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September 1987 (Volume 65)
Quarterly Article
Sandra Christensen
Stephen H. Long
Jack Rodgers
Sep 22, 2026
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Despite its seeming largesse, Medicare has always been a cost-sharing program. The potential costs borne by beneficiaries can be substantial, leading to more than 70 percent seeking protection through supplementary private insurance. Others risk payment out of pocket, and fewer rely on Medicaid. Actual costs incurred by each group of Medicare beneficiaries are examined and seen to have significant and inequitable impacts. Current Medicare policies are often poorly designed or irrelevant. Future responses will have to address both taxation and copayment while weighing concerns for individual financial hardship against possible overuse of services.
Author(s): Sandra Christensen; Stephen H. Long; Jack Rodgers
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Volume 65, Issue 3 (pages 397–425) Published in 1987