50 years ago today, President Lyndon Johnson signed into law the Social Security Act amendments that created Medicare and Medicaid. Our country slammed the door on the days when far too many older people languished in poverty without the financial security that comes from affordable, high-quality health care. It was a day when sick, older people were warehoused on poor farms and in almshouses. Just picture that. On the edge of town we had older people, literally without a shred of dignity, in what came to be known as almshouses. But Lyndon Johnson and others said that had to be changed, and five decades ago it did. Today, more than 100 million Americans have access to high-quality health care thanks to Medicare and Medicaid. We can measure the remarkable success of these programs in so many ways, but in my judgment, one of the most important and most appealing aspects of Medicare and Medicaid is their ability to grow, their ability to change, and their ability to evolve to meet the needs of our country. The reality is that Medicare in 2015 is very different from Medicare in 1965. Medicare in 1965 was about something like a broken ankle. If it was a serious break, you would be in the hospital--Part A. If it was not a particularly serious break, you would go to the doctor--that was Part B. That was Medicare circa 1965. Today, Medicare is about chronic illness, it is about cancer, it is about diabetes, it is about stroke, and it is about heart disease.…
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