- The Oxford Handbook of U.S. Social Policy
- List of Contributors
- Acknowledgments
- The Fragmented American Welfare State: Putting the Pieces Together
- Social Provision before the Twentieth Century
- The Progressive Era
- The Great Depression and World War II
- From the Fair Deal to the Great Society
- The U.S. Welfare State Since 1970
- A Cross-National Perspective on the American Welfare State
- Cultural Influences on Social Policy Development
- Political Institutions and U.S. Social Policy
- Political Parties and Social Policy
- Interest Groups
- Constituencies and Public Opinion
- Race and Ethnicity in U.S. Social Policy
- Gender
- Social Security
- Private Pensions
- Medicare
- Long-Term Care for the Elderly
- Medicaid
- Temporary Assistance for Needy Families
- The Politics of Supporting Low-Wage Workers and Families
- Food Assistance Programs and Food Security
- Public Housing and Vouchers
- Social Security Disability Insurance and Supplemental Security Income
- Workers’ Compensation
- Unemployment Insurance
- Care and Work-Family Policies
- Homeownership Policy
- Private Health Insurance: Tax Breaks, Regulation, and Politics
- Pension and Health Benefits for Public-Sector Workers
- Social Programs for Soldiers and Veterans
- Poverty
- Inequality
- Citizenship
- Index
Abstract and Keywords
Medicare is America’s federal health insurance program for the elderly and younger adults with permanent disabilities. It provides a crucial safety net, assuring access to medical care for nearly 50 million persons. As the baby boomers retire, Medicare’s enrollment will swell in coming decades, and the rising costs of medical care will also push up program spending. Medicare is the subject of intense partisan and ideological conflict over how to change the program to cope with these challenges. It is also ensnared in broader debates over the welfare state and healthcare reform. This chapter traces Medicare’s historical development, explains how the program works, explores the politics of Medicare reform and discusses possible futures for a program that is a foundation of American social policy.
Keywords: Medicare, healthcare, elderly, health-care costs, baby boomers
Jonathan Oberlander is Professor of Social Medicine and Health Policy & Management at the University of North Carolina-Chapel Hill.
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- The Oxford Handbook of U.S. Social Policy
- List of Contributors
- Acknowledgments
- The Fragmented American Welfare State: Putting the Pieces Together
- Social Provision before the Twentieth Century
- The Progressive Era
- The Great Depression and World War II
- From the Fair Deal to the Great Society
- The U.S. Welfare State Since 1970
- A Cross-National Perspective on the American Welfare State
- Cultural Influences on Social Policy Development
- Political Institutions and U.S. Social Policy
- Political Parties and Social Policy
- Interest Groups
- Constituencies and Public Opinion
- Race and Ethnicity in U.S. Social Policy
- Gender
- Social Security
- Private Pensions
- Medicare
- Long-Term Care for the Elderly
- Medicaid
- Temporary Assistance for Needy Families
- The Politics of Supporting Low-Wage Workers and Families
- Food Assistance Programs and Food Security
- Public Housing and Vouchers
- Social Security Disability Insurance and Supplemental Security Income
- Workers’ Compensation
- Unemployment Insurance
- Care and Work-Family Policies
- Homeownership Policy
- Private Health Insurance: Tax Breaks, Regulation, and Politics
- Pension and Health Benefits for Public-Sector Workers
- Social Programs for Soldiers and Veterans
- Poverty
- Inequality
- Citizenship
- Index
