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Social Security Amendments of 1965

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The Social Security Amendments of 1965 , Pub. L.   89–97 , 79  Stat.   286 , enacted July 30, 1965 , was legislation in the United States whose most important provisions resulted in creation of two programs: Medicare and Medicaid . The legislation initially provided federal health insurance for the elderly (over 65) and for financially challenged families.

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87-431: In 1912, Theodore Roosevelt included social insurance for sickness in the platform of his Progressive Party . Around 1915 the group American Association for Labor Legislation attempted to introduce a medical insurance bill to some state legislatures. The attempts were not successful, and as a result, controversy about national insurance came about. National groups supporting the idea of government health insurance included

174-658: A deputy sheriff in Billings County, North Dakota . He and ranch hands hunted down three boat thieves. The severe winter of 1886–1887 wiped out his herd and over half of his $ 80,000 investment ($ 2.71 million in 2023). He ended his ranching life and returned to New York, where he escaped the damaging label of an ineffectual intellectual. On December 2, 1886, Roosevelt married his childhood friend, Edith Kermit Carow , at St George's, Hanover Square , in London , England. Roosevelt felt deeply troubled that his second marriage

261-516: A 1904 run, but was uncertain about whether he should seek re-election as governor in 1900. Wilbur Cohen Wilbur Joseph Cohen (June 10, 1913 – May 17, 1987) was an American social scientist and civil servant . He was one of the key architects in the creation and expansion of the American welfare state and was involved in the creation of both the New Deal and Great Society programs. Cohen

348-604: A Ranchman , Ranch Life and the Hunting-Trail , and The Wilderness Hunter . Roosevelt successfully led efforts to organize ranchers to address the problems of overgrazing and other shared concerns, which resulted in the formation of the Little Missouri Stockmen's Association. He formed the Boone and Crockett Club , whose primary goal was the conservation of large game animals and their habitats. In 1886, Roosevelt served as

435-590: A combined assault with the Regulars, under Roosevelt's leadership, the Rough Riders became famous for charges up Kettle Hill and San Juan Hill. Roosevelt was the only soldier on horseback, as he rode back and forth between rifle pits at the forefront of the advance up Kettle Hill, an advance that he urged despite the absence of orders. He was forced to walk up the last part of Kettle Hill because his horse had been entangled in barbed wire . The assaults would become known as

522-571: A concerted effort to uniformly enforce New York's Sunday closing law ; in this, he ran up against Tom Platt and Tammany Hall —he was notified the Police Commission was being legislated out of existence. His crackdowns led to protests. Invited to one large demonstration, not only did he accept, but he delighted in the insults and lampoons directed at him, and earned goodwill. Roosevelt chose to defer rather than split with his party. As Governor of New York State, he would later sign an act replacing

609-401: A driving force for anti-trust and Progressive policies. A sickly child with debilitating asthma , Roosevelt overcame health problems through a strenuous lifestyle . He was homeschooled and began a lifelong naturalist avocation before attending Harvard College . His book The Naval War of 1812 established his reputation as a historian and popular writer. Roosevelt became the leader of

696-640: A high and positive profile in New York publications. Roosevelt's anti-corruption efforts helped him win re-election in 1882 by a margin greater than two-to-one, an achievement made more impressive by the victory that Democratic gubernatorial candidate Grover Cleveland won in Roosevelt's district. With Conkling's Stalwart faction of the Republican Party in disarray following the assassination of President James Garfield , Roosevelt won election as party leader in

783-595: A legislative investigation into corruption of the New York City government , which arose from a bill proposing power be centralized in the mayor's office. For the rest of his life, he rarely spoke about his wife Alice and did not write about her in his autobiography. In 1881 , Roosevelt won election to the New York State Assembly , representing the 21st district , then centered on the "Silk Stocking District" of New York County's Upper East Side . He served in

870-459: A lieutenant of New York machine boss Thomas C. Platt , asked Roosevelt to run in the 1898 gubernatorial election . Prospering politically from the Platt machine , Roosevelt's rise to power was marked by the pragmatic decisions of Platt, who disliked Roosevelt. Platt feared Roosevelt would oppose his interests in office and was reluctant to propel Roosevelt to the forefront of national politics, but needed

