Wednesday, January 11, 2012

Beneficiary Satisfaction, Medicare-Fix Myths, Medicare Age Increase, Cost Effective Medicare


Medicare Beneficiaries Well Satisfied

"A vast majority (82 percent) of our nation's middle-income Americans on Medicare say that they are extremely or very satisfied with Medicare's access and quality of healthcare, according to a new study ...."  "The study, Retirement Healthcare for Middle-Income Americans, which focused on 400 pre-Medicare Boomers (age 47 to 64) and 400 older adults (age 65 to 75) with an annual household income of between $25,000 and $75,000, found that only two percent of Americans on Medicare are not satisfied with the access and quality of healthcare Medicare provides."

"For pre-Medicare Boomers, the numbers are not as favorable.  Less than half (46 percent) report being extremely or very satisfied with their access and quality of healthcare and one-fourth (24 percent) are dissatisfied."


This study has a different approach than many; it's not just a popularity contest -- "How do you like Medicare?"  This study actually measures consumers' satisfaction with access and quality -- two key measures.  It doesn't get any better than that -- i.e., Medicare.  Shouldn't the private health insurance industry try to emulate Medicare?

How Not to Fix Medicare

"Here's a political proposal that sounds reasonable: Fix struggling government entitlement programs by cutting the benefits of rich people, who don't need them anyway."  " . . .GOP presidential candidates have endorsed cutting entitlements for the wealthy, and President Obama has flirted with it, too.  But as seductive as it sounds, the math on means testing entitlements just doesn't work, because there aren't enough wealthy seniors to solve the long-term problems of either Medicare or Social Security."

Looks like the rebuttal is simpler and easier to understand than one would have thought.

What Happens With Older Eligibility for Medicare

"A new Congressional Budget Office report details the likely impacts of gradually raising the Medicare eligibility age from 65 to 67, which President Obama privately offered to do last summer but has since backed away from."

"Though the policy would save $148 billion from 2012 - 2021, the impacts on seniors illustrate why some progressives are happy that the President’s effort to reach a 'grand bargain' with Speaker John Boehner (R-OH) ultimately failed.  In short, uninsured rates would rise, as would their out-of-pocket costs, and their access to care would be diminished."


Medicare Is Cost Effective

"Last year, both the Congressional Budget Office and Standard & Poor's reported that the growth of costs in Medicare has slowed significantly, much more slowly that the growth of costs for private care.  Turns out, it's not just a one-year trend."  "Despite competition and choice in the private insurance system, Medicare spending has grown more slowly than private insurance premiums for comparable coverage for more than 30 years."

"Which proves the problem with plans like Wyden-Ryan, or just plain old Ryan, which has been embraced by just about every House Republican, and most GOP presidential candidates.  In four decades of data, there's no evidence to suggest that competition in health care has done anything to bring costs down.  Rather than working to figure out how to make Medicare work more like private insurance, policy-makers need to be figuring out how to get more people in Medicare."




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Tuesday, January 10, 2012

Medicare at the Debate, Santorum & Medicare & Social Security, GOP: Same Story


Hopefuls Talk Medicare

From Kaiser Health News:  Romney, Santorum, Others Call For Medicare ‘Premium Support’ In New Hampshire GOP Debate  "While health care issues did not take up much of Sunday morning's debate, the candidates agreed that Medicare should be a Rep. Paul-Ryan-style 'premium support' system and former Mass. Gov. Mitt Romney said that, in the future, he believes wealthy Medicare recipients should have to pay more for the program."

Must reading (a transcript of those parts of the debate that included some discussion of health care) if you want to better understand how politicians try to have it both ways to get as many votes as possible.  And, it's absolutely clear that Medicare is in the crosshairs of the Republican candidates.  Given the chance, they will morph it into a very different and far less effective program.  The usual good work of KHN.

Santorum: Both Ways on Medicare

"Ever since Republicans in Congress voted overwhelmingly for Paul Ryan’s budget, the GOP has expected its leading Presidential candidates to back a similar Medicare privatization scheme.  Most of them have followed suit.  Rick Santorum is trying to have it both ways."  "'I’ve been campaigning around the state, you know, we should have the same kind of health care that members of Congress have,' Santorum said.  'Well, that’s pretty much what Paul Ryan’s plan is.  It’s a -- the members of Congress have a premium support model.'"

