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On July 30, 1965, President Johnson flew to Independence, Missouri to sign the Medicare bill. The new statute included two related insurance programs to finance substantial portions of the hospital and physician expenses incurred by Americans over the age of sixty-five. Public attempts to improve American health standards have typically precipitated bitter debate, even as the issue has shifted from the professional and legal status of physicians to the availability of hospital care and public health programs. In The Politics of Medicare, Marmor helps the reader understand Medicare's origins, and he interprets the history of the program and explores what happened to Medicare politically as it turned from a legislative act in the mid-1960s to a major program of American government in the three decades since. This is a vibrant study of an important piece of legislation that asks and answers several questions: How could the American political system yield a policy that simultaneously appeased anti-governmental biases and used the federal government to provide a major entitlement? How was the American Medical Association legally overcome yet placated enough to participate in the program? And how did the Medicare law emerge so enlarged from earlier proposals that themselves had caused so much controversy?
Posted November 10, 2000
The first edition of The Politics of Medicare, reprinted in part for the second edition, provides an engaging analytical structure for understanding the complex forces of governments and politics. While studying under the author, a gifted political scientist, years ago, the first edition was a cornerstone in our studies of healthcare politics and programs in the United States. The book equips the reader with the tools and knowledge to understand political forces well beyond the Medicare program. The analysis of Medicare in the 1990s, found in the current volume, is excellent. This is an ideal time to read or reread the book since Medicare program changes will face our new President and the newly elected or reelected members of our House of Representatives and Senate during 2001. This fall I read the second edition and found the book very informative and enjoyable.Was this review helpful? Yes NoThank you for your feedback. Report this reviewThank you, this review has been flagged.