How have the concepts of the Medicaid and Medicare programs met with the goals of President Lyndon Johnson’s Great Society in 1965? 

Question

1. How have the concepts of the Medicaid and Medicare programs met with the goals of President Lyndon Johnson’s Great Society in 1965?  Have those goals been achieved in the 21st-century?

2. A key component of the 2010 Affordable Care Act (ACA) is the requirement for evidence-based medicine/care as a component or criteria for physician reimbursement.  How how does physician reimbursement under evidence-based medicine differ from previous Managed Care based reimbursement system?