Final answer:
Since its creation in 1965, the Medicare system has expanded to include additional services and coverages, experienced an increase in beneficiary premiums, and maintained essential government involvement. It continues to serve as a fundamental health insurance system for those over 65 and certain disabled individuals under 65.
Step-by-step explanation:
Evolution of the Medicare System
The Medicare system has significantly evolved since its inception in 1965. Initially, Medicare was established to provide federal health insurance for the elderly, covering individuals over the age of 65. Over the years, Medicare has undergone numerous changes, including:
Expanded coverage and services: Medicare now includes additional services and coverages such as Medicare Advantage Plans (Part C), and Prescription Drug Plans (Part D), along with the original Hospital Insurance (Part A) and Medical Insurance (Part B).
Increased premiums: As the Medicare program has expanded, so have the costs. This includes increases in premiums for beneficiaries, particularly for those enrolled in Part B and prescription drug coverage plans.
However, Medicare has not seen a reduction in eligibility criteria; on the contrary, it has somewhat expanded to include certain disabled individuals under 65 and those with End-Stage Renal Disease or Amyotrophic Lateral Sclerosis (ALS). Additionally, contrary to being eliminated, government involvement in Medicare is integral to its operation and has remained ever since its establishment by the Social Security Act of 1965.