SlideShare a Scribd company logo
Created By: Ellen Gabis, Ryan
Hanrahan, Max Graff, and Sarah Elzey
 When state, local, and federal governments
share responsibilities in governing the
people. State and federal governments work
together in partnership to exercise
government authority.
 Established in 1965
 Guarantees health insurance for Americans of
age 65 and older or younger people with
disabilities
 Title XVIII of the Social Security Act
 Lyndon B. Johnson was the president when
the act was established
 Over 48 million people are on Medicare
 The cost of Medicare was very expensive for
the government
 Many inpatient procedures were changed to
outpatient procedures to lower the cost the
government had to pay
 Government was forced to slow spending
growth
 In 2012 lawmakers thought that there should
be a higher premium for the wealthy
 Raise the eligibility of age when seniors can
receive Medicare
 Cut the cost by making Medicare more
efficient
 1997- Balanced Budget Act- Lower rates on
post acute care area
 New ways of payment and lower rates of
payment were legislated
 New goals were set to move away from a
cost-based system and toward one that will
provide incentives for “appropriate” levels of
care
 Resource Based Relative Value Scale has
been created for physicians to use to
determine level of care
 Federal Government pays for all of the costs
 $105 per month per citizen
 All states do participate
 Doctors
 Hospitals
 Nursing Homes
 Hospice Programs
 Assisted Living
 Paid through two trust funds of the U.S
Treasury
 Hospital Insurance Trust Fund
 Payroll taxes paid by most employees
 Supplementary Medical Insurance Trust Fund
 Funds are authorized through Congress
 Interests earned on trust fund investments
 Total expenditures for year 2011 was $549.1
billion dollars
 Age 65 and older or have increased medical
disabilities
 Citizen of the United States
 Have to receive social security
 Have to go to a physician or hospital that is
associated with Medicare
 How much is the average cost of Medicare
per month?
 What age do citizens become qualified for
Medicare?
 Does Federal or State government run the
Medicare Program?
 Can Medicare participants go to any
physician or hospital that they choose?
 When was the Medicare Program established?
 $105 dollars per month
 65 years old
 Federal Government
 No, patients must go to physicians or
hospitals that are associated with the
Medicare Program
 1965

More Related Content

What's hot

Healthcare slide show
Healthcare slide showHealthcare slide show
Healthcare slide show
geoffb48
 
Health care (Public vs Private)
Health care (Public vs Private)Health care (Public vs Private)
Health care (Public vs Private)
guestf5a8232
 
Universal Health Care in the United States
Universal Health Care in the United StatesUniversal Health Care in the United States
Universal Health Care in the United States
Shantanu Basu
 
Project Assignment 2
Project Assignment 2Project Assignment 2
Project Assignment 2
Kyla Andre
 
Medicaid role infographic
Medicaid role infographicMedicaid role infographic
Medicaid role infographic
leadingphysicianofworld
 
Health system in USA
Health system in USAHealth system in USA
Health system in USA
centaurodeldesierto
 
3 3-11 How We Got Here
3 3-11 How We Got Here 3 3-11 How We Got Here
3 3-11 How We Got Here
Michelle Bukowski
 
Universal american healthcare
Universal american healthcareUniversal american healthcare
Universal american healthcare
Gary Sheets
 
Edwin Park: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
Edwin Park: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17Edwin Park: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
Edwin Park: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
reportingonhealth
 
Top 5 things to know about low-income home energy assistance
Top 5 things to know about low-income home energy assistanceTop 5 things to know about low-income home energy assistance
Top 5 things to know about low-income home energy assistance
Illinois State Senate Democratic Caucus
 
Universal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United StatesUniversal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United States
Brian Wells, MD, MS, MPH
 
Conference Of Churches Universal Health Care Presentation 1
Conference Of Churches Universal Health Care Presentation 1Conference Of Churches Universal Health Care Presentation 1
Conference Of Churches Universal Health Care Presentation 1
Adam Nicholson
 
