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Showing posts from June, 2015

Medicare and Medicaid at 50 and Beyond

When did M and M design change from support for health access to against health access and why?

Government and Foundations are currently celebrating the accomplishments of Medicare at Age 50 - but which Medicare? Claims of improving the cost of care are merely cover-ups of cost cutting designs - cuts that shrink care. The consistency of Medicare and Medicaid design is best seen from 1980 to 2020 - and not the initial years. The initial years were focused upon rebuilding the US health care system with emphasis on restoring access to populations left behind for decades before (and decades since 1980). As it turns out this was also a good idea for rural health and for care across zip codes and counties with higher concentrations of poor and elderly and increased support for health care where health care was less - by design or lack thereof.

What we have seen in recent years is a continuation of the process begun in the 1980s. Cost cutting, accelerated cost of delivery, increa…