Module 3 - Homework 1: Q and A

1. Milestones, Titles 18, 19, and 21
Discuss the origins of government involvement in health care delivery in the United States. What were some of the key milestones and their impacts? What are Titles 18, 19, and 21 and describe their relationships to the milestones?
A: The end result is a high-level approval board endorsed by the president that overseas the strategies behind the evolvement of our health care services. The end goal of this is to attain the level of a system accepted by the majority due to its affordability and services offered to the members. To me the start of this was in 1965 Medicare and Medicaid was enacted by Social Security’s Titles 18 and respectively. It wasn’t till 1966 that we see Medicare being implemented. “More than 19 million individuals enrolled on July 1st 1966 (CMS.gov).” Though I would like to point out that this does skip the “first federal funding of a hospital which was done by the Hill-Burton Act in 1946 (encyclopedia).” Title 18 specifically addressed the age of 65 and older. Medicaid via Title 19 became a state –administered program that received funding of around 50% from the government. Its target including covering nursing homes, which are only covered for the first 100 days under Medicare. To me when I see a statistic stating that 1 million people enrolled the first year, that equates to a flooding of the industry, doctors and most likely more hospitals since they are associated to more expensive services. The next major milestone would be in 1972 when the Medicare eligibility age “was extended to individuals under the age of 65 with long-term disabilities and end-stage renal disease (cms.gov).” One of the crucial things needed for healthcare would be resources and planning ahead. This is why 1974 should be noted since it was the year that we see the National Health