Happy birthday, Medicare and Medicaid—and can we say, you don’t look a day over 50. But, the healthcare world sure is different now, compared to when you were born.
As a nation in 1965, we were all crazed about the Beatles and worried about the arrests of Martin Luther King, Jr. and others in Selma, Ala. We were submerged in a foreign conflict back then, just as we are now. Of course, back then, a loaf of bread cost 21 cents, and a new car cost an average of $2,600, according to The People History’s website. For most workers, health insurance benefits were basically assumed to be a “given” from their employer, and most older adults had planned well in advance for retirement.
So different from the way our world is today.
But in 1965, we were a nation looking upward and onward; much as we are now. After all, we’d just recently conquered the first human footsteps on the moon. (Yes, the moon part was a really big thing in 1965.)
On July 30, 1965, President Lyndon Johnson gave out the very first Medicare card—to his presidential colleague, Harry S. Truman. The rest is still an ongoing, mutable process.
Meanwhile, time has moved on. Medical advancements and better awareness for wellness have resulted in a tsunami of people living well beyond the age-bracket your twin funds originally envisioned. Your Medicare programs alone are about 14 percent of the U.S. spending budget—or about $505 billion per year.
More than 50,000 people are joined with just the Medicare portion of you already, notes the Kaiser Foundation. Yet, many beneficiaries are struggling with “Medigaps,” multiple forms amid Part A, Part B, Part D and Long-term Services and Supports (LTSS) services, and an illogical disarray of service access issues.
And, many, many more older beneficiaries are coming in the next 10 years: The Centers for Medicare & Medicaid Services estimates that by 2024, the baby boomer joiners are expected to spike Medicare rates by up to 7.3 percent, and healthcare spending for Medicare is predicted to consume one-fifth of the U.S. economy by 2024.
As twins, you two health systems—Medicare and Medicaid—haven’t had much opportunity to really play together much; but perhaps you will soon, As of July 2014, at least 18 states have some sort of demonstration project on the official books to get Medicare and Medicaid together, making life a lot easier for dual-eligibles, a specific resident population that hasn’t really been able to experience the values of decent care coordination so far.