On this day in 1965, Lyndon Johnson signed the Social Security Act of 1965 — thus creating Medicare and Medicaid. It is hard to imagine what we would do today if it weren’t for these programs. The society has changed so much since that time. Workers who get pensions are now incredibly rare. What would the elderly do for healthcare? What’s more, the ability of anyone to get treated at just about any hospital is due to the fact that hospitals that take Medicare are required to treat all patients. I’d like to think that if we didn’t have Medicare, we would have had to have come up with something similar. But there’s no certainty of that.
What’s more, Medicare could never be passed today. But in 1965, it was a different matter. In both the House and the Senate, it passed with overwhelming support from the Democrats and about half of the Republicans. So yes, even back then, a lot of the Republicans were jerks. But that’s the thing: the parties were diverse then. Since then, all the jerks in the Republican Party stayed, and all the jerks in the Democratic Party moved over to the Republican Party. Now it is as pure in its makeup of jerks as it is its makeup of whiteness — not perfect, but close!
As I noted last week, the Republicans still want to kill off Medicare, Jeb Bush Wants to End Medicare Like Them All. They always claim this is because it isn’t sustainable and that it is inefficient. Of course, the real reason that they want to kill it and Social Security is because they are prime examples of extremely efficient government programs that are popular. And the Republicans have always claimed that — contrary to all evidence — the government is always the problem. Paul Krugman provided this graph on the issue of sustainability:
And he provided the next graph that shows that actually Medicare has consistently kept costs down compared to the private insurance industry:
So at 50 years old, Medicare is looking pretty good. But don’t expect conservatives to stop ranting about how it is killing us. And don’t think for a moment that if the Republicans get control of Washington in 2017 that they won’t turn Medicare into a block grant and then starve it to death. They are eager to do it. Government may not always be the problem, but if we put the Republicans in charge, they will make sure the government is always the problem.
Happy birthday Medicare and Medicaid!