Healthcare
HealthcareHealthcare
Healthcare
DWRandle
 
Compare Contrast Example
Compare Contrast ExampleCompare Contrast Example
Compare Contrast Example
cadavis78
 
Kathleen Nolan: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
Kathleen Nolan: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17Kathleen Nolan: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
Kathleen Nolan: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
reportingonhealth
 
Politics and Health Reform:Lessons From a Year in Washington, D.C.
Politics and Health Reform:Lessons From a Year in Washington, D.C.Politics and Health Reform:Lessons From a Year in Washington, D.C.
Politics and Health Reform:Lessons From a Year in Washington, D.C.
UWGlobalHealth
 
Mac revised webinar 11 8-2012
Mac revised webinar 11 8-2012Mac revised webinar 11 8-2012
Mac revised webinar 11 8-2012
reportingonhealth
 
North Oakland Tea Party Presentation 8.23.12
North Oakland Tea Party Presentation 8.23.12North Oakland Tea Party Presentation 8.23.12
North Oakland Tea Party Presentation 8.23.12
MattMcCord
 
Federal Health Care Reform 2009: Affordable Health Care for All
Federal Health Care Reform 2009: Affordable Health Care for AllFederal Health Care Reform 2009: Affordable Health Care for All
Federal Health Care Reform 2009: Affordable Health Care for All
FHSU Learning Commons
 

What's hot (19)

Healthcare slide show
Healthcare slide showHealthcare slide show
Healthcare slide show
 
Health care (Public vs Private)
Health care (Public vs Private)Health care (Public vs Private)
Health care (Public vs Private)
 
Universal Health Care in the United States
Universal Health Care in the United StatesUniversal Health Care in the United States
Universal Health Care in the United States
 
Project Assignment 2
Project Assignment 2Project Assignment 2
Project Assignment 2
 
Medicaid role infographic
Medicaid role infographicMedicaid role infographic
Medicaid role infographic
 
Health system in USA
Health system in USAHealth system in USA
Health system in USA
 
3 3-11 How We Got Here
3 3-11 How We Got Here 3 3-11 How We Got Here
3 3-11 How We Got Here
 
Universal american healthcare
Universal american healthcareUniversal american healthcare
Universal american healthcare
 
Edwin Park: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
Edwin Park: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17Edwin Park: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
Edwin Park: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
 
Top 5 things to know about low-income home energy assistance
Top 5 things to know about low-income home energy assistanceTop 5 things to know about low-income home energy assistance
Top 5 things to know about low-income home energy assistance
 
Universal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United StatesUniversal Health Insurance Coverage in the United States
Universal Health Insurance Coverage in the United States
 
Conference Of Churches Universal Health Care Presentation 1
Conference Of Churches Universal Health Care Presentation 1Conference Of Churches Universal Health Care Presentation 1
Conference Of Churches Universal Health Care Presentation 1
 
Healthcare
HealthcareHealthcare
Healthcare
 
Compare Contrast Example
Compare Contrast ExampleCompare Contrast Example
Compare Contrast Example
 
Kathleen Nolan: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
Kathleen Nolan: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17Kathleen Nolan: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
Kathleen Nolan: "Medicaid Undone? Covering the Safety Net’s New Future" 7.26.17
 
Politics and Health Reform:Lessons From a Year in Washington, D.C.
Politics and Health Reform:Lessons From a Year in Washington, D.C.Politics and Health Reform:Lessons From a Year in Washington, D.C.
Politics and Health Reform:Lessons From a Year in Washington, D.C.
 
