Unfortunately, Medicare retained the insurance company model. Longtime reform advocates and policymakers in the Social Security Administration were loath to design the biggest breakthrough in federal health care programming around the private market’s defective, high-cost structure. They realized, however, that after decades of development, the insurance company model had amassed significant organizational capacity and cultural authority. The private sector had matured ahead of the public sector. By the 1960s, insurance companies seemed better equipped to manage a large health care program than did a public agency attempting to reinvent the wheel.
But supplying decent charity care does not require a vast “middle‐class” entitlement, and regulation of health insurance and health care for everyone in the country, any more than providing decent homeless shelters (which we are pretty scandalously bad at) or housing subsidies for the poor (section 8) requires that we apply ACA style payment and regulation to your and my house, Holiday Inn or the Four Seasons. To take care of homeless people with heart attacks, where does it follow that your and my health insurance must cover first‐dollar payment for wellness visits and acupuncture? The ACA is hardly a regulation minimally crafted to solve the problems of homeless people with heart attacks!
Exercise is extremely important to staying healthy both in body and mind. Being active can help a person continue to do things they enjoy and be independent as they age. Long term physical activity increases the benefits of long-term health. This is the reason many health experts advise individuals to be as active as possible and to set aside at least three days a week for some form of activity that keeps the heart beating at a steady pace. Physical exercise also has many mental benefits. For example, a person diagnosed with depression or anxiety is most often asked to conduct some form of physical activity apart from taking medication. This is because, the body produces hormones known as endorphins which improve mood and relieve stress. Depression can be alleviated by improving mood and anxiety can be relieved by reducing stress.