957-592: A man of "boundless energy, infectious enthusiasm, and a drive for action." He was a leading expert on Social Security and a member of Americans for Democratic Action . After graduating from the University of Wisconsin–Madison in 1934, Cohen moved to Washington, D.C. where he was a research assistant for the committee which drafted the Social Security Act . On April 8, 1938, Cohen married Eloise Bittel. They had three sons: Christopher, Bruce and Stuart. He

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1044-504: A poor section of Cambridge. Roosevelt did well in science, philosophy, and rhetoric courses but struggled in Latin and Greek. He studied biology intently and was already an accomplished naturalist and a published ornithologist . He read prodigiously with an almost photographic memory. Roosevelt participated in rowing and boxing , and was a member of the Alpha Delta Phi literary society,

1131-401: A reporter asked if he would support Blaine, Roosevelt replied, "I decline to answer." In the end, he realized he had to support Blaine to maintain his role in the party and did so in a press release. Having lost the support of many reformers, and still reeling from the deaths of his wife and mother, Roosevelt decided to retire from politics and moved to North Dakota . Roosevelt first visited

1218-473: A speech convincing delegates to nominate African American John R. Lynch , an Edmunds supporter, to be temporary chair. Roosevelt fought alongside the Mugwump reformers against Blaine. However, Blaine gained support from Arthur's and Edmunds's delegates, and won the nomination. In a crucial moment of his budding career, Roosevelt resisted the demand of fellow Mugwumps that he bolt from Blaine. He bragged: "We achieved

1305-602: A strong candidate due to the unpopularity of the incumbent Republican governor, Frank S. Black . Roosevelt agreed to become the nominee and to try not to "make war" with the Republican establishment once in office. Roosevelt defeated Black in the Republican caucus, and faced Democrat Augustus Van Wyck , a well-respected judge, in the general election. Roosevelt campaigned on his war record, winning by just 1%. As governor, Roosevelt learned about economic issues and political techniques that proved valuable in his presidency. He studied

1392-474: A victory in getting up a combination to beat the Blaine nominee for temporary chairman...this needed...skill, boldness and energy... to get the different factions to come in... to defeat the common foe." He was impressed by an invitation to speak before an audience of ten thousand, the largest crowd he had addressed up to then. Having gotten a taste of national politics, Roosevelt felt less aspiration for advocacy on

1479-476: Is the youngest person to become U.S. president . As a leader of the progressive movement , he championed his " Square Deal " domestic policies, which called for fairness for all citizens, breaking bad trusts , regulating railroads, and pure food and drugs . Roosevelt prioritized conservation and established national parks , forests , and monuments to preserve U.S. natural resources. In foreign policy , he focused on Central America , beginning construction of

1566-494: The 1882 , 1883 , and 1884 sessions of the legislature. He began making his mark immediately: he blocked a corrupt effort of financier Jay Gould to lower his taxes. Roosevelt exposed the collusion of Gould and Judge Theodore Westbrook and successfully argued for an investigation, aiming for the judge to be impeached. Although the investigation committee rejected the impeachment, Roosevelt had exposed corruption in Albany and assumed

1653-447: The 1886 election . Roosevelt accepted the nomination despite having little hope against United Labor Party candidate Henry George and Democrat Abram Hewitt . Roosevelt campaigned hard, but Hewitt won with 41%, taking the votes of many Republicans who feared George's radical policies. George was held to 31%, and Roosevelt took third with 27%. Fearing his political career might never recover, Roosevelt turned to writing The Winning of

1740-522: The 1892 presidential election , the winner, Grover Cleveland, reappointed him. Roosevelt's close friend and biographer, Joseph Bucklin Bishop , described his assault on the spoils system: The very citadel of spoils politics, the hitherto impregnable fortress that had existed unshaken since it was erected on the foundation laid by Andrew Jackson , was tottering to its fall under the assaults of this audacious and irrepressible young man... Whatever may have been

1827-624: The 1912 Republican presidential nomination . He founded the new Progressive Party and ran in 1912 ; the split allowed the Democratic Woodrow Wilson to win. Roosevelt led a four-month expedition to the Amazon basin , where he nearly died of tropical disease . During World War I, he criticized Wilson for keeping the U.S. out; his offer to lead volunteers to France was rejected. Roosevelt's health deteriorated and he died in 1919. Polls of historians and political scientists rank him as one of

