Medicare is the second-most popular federal government program, behind only Social Security. Retirees love Medicare, and workers don’t mind paying taxes to support it. So how was this popular, effective, efficient health insurance program enacted? After a bitter, partisan political battle accompanied by warnings that government health care would bankrupt the country, ruin doctors, and bring about an end to freedom. If you enjoy Medicare coverage today—or hope to have it one day—you can thank government leaders for ignoring the hysteria and enacting Medicare 55 years ago.
Cities created public hospitals in the early 1800s as places the poor went to die. In the late 1800s, their roles changed dramatically as the practice of medicine changed. Since then, other kinds of hospitals have emerged, but large public hospitals still play essential roles as caregivers for the poor, centers for advanced trauma care, and providers of public services like poison-control centers. Let’s hope you never need the care these hospitals provide. But if you do, you can thank government for making them available.