However, medicare , in 1950´s enacted in 1965, embodied the single-payer model. Medicareś architects saw it as the cornerstone of a national health insurance system. They believed the medicare would eventually expand-with children perhaps the next group to join the
Program to cover the entire population. That aspiration was never realized .Mean while congress created medicaid as a separte program for some categuneś of low -income americans,including families.
Single -payer enjoyed strong support doing the early 1970ś among liberal democrats
such as senator Ted Kennedy (D-M-A) yet it never came closing to passing .Subsequently,its political fortones faded democrate policy makers increasinally pursed indrement alism(primary through medicaid expansion and more conservative models that relired on private.
Medicare itself under went a transformation as the role of private insurers in the program grew substantilly .