To: i-node who wrote (1002240 ) 2/25/2017 5:45:18 PM From: Wharf Rat Read Replies (1) | Respond to of 1574005 " the other half of your bills are dumped on those of us who are paying for health insurance." Until I retired and went on Medicare, I was part of that group, too. "That wasn't true before 1965" As for the broader picture of pre-1965 health care in America, Rosemary Stevens, a historian and sociologist at the University of Pennsylvania, wrote that "in the early 1960s, the choices for uninsured elderly patients needing hospital service were to spend their savings, rely on funding from their children, seek welfare (and the social stigma this carried), hope for charity from the hospitals or avoid care altogether."... ... , in the pre-1965 era, if you had to go to the hospital, the hospital may not have turned you down -- but if you were in the sizable percentage of Americans who had to pay all or much of the costs out of pocket, you’d be paying for your misfortune for years to come.EDITOR’S NOTE : After we published our story, we were able to obtain some additional statistics about pre-1965 health care usage, which we will provide here for the benefit of readers who may be interested in learning more. In a 1963 survey, patients from the general population were given a list of symptoms and asked whether they had been able to see a physician about them. Among those who reported "pains in the heart," 25 percent said they did not see a physician; for "unexpected bleeding" it was 34 percent; for "shortness of breath," it was 35 percent; for "abdominal pains," it was 31 percent; for "repeated vomiting," it was 40 percent; for "diarrhea for four or five days," it was 38 percent. Meanwhile, comparing the annual rates of hospital admissions per 100 persons suggests that Medicare and Medicaid had a tangible impact on widening access to health care. In 1963, the rate of hospital admissions for patients with private insurance was 15 percent, compared to 9 percent for those without private insurance. By 1970, the rates had equalized at 13 percent each, with the rate for those without private insurance increasing due in part to expanded access through Medicare and Medicaid. "Many people in the U.S. prior to 1965 had very limited access to medical care," said Ronald Andersen, an emeritus professor of health services and sociology at the UCLA School of Public Health who has studied this data since the 1960s and provided the data to us. "This situation improved considerably after the implementation of Medicare and Medicaid."politifact.com