Medicare is a social insurance program that serves more than 44 million enrollees (as of 2008). The program costs about $432 billion, or 3.2% of GDP, in 2007.
The definition of an institution is an established custom or practice, or a group of people that was formed for a specific reason or a building that houses the group of people. 1  Marriage is an example of a cultural institution. 2  A town council is an example of an institution of government.
Institution-building is nation-building. The abiding purpose of any institution is to unravel remarkable possibilities of contributing through a collective process, which is the bedrock of its existence.rue indeed. The way forward would be governed by a shared vision, strong focus on execution, measurable outcomes, accountability and transparency-paving the way in creating sustained institution-building and enhanced equity of the enterprise.