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Published Online:https://doi.org/10.1176/appi.ps.51.4.465

Editor's Note: As a follow-up to the precedinarticle first published in the October 1965 issue (see page 461), Richard G. Frank, Ph.D., offers an analysis of the evolving Medicare and Medicaid programs and their impact on public mental health care. He shows that many of the themes raised at the 1965 APA conference on Medicare legislation for psychiatric disorders continue to dominate public debate .