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The US still lacked universal insurance, and recent federal policy changes were expected to leave millions more Americans uninsured over the coming decade.
For many Americans, turning 65 has meant moving into more comprehensive, standardized, and predictable coverage, especially for people previously uninsured or underinsured.
Even with Medicare, affordability remained the biggest challenge, as older Americans still faced cost barriers, uncovered services, and income-based gaps in health status and treatment.
The analysis also linked Medicare with strong care availability and delivery, including regular sources of care, care coordination, chronic condition management, and patient engagement.
A recently proposed bill would cap traditional Medicare Parts A and B spending at $5K yearly, addressing one cost pressure older Americans still face.