Alliance for Retired Americans  The Alliance for Retired Americans (ARA) is a nonprofit, nonpartisan organization of retired trade union members affiliated with the AFL-CIO and the Change to Win Federation, as well as non-union, community-based members. Its predecessor organization was known as the National Council of Senior Citizens(NCSC). As of 2020, the Alliance has 4.4 million members nationwide and has state programs in 39 states. It has 1,500 local chapters. The labor movement in the United States had promoted health insurance for the poor and indigent since the 1920s, but little legislative interest had been taken in the American Federation of Labor's proposals. The political environment began to change in the late 1950s. The Eisenhower administration began to study the needs of the aged, and liberal Republicans began to support health insurance for the elderly. As President Eisenhower's administration drew to a close in 1960, planning began for the first White House Conference on Aging, to take place in 1961. The by-now merged AFL-CIO held some influence in the Republican White House. Nelson Rockefeller, then an undersecretary in the United States Department of Health, Education, and Welfare, was planning a political career and wanted to be on good terms with George Meany, president of the AFL-CIO. It was Rockefeller who had primary responsibility for planning the upcoming conference. Meany, meanwhile, assigned Nelson Cruikshank, director of the AFL-CIO's Department of Social Security, to closely monitor Rockefeller. When it came time to appoint a chair for the conference, Cruikshank suggested Robert Kean, a liberal Republican congressman from New Jersey. Although Kean had not supported national health insurance previously, he had supported labor on several Social Security votes, had not opposed national health insurance, was open to new ideas, and sat on the powerful House Ways and Means Committee. If the White House Conference on Aging were to recommend national health insurance legislation, having Kean's imprimatur would be important. Kean was also not likely to use the power of his chairmanship against labor in the conference's hearings or votes on its final report. Working with Rockefeller and his staff, the AFL-CIO then was able to get national health insurance assigned to the committee on income maintenance. The assignment was critical to the AFL-CIO's strategy for moving federal legislation forward, for the AFL-CIO had decided (as a matter of legislative strategy) that any bill should be offered as an amendment to the Social Security Act rather than as a stand-alone law.