Mac revised webinar 11 8-2012
Mac revised webinar 11 8-2012Mac revised webinar 11 8-2012
Mac revised webinar 11 8-2012
 
North Oakland Tea Party Presentation 8.23.12
North Oakland Tea Party Presentation 8.23.12North Oakland Tea Party Presentation 8.23.12
North Oakland Tea Party Presentation 8.23.12
 
Federal Health Care Reform 2009: Affordable Health Care for All
Federal Health Care Reform 2009: Affordable Health Care for AllFederal Health Care Reform 2009: Affordable Health Care for All
Federal Health Care Reform 2009: Affordable Health Care for All
 

Viewers also liked

State Elections 2016 to test PM Modi's Cooperative Federalism
State Elections 2016 to test PM Modi's Cooperative FederalismState Elections 2016 to test PM Modi's Cooperative Federalism
State Elections 2016 to test PM Modi's Cooperative Federalism
Shantanu Basu
 
El problema de nuestras organizaciones
El problema de nuestras organizacionesEl problema de nuestras organizaciones
El problema de nuestras organizaciones
bartenderalexanderduarte
 
Braga - Sporting - Análise Estatística
Braga - Sporting - Análise EstatísticaBraga - Sporting - Análise Estatística
Braga - Sporting - Análise Estatística
Filipe Vieira de Sá
 
1 events filming risk assessment form-1
1 events   filming risk assessment form-11 events   filming risk assessment form-1
1 events filming risk assessment form-1
10079613
 
Cooperative federalism
Cooperative federalismCooperative federalism
Cooperative federalism
sarahelzey
 
Ethics gmo, ecology, environemnental problems
Ethics  gmo, ecology, environemnental problemsEthics  gmo, ecology, environemnental problems
Ethics gmo, ecology, environemnental problems
Bridgette Lustañas
 
Unit3 Federalism
Unit3 FederalismUnit3 Federalism
Unit3 Federalism
Molly Lynde
 
Indian food & beverage Industry
Indian food & beverage IndustryIndian food & beverage Industry
Indian food & beverage Industry
Akeeb Siddiqui
 

Viewers also liked (8)

State Elections 2016 to test PM Modi's Cooperative Federalism
State Elections 2016 to test PM Modi's Cooperative FederalismState Elections 2016 to test PM Modi's Cooperative Federalism
State Elections 2016 to test PM Modi's Cooperative Federalism
 
El problema de nuestras organizaciones
El problema de nuestras organizacionesEl problema de nuestras organizaciones
El problema de nuestras organizaciones
 
Braga - Sporting - Análise Estatística
Braga - Sporting - Análise EstatísticaBraga - Sporting - Análise Estatística
Braga - Sporting - Análise Estatística
 
1 events filming risk assessment form-1
1 events   filming risk assessment form-11 events   filming risk assessment form-1
1 events filming risk assessment form-1
 
Cooperative federalism
Cooperative federalismCooperative federalism
Cooperative federalism
 
Ethics gmo, ecology, environemnental problems
Ethics  gmo, ecology, environemnental problemsEthics  gmo, ecology, environemnental problems
Ethics gmo, ecology, environemnental problems
 
Unit3 Federalism
Unit3 FederalismUnit3 Federalism
Unit3 Federalism
 
Indian food & beverage Industry
Indian food & beverage IndustryIndian food & beverage Industry
Indian food & beverage Industry
 

Similar to Cooperative federalism

Rap pres steve wiener
Rap pres steve wienerRap pres steve wiener
Rap pres steve wiener
dcuniversegirl
 
USA HEALTH INSURANCE based on medicare .pptx
USA HEALTH INSURANCE based on medicare .pptxUSA HEALTH INSURANCE based on medicare .pptx
USA HEALTH INSURANCE based on medicare .pptx
ShivangiSinha48
 
Bernie tax pdf
Bernie tax pdfBernie tax pdf
Bernie tax pdf
madballcreative
 
The Health Care Law Power Point Slides
The Health Care Law Power Point SlidesThe Health Care Law Power Point Slides
The Health Care Law Power Point Slides
Strategic Healthcare Resources
 
Us health care system final presentation.
Us health care system final presentation.Us health care system final presentation.
Us health care system final presentation.
Wendi Lee
 
Healthcare reform
Healthcare reformHealthcare reform
Healthcare reform
Dixie Beougher
 
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...
Katherine Swartz Hilton
 
Health care
Health careHealth care
Health care
Nursing Hi Nursing
 
Healthcare-NOW! Newsletter - March 2013
Healthcare-NOW! Newsletter - March 2013Healthcare-NOW! Newsletter - March 2013
Healthcare-NOW! Newsletter - March 2013
Healthcare-Now
 
