THE EVOLUTION by PETER A. CORNING U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE SOCIAL SECURITY ADMINISTRATION OFFICE OF RESEARCH AND STATISTICS Research Report No. 29 Ocial Work HD Library of Congress Catalog Card Number: 70-650153 United States Washington: 1969 For sale by the Superintendent of Documents, U.S. Government Printing Office 3-19-70 00000 THE UNIVERSITY OF MICHIGAN LIBRARIES Foreword HEALTH INSURANCE for the aged, popularly known as Medicare, has had a broad impact on the living patterns of Americans, young and old. The legislation, which provides low-cost hospitalization and medical insurance for the Nation's elderly, directly aids nearly one-tenth of the population. Millions of younger people also bene fit indirectly by being relieved of heavy financial responsibility when an aged member of the family encounters major health expense. Though the program is still new, the idea of Government health insurance antedated the Medicare law by many years. The gradual evolution of this concept throughout much of this century provides an excellent case history illustrating how major social policy decisions in the United States are refined and shaped by the legislative process. From 1935, when the first health insurance bill was introduced in Congress, to 1965, when |