PODCAST: The Future of Healthcare Looks to Medicare’s Past?

See the Future of Healthcare By Looking to Medicare’s Past


Texas CEO Magazine 2016 Economic Forecast: Dallas - Texas ...



Desire for a Healthcare ‘Safety Net’ Goes Back Almost 100 years to President F.D.R. and His “New Deal

FDR Was Able to Pass Social Security, but He Also Wanted a Healthcare Safety Net Too.

Presidents Truman and Kennedy Also Wanted a Federally-Funded Healthcare Safety Net.

LBJ Carried the Torch of the Healthcare Safety Net. He Was Able to Have Medicare Legislation Passed in 1965 by Combining 3 Separate Proposals and Acts:

1) Hospital Insurance

2) Doctor Insurance That Was Voluntary

3) the State-Administered Kerr-Mills Act 

Hospital Insurance Became Medicare Part A. Doctor Insurance Became Medicare Part B. The Kerr-Mills Act Became Medicaid.

Presidents Carter and Clinton Also Wanted to Expand the Healthcare Safety Net. President Obama Expanded the Healthcare Safety Net with Passage of Obamacare. President Biden is Seeking to Expand the Healthcare Safety Net Too.

The Arc of Government-Funded Healthcare Stretches Back Almost 100 Years and Will Inevitably Result in the Full Government Payment for Healthcare in America.

It’s Not a Question of If, But When.

Implication: United Health Group is Making Many Acquisitions to Become a Vertically Integrated Healthcare Company to Position Itself as a Major Government Contractor for the Eventual Federal Takeover.

PODCAST: https://www.youtube.com/watch?v=OAh7Rl7w1wM

Your thoughts are appreciated.



2 Responses


    1929 First Employer sponsored health insurance created for teachers- later gave rise to Blue Cross

    1946 The McCarran-Ferguson Act was passed that exempts the business of insurance from most federal regulations including anti-trust laws in some instances.

    1965 CMS created- Center for Medicare and Medicaid – the United States Taxpayer sponsored healthcare coverage for the elderly disabled and the poor created from the amendments to the Social Security Act of 1935.

    1971-1972 More social security’s acts amendments widened enrolment in CMS

    1973 HMO’s Health Maintenance Organization act of 1973- incentivized the privatization of insurance

    1981 ACGME created to fund advanced medical education – created because VA hospitals could not staff –created a way to get cheap labor from highly trained physicians.

    1982 EFRA Equity and Fiscal Responsibility Act of 1982 – created more government incentives to utilize the for-profit HMO’s

    1986 EMTALA Emergency Medical Treatment and Labor Act -requires every patient to be screened for an emergency regardless of ability or willingness to pay.

    1991 OIG HSS safe harbor law that protects PBM’s and GPO’s from anti-kickback laws

    1992 Current Procedural Terminologies (CPT’S) Diagnostic Related Groups (DRG’s) and Relative Value Units (RVU’s) and International Classification of Diseases (ICD’s) all created in an attempt to control costs by monitoring and controlling how physicians spend healthcare dollars – all controlled by the AMA (American Medical Association)

    1996 HIPAA was created – The Health Insurance Portability and Accountability Act of 1996 which created standards for the electronic exchange, privacy and security of health information. Final privacy rule published in 2000

    1997 SGR- sustainable growth rate created. A freeze on graduate medical education was created which has contributed to the current physician shortage

    2003 changes made to HIPAA eliminated patients' right to control the disclosure of their own medical records.

    2009 The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009 to attempt to address the privacy and security concerns associated with the electronic transmission of health information, in part, through several provisions that strengthen the civil and criminal enforcement of the HIPAA rules

    2010 ACA “Affordable Care Act” incentivized everyone to have insurance coverage by penalizing those that do not.

    2014/2015 MACRA The Medicare Access and CHIP Reauthorization Act of 2015

    2016 PQRS- Physician Quality Reporting System – ended 2016 and became MIPS

    2017 MIPS Merit Based Incentives Payment System- attempts to tie payments to “outcomes” and replaces PQRS – a “patchwork collection of programs” according to CMS.

    [Founder of HPEC: The Digital Physicians Guild | HIMSS Author | Public Speaker | Blockchain Enthusiast | Futurist]

    via Ann Miller RN MHA

    Liked by 1 person

  2. The Nevada Public Option


    Dr. David E. Marcinko MBA


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