“Medical Care, Medical Costs: The Search for a Health Insurance Policy” is an article by
Rashi Fein illustrates the development of Blue Cross and Medicare. It traces the need
for, as well as the history, and benefits of these two programs. The purpose of this article
is to make the reader aware of the inability of the elderly and the disabled to fund their
own medical care and to illustrate the need for support of Medicare by the community to
share in the uncertainty. The variance of the types and sources of the evidence helps to
This article is directed towards the non-historian. It is an attempt to convey to the
common voter the importance of Medicare. This direction towards the non-historian can
be seen in the use of endnotes over footnotes, as well as the appeal at the end of the
article proclaiming that the understanding of Medicare by the voters would lead to its
Further evidence of this purpose is illustrated throughout the article. The author
slowly builds up an understanding of the need for Medicare and Blue Cross by tracing the
development of insurance. And then systematically showing how the elderly and
disabled would be unable to get the care they need without it. This article holds together
in the systematic way it covers the issue.
Another point that holds the article together is its use of mainly primary source
materials. This alleviates some of the risk involved in blindly accepting other historians
interpretations. Also, the scholarly nature of these articles helps to bolster the article’s
This article accomplishes it’s purpose of convincing the reader as to the necessity
of Medicare through the use of contextual and scholarly evidence, as well as through the
well laid-out format. This article would be useful in serving its purpose as a tool to
convince voters as to the necessity of Medicare.


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