FIFTY YEARS OF MEDICARE

In 1961 I left a lowly job in medical research, and went looking for another one.  An ad for “research assistant” posted by the American Medical Association looked promising,  so I answered it.

It turned out to be my first editorial job , and certainly was the strangest.  I had fallen down the rabbit hole into an unreal world.   At weekly staff meetings, one dormouse-like little old man always fell asleep after the first few moments. Another man invariably came up with bizarre suggestions for editorial projects, a bit like the Mad Hatter.  Every Friday we had a farewell party for whichever coworker was making their escape. One of the secretaries, who  looked scarily like Morticia of the Addams family, sneaked around on rubber-soled shoes and seldom spoke to anyone.  Another secretary began making odd statements about conspiracies going on in the organization. For a long time people simply assumed she had uncovered something sinister in the course of her work, but finally one of the M.D.s in the department realized she had a brain tumor.  Altogether it was a weird place.

 From today’s point of view, one of the oddest characteristics of the AMA was their rabid opposition to Medicare. The costs of medicine for the elderly (and everyone else) were becoming unaffordable, but the AMA officials insisted that passing Medicare legislation would doom the country. Actor Ronald Reagan, who in a few years would be the governor of California, made a film for the AMA in which he proclaimed that passage would lead us down the path to socialism (almost equated with Communism at the time). In the Journal of the American Medical Association ( JAMA) and its other journals, AMA officials insisted that it would destroy the high-quality medical care Americans were receiving.  Luckily for all of us, President Lyndon Johnson made it a high priority, and Medicare became a reality in 1965.

Can any sane American now imagine life without Medicare? Even the most right-wing Republican is likely to rely heavily on it after the age of 65. Conservative opposition today has more to do with cutting the budget for it, which  would be bad enough.

My late husband went through numerous hospitalizations and surgeries before dying of heart disease and diabetes. In his last few years his medical bills came to more than a million dollars. Being a Navy employee, he was well insured; but even with the help of Medicare and a good Medigap plan, the financial cost was enormous for us. We used up our retirement savings, and after his death I had to sell our home. But I have survived and continue to live decently, if frugally. Without Medicare I cannot imagine what my life would be today.