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Phill Brooks: The contentious history of Medicaid in Missouri


Phill Brooks
Capitol Perspectives
The Missouri legislature’s recent special session on Medicaid involves a dominant state issue with a long and fascinating history.
It begins in 1945, when President Harry Truman called for a national health insurance program.
Twenty years later, Congress added two health-care provisions of Truman’s vision into the Social Security law. It was signed by President Lyndon Johnson in Truman’s Missouri home town of Independence with Truman present.
One part is Medicare that covers health costs for persons over the age of 64 years, regardless of income, and others with specific health-care issues. Just like Social Security, there is a payroll tax to cover the costs.

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