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1914-870: The AFL–CIO , the American Nurses Association , National Association of Social Workers , and the Socialist Party USA . The most prominent opponent of national medical insurance was the American Medical Association (AMA); others included the American Hospital Association , the United States Chamber of Commerce , and the Life Insurance Association of People. The concept of national health insurance began in

2001-478: The Alps in 1869, Roosevelt discovered the benefits of physical exertion to minimize his asthma and bolster his spirits. Roosevelt began a heavy regimen of exercise. After being manhandled by older boys on the way to a camping trip, he found a boxing coach to train him. Roosevelt was homeschooled. Biographer H. W. Brands wrote that, "The most obvious drawback...was uneven coverage of...various areas of...knowledge." He

2088-647: The Asiatic Squadron with the backing of Roosevelt, later credited his victory at the Battle of Manila Bay to Roosevelt's orders. After giving up hope of a peaceful solution, McKinley asked Congress to declare war on Spain, beginning the Spanish–American War . With the beginning of the Spanish–American War in 1898, Roosevelt resigned as Assistant Secretary of the Navy. Along with Army Colonel Leonard Wood , he formed

2175-697: The Assistant Secretary of the Navy in 1897. Secretary of the Navy John D. Long was in poor health and left many major decisions to Roosevelt. Influenced by Alfred Thayer Mahan , Roosevelt called for a build-up in naval strength, particularly the construction of battleships . Roosevelt also began pressing his national security views regarding the Pacific and the Caribbean on McKinley and was adamant that Spain be ejected from Cuba. He explained his priorities to one of

2262-533: The Dakota Territory in 1883 to hunt bison . Exhilarated by the western lifestyle and with the cattle business booming, Roosevelt invested $ 14,000 ($ 457,800 in 2023) in hope of becoming a prosperous cattle rancher. For several years, he shuttled between his home in New York and ranch in Dakota. Following the 1884 United States presidential election , Roosevelt built Elkhorn Ranch 35 mi (56 km) north of

2349-472: The Delta Kappa Epsilon fraternity, and the prestigious Porcellian Club . In 1880, Roosevelt graduated Phi Beta Kappa (22nd of 177) with an A.B. magna cum laude . Henry F. Pringle wrote: Roosevelt, attempting to analyze his college career and weigh the benefits he had received, felt that he had obtained little from Harvard. He had been depressed by the formalistic treatment of many subjects, by

2436-667: The First U.S. Volunteer Cavalry Regiment . His wife and many friends begged Roosevelt to remain in Washington, but Roosevelt was determined to see battle. When the newspapers reported the formation of the new regiment, Roosevelt and Wood were flooded with applications. Referred to by the press as the "Rough Riders", it was one of many temporary units active only during the war. The regiment trained for several weeks in San Antonio, Texas ; in his autobiography, Roosevelt wrote that his experience with

2523-665: The House and 32 more seats in the Senate . The Democrats in the House Ways and Means Committee shifted away from Southern Democrats, making the committee more sympathetic towards health insurance reform. Those who had worked on the King-Anderson Bill drafted a new bill providing coverage of the aged, limited hospitalization and nursing home insurance benefits, and Social Security financing. Wilbur Cohen , Assistant Secretary for Legislation of

2610-599: The New York National Guard enabled him to immediately begin teaching basic soldiering skills. Diversity characterized the regiment, which included Ivy Leaguers , athletes, frontiersmen, Native Americans , hunters, miners, former soldiers, tradesmen, and sheriffs. The Rough Riders were part of the cavalry division commanded by former Confederate general Joseph Wheeler . Roosevelt and his men landed in Daiquirí , Cuba, on June 23, 1898, and marched to Siboney . Wheeler sent

2697-676: The Panama Canal . Roosevelt expanded the Navy and sent the Great White Fleet on a world tour to project naval power. His successful efforts to end the Russo-Japanese War won him the 1906 Nobel Peace Prize , the first American to win a Nobel Prize. Roosevelt was elected to a full term in 1904 and groomed William Howard Taft to succeed him in 1908 . Roosevelt grew frustrated with Taft's brand of conservatism and tried, and failed, to win

