The committee responsible for drafting the Social Security Act (SSA) of 1935 considered but decided against the inclusion of a health insurance program. The Medicare program was passed in 1965 as a modification to the SSA.

Briefly explain some of the circumstances that delayed the passage of the Medicare program. Please respond in 1-2 paragraphs.
Please do some research and briefly describe at least one modification to the Medicare program since its 1965 implementation. Be specific, and please respond in 3-5 sentences.