Universal health care in the United States
Universal health care in the United StatesUniversal health care in the United States
Universal health care in the United States
Hussain Al-ghawi
 
Single Payer
Single PayerSingle Payer
Single Payer
soder145
 
Single Payer Systems: Equity in Access to Care
Single Payer Systems: Equity in Access to CareSingle Payer Systems: Equity in Access to Care
Single Payer Systems: Equity in Access to Care
soder145
 
ACA: A Step Toward Healthcare For All (Dr. John Cavacece, DO)
ACA: A Step Toward Healthcare For All (Dr. John Cavacece, DO)ACA: A Step Toward Healthcare For All (Dr. John Cavacece, DO)
ACA: A Step Toward Healthcare For All (Dr. John Cavacece, DO)
Zach Jarou
 
Single Payer System
Single Payer SystemSingle Payer System
Single Payer System
viviewu
 
The Affordable Care Act and Us
The Affordable Care Act and UsThe Affordable Care Act and Us
The Affordable Care Act and Us
Gina M Harris
 
The Politics of Health Care
The Politics of Health CareThe Politics of Health Care
Communicating changes in health care
Communicating changes in health careCommunicating changes in health care
Communicating changes in health care
Amy Fletcher
 
StudentProfessor English 102March 6, 2016Toulmin Argu.docx
StudentProfessor English 102March 6, 2016Toulmin Argu.docxStudentProfessor English 102March 6, 2016Toulmin Argu.docx
StudentProfessor English 102March 6, 2016Toulmin Argu.docx
florriezhamphrey3065
 
FOCUS Health ReformonTHE HENRY J. KAISER FAMILY FOUNDATION.docx
FOCUS Health ReformonTHE HENRY J. KAISER FAMILY FOUNDATION.docxFOCUS Health ReformonTHE HENRY J. KAISER FAMILY FOUNDATION.docx
FOCUS Health ReformonTHE HENRY J. KAISER FAMILY FOUNDATION.docx
keugene1
 
LongTermCareInfo
LongTermCareInfoLongTermCareInfo
LongTermCareInfo
slatterner
 

Similar to Cooperative federalism (20)

Rap pres steve wiener
Rap pres steve wienerRap pres steve wiener
Rap pres steve wiener
 
USA HEALTH INSURANCE based on medicare .pptx
USA HEALTH INSURANCE based on medicare .pptxUSA HEALTH INSURANCE based on medicare .pptx
USA HEALTH INSURANCE based on medicare .pptx
 
Bernie tax pdf
Bernie tax pdfBernie tax pdf
Bernie tax pdf
 
The Health Care Law Power Point Slides
The Health Care Law Power Point SlidesThe Health Care Law Power Point Slides
The Health Care Law Power Point Slides
 
Us health care system final presentation.
Us health care system final presentation.Us health care system final presentation.
Us health care system final presentation.
 
Healthcare reform
Healthcare reformHealthcare reform
Healthcare reform
 
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...
SC Hospital Association Presentation: Health Care Reform - What Does It Mean ...
 
Health care
Health careHealth care
Health care
 
Healthcare-NOW! Newsletter - March 2013
Healthcare-NOW! Newsletter - March 2013Healthcare-NOW! Newsletter - March 2013
Healthcare-NOW! Newsletter - March 2013
 
Universal health care in the United States
Universal health care in the United StatesUniversal health care in the United States
Universal health care in the United States
 
Single Payer
Single PayerSingle Payer
Single Payer
 
Single Payer Systems: Equity in Access to Care
Single Payer Systems: Equity in Access to CareSingle Payer Systems: Equity in Access to Care
Single Payer Systems: Equity in Access to Care
 
ACA: A Step Toward Healthcare For All (Dr. John Cavacece, DO)
ACA: A Step Toward Healthcare For All (Dr. John Cavacece, DO)ACA: A Step Toward Healthcare For All (Dr. John Cavacece, DO)
ACA: A Step Toward Healthcare For All (Dr. John Cavacece, DO)
 