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2784-641: The Rough Riders , a unit that fought the Spanish Army in Cuba to great publicity. Returning a war hero, Roosevelt was elected New York's governor in 1898 . The New York state party leadership disliked his ambitious agenda and convinced McKinley to choose him as his running mate in the 1900 presidential election ; the McKinley–Roosevelt ticket won a landslide victory. Roosevelt assumed the presidency aged 42, and

2871-498: The Social Security Act , medical benefits were left out of the bill. The committee that Roosevelt appointed to study issues related to Social Security wanted to include health insurance in the bill. However, the committee was concerned that amending the bill to include health insurance would kill the entire bill. Harry Truman took on the idea of national medical care and tried to integrate it into his Fair Deal program. Truman's attempts were also unsuccessful, but during his presidency,

2958-420: The U.S. Secretary of Health, Education, and Welfare from May 1968 to the end of Johnson's term , following the resignation of John W. Gardner . With a tenure of 249 days, Cohen became the shortest-ever secretary of that department, as the office was succeeded by the U.S. Secretary of Health and Human Services in 1980. In 1969, Cohen retired at the end of a Johnson's administration. In 1970, Cohen served as

3045-662: The United States Civil Service Commission , where he served until 1895. While many of his predecessors had approached the office as a sinecure , Roosevelt fought the spoilsmen and demanded enforcement of civil service laws. The Sun described Roosevelt as "irrepressible, belligerent, and enthusiastic". Roosevelt clashed with Postmaster General John Wanamaker , who handed out patronage positions to Harrison supporters, and Roosevelt's attempt to force out several postal workers damaged Harrison politically. Despite Roosevelt's support for Harrison's reelection in

3132-578: The Battle of San Juan Heights. The victories came at a cost of 200 killed and 1,000 wounded. In August, Roosevelt and other officers demanded the soldiers be returned home. Roosevelt recalled San Juan Heights as "the great day of my life". After returning to civilian life, Roosevelt preferred to be known as "Colonel Roosevelt" or "The Colonel"; "Teddy" remained much more popular with the public, though Roosevelt openly despised that moniker. Shortly after Roosevelt's return, Republican Congressman Lemuel E. Quigg ,

3219-585: The Civil Service Reform Association called "superior to any civil service statute heretofore secured in America". Chessman argues that as governor, Roosevelt developed the principles that shaped his presidency, especially insistence upon the public responsibility of large corporations, publicity as a first remedy for trusts, regulation of railroad rates, mediation of the conflict of capital and labor, conservation of natural resources and protection of

3306-485: The Corporate Health Care System p. 205) it was Cohen who, during the writing of Medicare legislation, "advised fellow reformers that partnering with insurance companies would create a politically palatable program"—with the result that America is today the only "developed" country with a for-private-profit health care system and without universal health care. Cohen was responsible for developing many of

3393-552: The Department of Health, Education and Welfare (and later Secretary), pushed the Medicare bill. Cohen convinced Johnson to give the bill high priority, and Johnson declared its importance to his Great Society program. The bill was introduced as companion bills, H.R. 1 and S. 1, with the numbers being the first bills introduced in each house of a new Congress. The groups previously opposed to the legislation switched their focus from opposing

3480-645: The Ford Franchise-Tax bill, which taxed public franchises granted by the state and controlled by corporations, declaring that "a corporation which derives its powers from the State, should pay to the State a just percentage of its earnings as a return for the privileges it enjoys". He rejected Platt worries that this approached Bryanite Socialism, explaining that without it, New York voters might get angry and adopt public ownership of streetcar lines and other franchises. Power to make appointments to policy-making positions

3567-545: The House (307–116) on July 27 and in the Senate on July 28 (70–24). The legislation made two amendments to the Social Security Act of 1935. Title XVIII, which became known as Medicare , includes Part A, which provides hospital insurance for the aged, and Part B, which provides supplementary medical insurance. Title XIX, which became known as Medicaid , provides for the states to finance health care for individuals who were at or close to

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3654-514: The King–Anderson Bill, was introduced in 1962. Under it, some hospital and nursing home costs for patients 65 and older would have been covered. Although the bill was defeated in committee, the vote was narrow (12–11), signaling a shift in attitudes. With the election of Lyndon B. Johnson in 1964, Democrats controlled both the presidency and the Congress , claiming a 2:1 ratio to Republicans in

