Medicare Legislation in the U.S.
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This research considers the enactment of Medicare legisla tion in the United States within the context of the Self Inter est Model. The initial Medicare legislation is considered briefly, in the context of Feldstein's (1988) Self Interest Model assessment of its passage; however, the principal focus of this current research is on the Medicare Catastrophic Coverage Act of 1988, which was rescinded in late 1989. In contemporary society, prospects for the health of individuals are ". . . determined by public policy, by those decisions which shape contemporary environments . . . " (Milio, 1981, p. 3). Health, thus, is ". . . not a 'state' to be cap tured and dealth with; nor is it some achievement to be attained with finality. It is rather the response of people to their environments . . ." (Milio, 1981, p. 3). Public health policy at the national level is required, because the factors affecting individual health are, in many instances, pervasive in society. Development of acceptable levels of public health within a large and complex society such as that of the United States . . . requires and interpretation of the nature of today's health problem. . . . Its focus is on the interconnection between "causes" and illnesses and the ways they affect each other, as well as the link ages among "causes" and among illnesses. All these ties suggest the plausibility of viewing today'shealth problem as a response to modern environments,and one there
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ality of the services delivered, it is increases signifi cantly the costs of such care (Thomas, 1988).
Where it was thought that Medicare required expansion the most was with respect to chronic, catastrophic ailments. Chronic ailments, in contrast to acute illnesses, cannot be cured. Therefore, persons afflicted with chronic ailments "require sustained supportive health and social services as well as ongoing medical and medically related treatment" (Minahan, 1989, p. 111). Most of the 10 percent of the popula tion requiring long term care for chronic ailments are elderly 5(Minahan, 1989a). As an example, where only 10 percent of the total population requires long term care, 50 percent of those individuals aged 80 years or older require such care (Minahan, 1989a).
Improved access to health care services for the elderly afflicted with chronic, catastrophic ailments was the primary goal of the Medicare Catastrophic Coverage Act (Rovner, 1989). Increasing costs related to both health care and health care insurance, together with growing restrictions on government funding for health care services for the needy create an environment in which more and more people lose access to health care services. Changes on either the fundi
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Some common words found in the essay are:
Coverage Act, United Medicare, LEGISLATION Medicare, Mentkowski Doherty, Act Rovner, Self Model, Cover age Act, health care, Ed Ch, catastrophic coverage, AAHE Bulle , coverage act, catastrophic coverage act, medicare catastrophic, Inter est Model, medicare catastrophic coverage, medicare participants, medicare program, elderly segment, major labor unions, labor unions, major labor, segment population, elderly segment population, health care professional,
Approximate Word count = 2147
Approximate Pages = 9 (250 words per page)
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