Will the First Medicare Generation Be the Last

The Medicare program, considered the most successful and most popular\nof the legacies of the Great Society, is described as threatened by government\npolicy and by a surprisingly broad transformation in public attitudes fueled\nby economic concerns. Even some gerontologists are beginning to question the\ndesirability of age-based entitlement programs, and a report by the\nPresident's Commission for the Study of Ethical Problems in Medicine and\nBiomedical and Behavioral Research seems to view Medicare coverage without\nregard to need as ethically nonobligatory. The author expresses the concern\nthat changes under consideration for Medicare will once again subject elderly\nAmericans to the fear of potential financial devastation brought on by\nillness. (KIE abstract)

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