3741-456: The Navy's planners in late 1897: I would regard war with Spain from two viewpoints: first, the advisability on the grounds both of humanity and self-interest of interfering on behalf of the Cubans, and of taking one more step toward the complete freeing of America from European dominion; second, the benefit done our people by giving them something to think of which is not material gain, and especially

3828-501: The Police Commission with a Police Commissioner. In the 1896 presidential election , Roosevelt backed Thomas Brackett Reed for the Republican nomination, but William McKinley won the nomination and defeated William Jennings Bryan in the general election. Roosevelt strongly opposed Bryan's free silver platform, viewing many of Bryan's followers as dangerous fanatics. He gave campaign speeches for McKinley. Urged by Senator Henry Cabot Lodge, President McKinley appointed Roosevelt as

3915-458: The Rough Riders on a parallel road northwest running along a ridge up from the beach. Roosevelt took command of the regiment; he had his first experience in combat when the Rough Riders met Spanish troops in a skirmish known as the Battle of Las Guasimas . They fought their way through Spanish resistance and, together with the Regulars, forced the Spaniards to abandon their positions. On July 1, in

4002-575: The Washington social set. Soon after, he realized he had missed an opportunity to reinvigorate a dormant political career. He retreated to the Dakotas; Edith regretted her role in the decision and vowed there would be no repeat. William Lafayette Strong won the 1894 mayoral election and offered Roosevelt a position on the board of the New York City Police Commissioners . Roosevelt became president of commissioners and radically reformed

4089-593: The West , tracking the westward movement of Americans; it was a great success, earning favorable reviews and selling all copies from the first printing. After Benjamin Harrison unexpectedly defeated Blaine for the presidential nomination at the 1888 Republican National Convention , Roosevelt gave stump speeches in the Midwest in support of Harrison. On the insistence of Henry Cabot Lodge , President Harrison appointed Roosevelt to

4176-553: The amounts of the participant's Social Security cash benefits," and the financing would come from the government's revenues. The AMA proposed Eldercare, which provided government financing for physician's services, surgical charges, drugs, nursing home costs, X-ray and lab services. When brought back to the Ways and Means committee, three bills were presented: Byrnes's, Eldercare, and Medicare. When deliberations began in 1965, both AMA members and their suggestions were rejected. Wilbur Mills ,

4263-502: The benefit done our military forces by trying both the Navy and Army in actual practice. On February 15, 1898, the armored cruiser USS  Maine exploded in the harbor of Havana, Cuba , killing hundreds of crew. While Roosevelt and many other Americans blamed Spain for the explosion, McKinley sought a diplomatic solution. Without approval from Long or McKinley, Roosevelt sent out orders to several naval vessels to prepare for war. George Dewey , who had received an appointment to lead

4350-424: The bill to creating new versions of it. As a result, three forms of the bill emerged: John Byrnes 's, the American Medical Association 's, and the administration's bill (known as Medicare). Byrnes was a Republican committee member who proposed for doctors' services and drugs to be financed; participation in coverage would be voluntary for the aged. An elderly patient who needed the help would have financing "scaled to

4437-509: The boomtown of Medora, North Dakota . Roosevelt learned to ride western style, rope, and hunt on the banks of the Little Missouri . A cowboy, he said, possesses, "few of the emasculated, milk-and-water moralities admired by the pseudo-philanthropists; but he does possess, to a very high degree, the stern, manly qualities that are invaluable to a nation". He wrote about frontier life for national magazines and published books: Hunting Trips of

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4524-410: The chair of the Ways and Means committee, suggested combining Byrnes's ideas and Medicare. His committee took on the task of drafting H.R. 6675, the bill that ultimately became law. In combining the two bills, Byrnes's suggestion, which included lower taxes, had to be altered as higher taxes were necessary for the program's predicted costs. The Ways and Means Committee reported favorably on the new bill to

4611-454: The details of Medicare and Medicaid. Nicholas Lemann ( The Promised Land: The Great Black Migration and How It Changed America p. 131 & 143) describes Cohen as "a first-generation New Deal social welfare planner [who] was deputy secretary but the real power in the Department of Health, Education and Welfare" and "an old friend of [Lyndon] Johnson." President Lyndon B. Johnson elevated him to Under Secretary in 1965, and he served as