"If he truly supports the original Ryan plan, then he’s misleading seniors about how expensive his plan will be for them.  If, by contrast, he wants seniors to enjoy the same health benefits as members of Congress, it’s still privatization -- but he’s basically calling for Obamacare for seniors, while simultaneously trashing Obama’s record on health care. "

Santorum Social Security Values

"In the New York Times on Tuesday, David Brooks attributed Rick Santorum's last-minute surge in the polls to the appeal of his family values platform with working-class whites.  If Brooks is right, then those same voters should take a second look at Santorum's position on Social Security, a program that represents the best of American family values."

"Poll after poll shows that working-class Republicans are just as likely to support Social Security and oppose benefit cuts as Democrats.  According to a July Pew poll, 53 percent of Republicans earning $30-$74,999 called keeping Social Security and Medicare benefits where they are a higher priority than reducing the budget deficit; 62 percent of Republicans making less than $30,000 said the same."

Republican Cuts

From NCPSSM:  The Race to See Who Can Slash Social Security & Medicare Most  "For those of you who’ve been watching the GOP debates, no doubt you’ve heard the same consistent theme we have -- America’s middle class and poor must continue to pay the price for failed economic policies of the past.  Once again, 'shared sacrifice' really just means more of the same.  Cut middle-class benefits to pay for tax breaks for the wealthy."

The Republican Reality-Free Zone


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Monday, January 9, 2012

2011 Congress, 2012 Medicare, Wyden Gains Republican Support, Santorum Once Loved Medicare


The Republicans in 2011

"The Democratic Congressional Campaign Committee hit healthcare harder than any other issue in a statement criticizing the first year of the Republican majority.  Arguing that Republicans aren't focused on jobs, the DCCC cited 21 floor votes on healthcare measures, including proposals to privatize Medicare and repeal all or part of Obama's healthcare law.  The DCCC statement faulted Republicans for 'nearly shutting down the government so they could defund Planned Parenthood [and] ending Medicare so they could protect tax breaks for Big Oil.'"

And TMDR followed the "action" (and inaction) as Congress made little progress in 2011.

Medicare in 2012

"It’s not the general election yet, but we already know what one key issue will be: Medicare.  Republicans in the House voted to basically end Medicare as we know it, a position Mitt Romney fully embraced in December.  Progressives think it’s never too early to remind voters where Republicans stand on the issue.  The Progressive Change Campaign Committee and Democracy for America are raising money to air an ad on the issue during the two debates this weekend.  The ad, which aired this June, is aimed at New Hampshire Rep. Charlie Bass who voted for the Ryan plan -- and who endorsed Mitt Romney."

This is the start of a theme we will hear over and over again this campaign season.  And, it's time for you to work on your own pitch when you talk with people who want to repeal Medicare or to weaken it.  Most likely, they simply are uninformed or ill-informed about what the Conservative Republicans want to do to Medicare.  Go out and educate everyone you can.

Republican Support for Wyden

"Sen. Ron Wyden, D-Ore., has put himself in the middle of the debate over Medicare.  He and Republican Rep. Paul Ryan of Wisconsin have introduced a bipartisan proposal to reform the program. So far, Wyden's proposal is getting more support from Republicans than Democrats."  "Republicans are openly praising Wyden for the collaboration with the conservative congressman."

Santorum Used Medicare

"In the years before he lost his Pennsylvania Senate seat in 2006, Rick Santorum worked hard to win hundreds of millions of dollars in additional Medicare money ....  He sponsored at least two Senate bills and pushed to amend a mammoth Medicare overhaul to include the extra spending, which would have benefited Universal Health Services, a Pennsylvania-based hospital management company ....  If it seems at odds with the small-government philosophy Mr. Santorum now espouses in his presidential campaign, it was in line with his legislative efforts to help businesses in his state.  And some of those businesses were happy to return the favor.   Within months of leaving the Senate, Mr. Santorum joined the board of Universal Health Services, where he collected $395,000 in director’s fees and stock options before resigning last year."

The Republican Reality-Free Zone



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