Single Payer System
Single Payer SystemSingle Payer System
Single Payer System
 
The Affordable Care Act and Us
The Affordable Care Act and UsThe Affordable Care Act and Us
The Affordable Care Act and Us
 
The Politics of Health Care
The Politics of Health CareThe Politics of Health Care
The Politics of Health Care
 
Communicating changes in health care
Communicating changes in health careCommunicating changes in health care
Communicating changes in health care
 
StudentProfessor English 102March 6, 2016Toulmin Argu.docx
StudentProfessor English 102March 6, 2016Toulmin Argu.docxStudentProfessor English 102March 6, 2016Toulmin Argu.docx
StudentProfessor English 102March 6, 2016Toulmin Argu.docx
 
FOCUS Health ReformonTHE HENRY J. KAISER FAMILY FOUNDATION.docx
FOCUS Health ReformonTHE HENRY J. KAISER FAMILY FOUNDATION.docxFOCUS Health ReformonTHE HENRY J. KAISER FAMILY FOUNDATION.docx
FOCUS Health ReformonTHE HENRY J. KAISER FAMILY FOUNDATION.docx
 
LongTermCareInfo
LongTermCareInfoLongTermCareInfo
LongTermCareInfo
 

Recently uploaded

Gabriel Whitley's Motion Summary Judgment
Gabriel Whitley's Motion Summary JudgmentGabriel Whitley's Motion Summary Judgment
Gabriel Whitley's Motion Summary Judgment
Abdul-Hakim Shabazz
 
Letter-from-ECI-to-MeiTY-21st-march-2024.pdf
Letter-from-ECI-to-MeiTY-21st-march-2024.pdfLetter-from-ECI-to-MeiTY-21st-march-2024.pdf
Letter-from-ECI-to-MeiTY-21st-march-2024.pdf
bhavenpr
 
EED - The Container Port PERFORMANCE INDEX 2023
EED - The Container Port PERFORMANCE INDEX 2023EED - The Container Port PERFORMANCE INDEX 2023
EED - The Container Port PERFORMANCE INDEX 2023
El Estrecho Digital
 
2015pmkemenhub163.pdf 2015pmkemenhub163.pdf
2015pmkemenhub163.pdf 2015pmkemenhub163.pdf2015pmkemenhub163.pdf 2015pmkemenhub163.pdf
2015pmkemenhub163.pdf 2015pmkemenhub163.pdf
CIkumparan
 
Acolyte Episodes review (TV series)..pdf
Acolyte Episodes review (TV series)..pdfAcolyte Episodes review (TV series)..pdf
Acolyte Episodes review (TV series)..pdf
46adnanshahzad
 
Hindustan Insider 2nd edition release now
Hindustan Insider 2nd edition release nowHindustan Insider 2nd edition release now
Hindustan Insider 2nd edition release now
hindustaninsider22
 
MAGNA CARTA (minimum 40 characters required)
MAGNA CARTA (minimum 40 characters required)MAGNA CARTA (minimum 40 characters required)
MAGNA CARTA (minimum 40 characters required)
Filippo64
 
What Ukraine Has Lost During Russia’s Invasion
What Ukraine Has Lost During Russia’s InvasionWhat Ukraine Has Lost During Russia’s Invasion
What Ukraine Has Lost During Russia’s Invasion
LUMINATIVE MEDIA/PROJECT COUNSEL MEDIA GROUP
 
Essential Tools for Modern PR Business .pptx
Essential Tools for Modern PR Business .pptxEssential Tools for Modern PR Business .pptx
Essential Tools for Modern PR Business .pptx
Pragencyuk
 

Recently uploaded (9)

Gabriel Whitley's Motion Summary Judgment
Gabriel Whitley's Motion Summary JudgmentGabriel Whitley's Motion Summary Judgment
Gabriel Whitley's Motion Summary Judgment
 