4698-523: The early 20th century in the United States and then came to prominence during the Truman administration following World War II . Between 1958 and 1964, controversy grew and a bill was drafted. The signing of the act, as part of Johnson's Great Society , began an era with a greater emphasis on public health issues. Medicare and Medicaid became the country's first public health insurance programs. The legislation

4785-442: The feelings of the (fellow Republican party) President (Harrison)—and there is little doubt that he had no idea when he appointed Roosevelt that he would prove to be so veritable a bull in a china shop—he refused to remove him and stood by him firmly till the end of his term. In 1894, reform Republicans approached Roosevelt about running for Mayor of New York again; he declined, mostly due to his wife's resistance to being removed from

4872-464: The fight for national medical care became specific to the aged population. Once the targeted age was decided, a lengthy debate began over presenting a coherent medical care bill to Congress. The Conservative Coalition dominated the House Ways and Means Committee , which complicated attempts to pass social health programs. Wilbur Mills (D-AR), the chair of the committee, later played a role in creating

4959-415: The full House of Representatives on March 29 after a straight-party committee vote of 17 to 8. During debate on the House floor, Republicans offered a substitute bill that would have made participation fully voluntary. It was narrowly defeated 236 to 191, with 128 of 138 Republicans in favor of the substitute. H.R. 6675 was passed in the House on April 8, 1965, by a vote of 313 to 115. The biggest threat to

5046-404: The fullest, and defend their borders. It has been believed Roosevelt's naval ideas were derived from Mahan's book, but naval historian, Nicolaus Danby felt Roosevelt's ideas predated Mahan's book. In 1880, Roosevelt married socialite Alice Hathaway Lee . Their daughter, Alice Lee Roosevelt , was born on February 12, 1884. Two days later, the new mother died of undiagnosed kidney failure , on

5133-531: The greatest American presidents. Roosevelt was born on October 27, 1858, at 28 East 20th Street in Manhattan . He was the second of four children born to Martha Stewart Bulloch and businessman Theodore Roosevelt Sr. He had an older sister ( Anna ), younger brother ( Elliott ) and younger sister ( Corinne ). Roosevelt's youth was shaped by his poor health and debilitating asthma attacks, which terrified him and his parents. Doctors had no cure. Nevertheless, he

5220-468: The headquarters of New York's 21st District Republican Association. Though Roosevelt's father had been a prominent member of the Republican Party , Roosevelt made an unorthodox career choice for someone of his class, as most of Roosevelt's peers refrained from becoming too closely involved in politics. Roosevelt found allies in the local Republican Party and defeated a Republican state assemblyman tied to

5307-683: The health care program that was integrated into the Social Security Act. In 1960, the Kerr–Mills Act created the Medical Assistance for the Aged (MAA), a program that gave states the power to decide which patients needed financial assistance. The federal government would provide matching funds to the states for the program. Some states did not participate in or abide by the Act. Another preliminary bill,

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5394-470: The passage of H.R. 6675 in the Senate came from liberal Democrats who were eager to expand coverage of the bill. As amended and passed in the Senate on July 19 by a vote of 68 to 21, H.R. 6675 would have cost approximately $ 800 million more than the House bill. The bill went to a conference committee at which Mills worked to eliminate practically all of the Senate amendments. The bill went through more than 5// amendments before being passed by majority vote in

5481-400: The police force: he implemented regular inspections of firearms and physical exams, appointed recruits based on their physical and mental qualifications rather than political affiliation, established Meritorious Service Medals , closed corrupt police hostelries, and had telephones installed in station houses. In 1894, Roosevelt met Jacob Riis , the muckraking Evening Sun journalist who

5568-549: The political machine of Senator Roscoe Conkling closely. After his election victory, Roosevelt dropped out of law school, later saying, "I intended to be one of the governing class." While at Harvard, Roosevelt began a systematic study of the role played by the United States Navy in the War of 1812 . He ultimately published The Naval War of 1812 in 1882. The book included comparisons of British and American leadership down to

5655-477: The poor. Roosevelt sought to position himself against the excesses of large corporations and radical movements. As chief executive of the most populous state, Roosevelt was widely considered a potential presidential candidate, and supporters such as William Allen White encouraged him to run. Roosevelt had no interest in challenging McKinley for the nomination in 1900 and was denied his preferred post of Secretary of War . As his term progressed, Roosevelt pondered

