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But for better or worse, those politicians seemed focused on expanding (or preserving) the government's social insurance programmes.
The plan also includes modest changes to Medicare and Medicaid, the US social insurance programmes Republicans have targeted for larger overhauls.
The public would be right to be outraged that a Wall Street billionaire is trying to take away the core social insurance programmes that they will be dependent on in their old age.
The Census Bureau corrected this in 2010 by adopting a new measure that takes fuller account of nutrition and housing payments, means-tested transfers and social insurance programmes on one side of the ledger, and taxes on the other.
The IEA argues in the report that Europe and the US "will soon begin to encounter fiscal constraints the like of which we have never seen before" because governments have developed unfunded social insurance programmes where retiree benefits are paid for from the taxes of the working-age population.
This is the nature of social insurance programmes; nobody would sign up for a health-insurance plan that said "Medicare will pay for your cancer treatment, provided the House of Representatives votes to pay for it that year", and no doctor would perform the therapy if payment were conditional on the government's discretionary budget that year.
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Most US retirees receive income from social security, a federal social insurance programme to which people contribute via direct taxation.
On a broader level, attacks on Medicaid, the primary social insurance programme for the poor, have prompted pushback.
At the beginning, the social insurance programme targeted urban workers, but it gradually extended to migrant workers and introduced rural medical insurance and pension programmes.
According to a New York Times investigation, the secrets of HCA's rapid growth included getting more revenue from private insurance companies, patients and national social insurance programme Medicare through "much more aggressive billing", reducing expenses and finding new ways to reduce the cost of its medical staff which led to conflict with doctors over patient care.
Medicare is a social insurance programme administered by the US government that provides health insurance for people aged 65 and older, those with end stage renal disease, and some people with disabilities.
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CEO of Professional Science Editing for Scientists @ prosciediting.com