

Formulation Stage is defined as is the “first and often most challenging stage in using formal decision methods (and in decision analysis in particular). The objective of the formulation stage is to develop a formal model of the given decision,” (Wikipedia, 2010).   Prior to 1965, when President Lyndon Johnson signed Medicare into law.   The elderly had no health insurance and other individuals had inadequate health coverage.   The program was model on standard employer-sponsored health plan (Dowdal, 1999).   This was to increase access to insurance coverage of health care for significant benefits for the elderly including improvement in health and income status (Dowdal, 1999).   The American people rejected government- mandated health insurance year after year before the 1965. Advocates came back year after year pursing incremental strategies to get health insurance passed. Whether by distributing propaganda paid by government funds, in order to get the bill passed.   In the end Medicare's passage was anything but a spontaneous societal embrace of...