Letter-from-ECI-to-MeiTY-21st-march-2024.pdf
Letter-from-ECI-to-MeiTY-21st-march-2024.pdfLetter-from-ECI-to-MeiTY-21st-march-2024.pdf
Letter-from-ECI-to-MeiTY-21st-march-2024.pdf
 
EED - The Container Port PERFORMANCE INDEX 2023
EED - The Container Port PERFORMANCE INDEX 2023EED - The Container Port PERFORMANCE INDEX 2023
EED - The Container Port PERFORMANCE INDEX 2023
 
2015pmkemenhub163.pdf 2015pmkemenhub163.pdf
2015pmkemenhub163.pdf 2015pmkemenhub163.pdf2015pmkemenhub163.pdf 2015pmkemenhub163.pdf
2015pmkemenhub163.pdf 2015pmkemenhub163.pdf
 
Acolyte Episodes review (TV series)..pdf
Acolyte Episodes review (TV series)..pdfAcolyte Episodes review (TV series)..pdf
Acolyte Episodes review (TV series)..pdf
 
Hindustan Insider 2nd edition release now
Hindustan Insider 2nd edition release nowHindustan Insider 2nd edition release now
Hindustan Insider 2nd edition release now
 
MAGNA CARTA (minimum 40 characters required)
MAGNA CARTA (minimum 40 characters required)MAGNA CARTA (minimum 40 characters required)
MAGNA CARTA (minimum 40 characters required)
 
What Ukraine Has Lost During Russia’s Invasion
What Ukraine Has Lost During Russia’s InvasionWhat Ukraine Has Lost During Russia’s Invasion
What Ukraine Has Lost During Russia’s Invasion
 
Essential Tools for Modern PR Business .pptx
Essential Tools for Modern PR Business .pptxEssential Tools for Modern PR Business .pptx
Essential Tools for Modern PR Business .pptx
 

Cooperative federalism

  • 1. Created By: Ellen Gabis, Ryan Hanrahan, Max Graff, and Sarah Elzey
  • 2.  When state, local, and federal governments share responsibilities in governing the people. State and federal governments work together in partnership to exercise government authority.
  • 3.  Established in 1965  Guarantees health insurance for Americans of age 65 and older or younger people with disabilities  Title XVIII of the Social Security Act  Lyndon B. Johnson was the president when the act was established  Over 48 million people are on Medicare
  • 4.  The cost of Medicare was very expensive for the government  Many inpatient procedures were changed to outpatient procedures to lower the cost the government had to pay  Government was forced to slow spending growth
  • 5.  In 2012 lawmakers thought that there should be a higher premium for the wealthy  Raise the eligibility of age when seniors can receive Medicare  Cut the cost by making Medicare more efficient
  • 6.  1997- Balanced Budget Act- Lower rates on post acute care area  New ways of payment and lower rates of payment were legislated  New goals were set to move away from a cost-based system and toward one that will provide incentives for “appropriate” levels of care  Resource Based Relative Value Scale has been created for physicians to use to determine level of care
  • 7.  Federal Government pays for all of the costs  $105 per month per citizen
  • 8.  All states do participate  Doctors  Hospitals  Nursing Homes  Hospice Programs  Assisted Living
  • 9.  Paid through two trust funds of the U.S Treasury  Hospital Insurance Trust Fund  Payroll taxes paid by most employees  Supplementary Medical Insurance Trust Fund  Funds are authorized through Congress  Interests earned on trust fund investments  Total expenditures for year 2011 was $549.1 billion dollars
  • 10.  Age 65 and older or have increased medical disabilities  Citizen of the United States  Have to receive social security  Have to go to a physician or hospital that is associated with Medicare
  • 11.  How much is the average cost of Medicare per month?  What age do citizens become qualified for Medicare?  Does Federal or State government run the Medicare Program?  Can Medicare participants go to any physician or hospital that they choose?  When was the Medicare Program established?
  • 12.  $105 dollars per month  65 years old  Federal Government  No, patients must go to physicians or hospitals that are associated with the Medicare Program  1965