In 1945, President Harry Truman asked Congress for legislation
that would establish a national health insurance plan. After two
decades of debate, the Medicare and Medicaid companion programs
were signed into law on July 30, 1965, by President Lyndon Johnson
with Truman at his side. Truman was the first to enroll in the
Medicare program, which turned 44 on Thursday. Medicare now covers
46 million Americans and had expenditures of $455 billion in 2008,
accounting for 15 percent of the federal budget. Between 2010 and
2030, the number of people in the program is projected to rise to
78 million.