5742-731: The president of the American Public Welfare Association (renamed the American Public Human Services Association in 1997). In 1971, Cohen was elected to the Common Cause National Governing Board. In 1980 Cohen became a Professor of Public Affairs at the University of Texas at Austin . The University of Michigan in Ann Arbor , where Cohen was a professor of Public Welfare Administration and lived for many years, established

5829-544: The problems of trusts, monopolies, labor relations, and conservation. G. Wallace Chessman argues that Roosevelt's program "rested firmly upon the concept of the square deal by a neutral state". The rules for the Square Deal were "honesty in public affairs, an equitable sharing of privilege and responsibility, and subordination of party and local concerns to the interests of the state at large". By holding twice-daily press conferences—an innovation—Roosevelt remained connected with his middle-class base. Roosevelt successfully pushed

5916-432: The public assistance level with federal matching funds. On July 30, 1965, Johnson signed the bill, making it Public Law 89–97. The signing took place in Independence, Missouri and was attended by Truman. Johnson credited Truman with "planting the seeds of compassion and duty which have today flowered into care for the sick and serenity for the fearful." Implementation of the amendments required extensive data processing and

6003-448: The re-configuration of hospital policies nationwide. In the late 1960s and the early 1970s, the federal government doubled the number of physicians trained in the US from 8,000 to 16,000 a year. There was a hospital building boom that moved from inpatient wards to one- and two-patient hospital rooms. Theodore Roosevelt Theodore Roosevelt Jr. (October 27, 1858 – January 6, 1919), also known as Teddy or T.   R. ,

6090-399: The reform faction of Republicans in the New York State Legislature . His first wife and mother died on the same night, devastating him psychologically. He recuperated by buying and operating a cattle ranch in the Dakotas . Roosevelt served as assistant secretary of the Navy under McKinley, and in 1898 helped plan the successful naval war against Spain . He resigned to help form and lead

6177-404: The rest of his life. His father, a devout Presbyterian , regularly led the family in prayers. Young Theodore emulated him by teaching Sunday School for more than three years at Christ Church in Cambridge. When the minister at Christ Church, which was an Episcopal church, eventually insisted he become an Episcopalian to continue teaching, Roosevelt declined, and began teaching a mission class in

6264-423: The rigidity, the attention to minutiae that were important in themselves, but which somehow were never linked up with the whole. Roosevelt gave up his plan of studying natural science and attended Columbia Law School , moving back into his family's home in New York. Although Roosevelt was an able student, he found law to be irrational. Determined to enter politics, Roosevelt began attending meetings at Morton Hall,

6351-408: The same day as Roosevelt's mother Martha died of typhoid fever . In his diary, Roosevelt wrote a large "X" on the page and then, "The light has gone out of my life." Distraught, Roosevelt left baby Alice in the care of his sister Bamie while he grieved; he assumed custody of Alice when she was three. After the deaths of his wife and mother, Roosevelt focused on his work, specifically by re-energizing

6438-436: The ship-to-ship level. It was praised for its scholarship and style, and remains a standard study of the war. With the 1890 publication of The Influence of Sea Power upon History , Alfred Thayer Mahan was hailed as the world's outstanding naval theorist by European leaders. Mahan popularized a concept that only nations with significant naval power had been able to influence history, dominate oceans, exert their diplomacy to

6525-567: The state assembly. He allied with Governor Cleveland to win passage of a civil service reform bill. Roosevelt won re-election and sought the office of Speaker , but Titus Sheard obtained the position. Roosevelt served as Chairman of the Committee on Affairs of Cities, during which he wrote more bills than any other legislator. With numerous presidential hopefuls, Roosevelt supported Senator George F. Edmunds of Vermont. The state Republican Party preferred incumbent president, Chester Arthur , who

6612-536: The state level; he retired to his new "Chimney Butte Ranch" on the Little Missouri River . Roosevelt refused to join other Mugwumps in supporting Cleveland, the Democratic nominee in the general election. After Blaine won the nomination, Roosevelt carelessly said he would give "hearty support to any decent Democrat". He distanced himself from the promise, saying that it had not been meant "for publication". When

