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bodenhamer. Medicare: how it works and how it's funded How Medicare works: Medicare is a federally funded healthcare program that helps Americans afford health care. The program was first established in 1965 and it currently enrolls over 80 million Americans. It provides Coverage A, which covers basic needs such as doctor's visits, hospitalization, and medications; and Coverage B, which covers certainservices such as preventive care and surgery. The Medicare Trust Fund was created in 1974 to help finance the program. The Trust Fund pays for health care through premiums and taxes collected from people who earn income above a certain level. Currently, the trust fund is worth around $830 billion. Medicare is funded primarily by taxes paid by individuals and businesses. In 2012, the government collected $16 trillion in income taxes from people across America. This money was used to pay for everything from welfare to retirement programs.