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Older Americans

for a Single

Payer Solution

Brought to you by:

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The Social Security Amendments of 1965 created Medicare

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    • Coverage for providers
    • Monthly premiums
    • Voluntary insurance

    • Medicare Advantage Plans
    • Monthly premiums
    • Voluntary insurance

    • Prescription drug coverage
    • Monthly premiums
    • Voluntary insurance

    • Hospital coverage
    • Usually no premiums
    • Mandatory insurance

Medicare Part A

Medicare Part B

Medicare Part C

Medicare Part D

Medicare Interactive

Original Medicare

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Benefits of Original Medicare

The government pays directly for the health care services you receive

You can see any doctor and hospital that takes Medicare (and most do) anywhere in the country.

You go directly to the doctor or hospital when you need care. You do not need to get prior permission/authorization from Medicare or your primary care doctor.

There are limits on the amounts that doctors and hospitals can charge for your care.

You typically pay a coinsurance for each service you receive.

Medicare Interactive

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In 1963, only 56% of 65+ Americans even had hospital insurance

By 1970, 97% of older Americans were covered by insurance

After Medicare

Before Medicare

Centers for Medicare and Medicaid Services

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Moving, losing a spouse, retirement, or health issues could all affect insurance - leaving serious gaps in coverage

Almost all Americans 65+ are eligible for Medicare - regardless of other factors. The age eligibility makes Medicare portable

In 1963, only 56% of 65+ Americans even had hospital insurance

By 1970, 97% of older Americans were covered by insurance

After Medicare

Before Medicare

Centers for Medicare and Medicaid Services

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Centers for Medicare and Medicaid Services

In 1963, the proportion of the elderly using physician care was only 68%

By 1970, the proportion of the elderly using physician care had jumped to 76%

Moving, losing a spouse, retirement, or health issues could all affect insurance - leaving serious gaps in coverage

Almost all Americans 65+ are eligible for Medicare - regardless of other factors. The age eligibility makes Medicare portable

In 1963, only 56% of 65+ Americans even had hospital insurance

By 1970, 97% of older Americans were covered by insurance

After Medicare

Before Medicare

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Privatization of Medicare

Center for Medicare Advocacy,

Physicians for a National Healthcare Program

From the 1970s onwards, Medicare beneficiaries could receive managed care through private insurers - referred to as Medicare Advantage plans

      • Quite literally privatizing healthcare

Recently, the federal government has been experimenting with a program called ACO REACH

  • "Pilot program" moved people off of traditional Medicare by letting private insurers manage their care, much like Medicare Advantage
  • While Medicare Advantage is voluntary, the government enrolled seniors in the ACO REACH pilot program randomly

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Enrollees of Medicare Part B (and some recipients of Part A) still have to pay premiums

Prescription medications are not covered under Original Medicare - and costs can really add up

Long term sickness can rack up bills that retirees don't have the means to pay - even with the maximum charges

Gaps in coverage force many to purchase supplemental insurance

Shortcomings of Original Medicare

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Why do we say IMPROVED Medicare for All?

Because we need current Medicare to be IMPROVED

Expanded coverage to include vision, dental, pharmaceuticals, and long-term care

Remove expensive cost-sharing (premiums,

co-payments, deductibles)

No need for supplemental private insurance

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Sources