6699-403: The way they all did", and lived to respect him, though he swore at him, as the one of them all who was stronger than pull... that was what made the age golden, that for the first time a moral purpose came into the street. In the light of it everything was transformed. Roosevelt made a habit of walking officers' beats at night and early in the morning to make sure that they were on duty. He made

6786-633: Was Director of the Bureau of Research and Statistics in charge of program development and legislative coordination with Congress for the Social Security Board (SSB), which was renamed the Social Security Administration in 1946. In 1961, President John F. Kennedy appointed Cohen as Assistant Secretary for Legislation of Health, Education, and Welfare. According to Christy Ford Chapin ( Insuring America's Health: The Public Creation of

6873-415: Was a key role for the governor. Platt insisted he be consulted on major appointments; Roosevelt appeared to comply, but then made his own decisions. Historians marvel that Roosevelt managed to appoint so many first-rate people with Platt's approval. He even enlisted Platt's help in securing reform, such as in spring 1899, when Platt pressured state senators to vote for a civil service bill that the secretary of

6960-527: Was born in Milwaukee, Wisconsin , to Bessie ( née Rubenstein) and Aaron Cohen. He was known to by several nicknames. He was once dubbed "The Man Who Built Medicare " and John F. Kennedy tagged him "Mr. Social Security", although it was Frances Perkins , the first woman Secretary of Labor (under FDR ), who was the architect of social security. The New York Times called him "one of the country's foremost technicians in public welfare." Time portrayed him as

7047-590: Was energetic and mischievously inquisitive. His lifelong interest in zoology began aged seven when he saw a dead seal at a market; after obtaining the seal's head, Roosevelt and cousins formed the "Roosevelt Museum of Natural History". Having learned the rudiments of taxidermy , he filled his makeshift museum with animals he killed or caught. Aged nine, he recorded his observation in a paper entitled "The Natural History of Insects". Family trips, including tours of Europe in 1869 and 1870, and Egypt in 1872, shaped his cosmopolitan perspective. Hiking with his family in

7134-628: Was known for passing the Pendleton Civil Service Reform Act . Roosevelt succeeded in influencing the Manhattan delegates at the state convention. He then took control of the convention, bargaining through the night and outmaneuvering supporters of Arthur and James G. Blaine ; consequently, he gained a national reputation as a key politician in his state. Roosevelt attended the 1884 Republican National Convention in Chicago , where he gave

7221-621: Was opening the eyes of New Yorkers to the terrible conditions of the city's immigrants with such books as How the Other Half Lives . Riis described how his book affected Roosevelt: When Roosevelt read [my] book, he came... No one ever helped as he did. For two years we were brothers in (New York City's crime-ridden) Mulberry Street . When he left I had seen its golden age... There is very little ease where Theodore Roosevelt leads, as we all of us found out. The lawbreaker found it out who predicted scornfully that he would "knuckle down to politics

7308-464: Was solid in geography and bright in history, biology, French, and German; however, he struggled in mathematics and the classical languages. In September 1876, he entered Harvard College . His father instructed him to, "take care of your morals first, your health next, and finally your studies." His father's sudden death in 1878 devastated Roosevelt. He inherited $ 60,000 (equivalent to $ 1,894,345 in 2023), enough on which he could live comfortably for

7395-455: Was soon after the death of his first wife and he faced resistance from his sisters. The couple had five children: Theodore "Ted" III in 1887, Kermit in 1889, Ethel in 1891, Archibald in 1894, and Quentin in 1897. They also raised Roosevelt's daughter from his first marriage, Alice , who often clashed with her stepmother. Upon Roosevelt's return to New York, Republican leaders approached him about running for mayor of New York City in

7482-464: Was the 26th president of the United States , serving from 1901 to 1909. He previously was involved in New York politics, including serving as the state's 33rd governor for two years. He was the vice president under President William McKinley for six months in 1901, assuming the presidency after McKinley's assassination . As president, Roosevelt emerged as a leader of the Republican Party and became

7569-649: Was vigorously opposed by the American Medical Association until it had been enacted, but the AMA obtained concessions and later co-operated in its implementation. Many politicians were involved in drafting the final bill that was introduced to the United States Congress in March 1965. On July 30, 1965 President Lyndon B. Johnson signed the bill into law. In 1935, when President Franklin D. Roosevelt signed

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