From the Eisenhower Center for the Conservation of Human Resources, Columbia University, New York, NY.
WHEN MEDICARE AND MEDICAID were enacted in 1965, informed opinion in
Washington, DC, and elsewhere anticipated successive national legislation
that would result in universal health insurance coverage within 1 or at the
most 2 decades. The federal actuaries estimated that total outlays for Medicare
in 1990 would come to $10 billion, a far cry from $180 billion, the staggering
total reached in 1996.1 And nobody foresaw
the explosive rise of national health care expenditures from $41 billion in
1965 to $1 trillion in 1996, with an expected further doubling to over $2
trillion in 2007 or shortly thereafter.2
Ginzberg E. The Changing US Health Care Agenda. JAMA. 1998;279(7):501–504. doi:10.1001/jama.279.7.501
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