Showing posts with label Medicare Part B. Show all posts
Showing posts with label Medicare Part B. Show all posts

Monday, December 9, 2019

Seniors "Running Up" Medicare and Social Security Tabs? In Fact, Too Many Risk Going Bankrupt

Brane Space: Protecting Social Security in Event of Financial Collapse
"Maybe Elizabeth Warren - a Boomer- will finally raise taxes on her generation which is running up the tab on Medicare and Social Security" -  Joseph Sternberg, WSJ, Sept. 13, p. 15A

"Yeah, I'm turning 65 next year.  Can't wait to go broke  trying to make ends meet with Medicare coverage. I worked 40 plus years paying into a system that will - at some point - kill me.  Yes, I can afford supplemental insurance at this point, but sometime in the future I may not be able to because of deteriorating health as I age."- Denver Post letter writer, Nov. 2, 'The Needs Of Our Seniors', p. 3K

It may stun many people to know that Medicare is by no means a "freebie" or entitlement. First, people have paid into it over a life time at the rate of 1.45%  in FICA taxes per paycheck. This is what appears on your W-2 tax form as "Medicare wages". It is that amount deducted from your pay for Medicare. Thus, it is most certainly not "welfare" and I'd even argue that it cannot be called an "entitlement". 

Second, no genuine "entitlement" would require a beneficiary to cover extra expenses like eye glasses and dental - two aspects that cannot be ignored and can come to thousands of dollars a year.  In addition, no entitlement makes increasing claims on one's budget  - as the Denver Post letter writer complained about - in regard to having to buy supplemental insurance. 

To fix ideas, my Medicare Part B supplemental (Part  B) insurance premium has just gone up to $144 a month.  This is in addition to my private supplemental insurance (which covers hospital procedures and tests Medicare B doesn't) which has now gone up another $30 a month to $273 a month. or $3,276 /yr.  At the same time Janice's private supplemental insurance has similarly gone up to $250/ month. So the total for both of for a year, with just supplemental insurance costs alone is now $5,004 + $4,728 =  $9, 732 for next year.  The Medicare supplemental insurance is offset by increasing the Social Security monthly payments in tandem, but all that means is that there is negligible benefit from any Social Security cost of living (COLA) increase, see e.g.


The Social Security cost-of-living increase is a cruel fraud ...

 



And:

The Mythical Social Security Cost Of Living Increa...


It is clear then, as the LA Times report notes, that current cost of living increases to Social Security are simply "cruel frauds" - i.e. if they can be wiped out with a simple offset.  "Here you go, sir, your Social Security increase for the new year....But...your Medicare supplemental (Part B) is being increased too - just  that amount -  so will be deducted from your COLA to pay for it!"

Lastly, one needs to enroll in a Medicare Prescription Drug Plan (Part D),  critical since you only get one shot getting lower cost access to prescription drugs. Even if you're not currently on any drugs per se, counselors assure you that the best bet is to at least sign into one, in case you have to rely on a prescription (say for blood pressure) later.  Right now I am on a blood pressure med (amlodipine besylate) and a statin (prevastatin) both of which I need to control a tendency to malignant high blood pressure, plus control the condition of hyperlipidemia - the tendency to collect too much fat in blood and liver.  

Fortunately, I can get both as generics so keep the total drug costs down to about $15 a month.  But at the same time, the plan provider (Humana) has now announced  the third monthly annual premium increase in a row - from what used to be ($18 / month), to now $60 a month.  Hence, the monthly premium is now four times what I pay for the actual meds. For Janice the factor is a bit smaller as she takes more meds, but the monthly increase is no less painful. So for prescription drugs alone we are talking about another $1,440 a year.  

Added to the cost of supplemental insurance - and leaving out the Medicare supplemental because it's offset by deduction from the Social Security COLA - that comes to: $7, 716 total.   But this doesn't include any dental or glasses etc. which easily adds another $2, 500 a year for both of us. That makes a grand total of $7,716 +  $2,500 =  $10, 216 a year in premiums and procedures etc. not covered by Medicare.  I show all this to also indicate what costs would be like for anyone who "buys into" Medicare.

Clearly, such proposals on offer from one or more Dem candidates need to be put into realistic perspective that people aren't just going to buy into the program and get a freebie. Not any more than those of us already in the Medicare program.  It can't be otherwise.  As for the 'Medicare for all' pipedream which claims all premiums can be wiped out for millions,  I will believe that when I see it. 

Adding up all these  Medicare -related costs up it is clear Joseph Sternberg (top quote) is talking twaddle when he claims seniors are "running up the tab".  In fact, the tab is being run up on us (including via the Medicare Advantage program which is bleeding traditional Medicare into insolvency.  All one need do is run the numbers to see, in fact,  that Medicare as we now know it fails to work for many retirees, leaving them in danger of going bankrupt.   The corporo-media tends to give that short shrift.  

Point of fact: . A study published this year by Gallup and West Health, a research organization dedicated to lowering health care costs, showed that people over 65 had withdrawn an estimated $22 billion from long-term savings accounts in the previous year to pay for health expenses Medicare didn’t cover.  This is why T. Rowe Price and other investment centers emphasize a retiree today needs at least $250k saved just to cover medical expenses.

Few may recall that Medicare Advantage is the privatized spawn of the  "Medicare Modernization Act" that Billy Tauzin and his Reepo criminal congress forced through back in 2003 - to the cheers of Big PhRMA.  It was no wonder that soon after it passed, Goldman Sachs estimated the benefit to PhRMA ( in terms of corporate welfare), would be over $13.7 b over ten years. It's probably even more now.

Indeed, another vile aspect of the 2003 law was that it barred Medicare from negotiating for lower drug prices like the VA does. The law actually left the negotiating to private insurance companies and pharmacy benefit managers. The very existence of this refuse denied Medicare the ability to drive down prices - and indeed control prices. 

But then many of us at the time suspected the Bushies were behind this recklessly expensive, bogus law as a means to rush Medicare toward insolvency - the better to privatize it. They even embedded a Trojan horse in the law called "Medicare Advantage" which is now spending $12b a year more than traditional Medicare.

Moreover, our money is daily being pilfered, "borrowed" from the Social Security Trust Fund to pay for military -defense spending, as well as other national budgetary incidentals.  The total now owed is estimated at $3.4 trillion.  So it is outrageous that Sternberg could even suggest higher taxes on Social Security beneficiaries.    But this is the skewed political landscape we inhabit now. 

 It's no surprise Sternberg would try to make a specious case to tax Medicare and Social Security given the 207 GOP tax cuts have sent deficits soaring.  So the Reep defenders want some way of replenishing the revenue lost by the reckless tax cuts. But no one with even  a normal intelligence is biting. 


See also:


10 Reasons Medicare Advantage Plans Will Never Meet Our Needs

http://www.smirkingchimp.com/thread/diane-archer/81747/10-reasons-medicare-advantage-plans-will-never-meet-our-needs


And:


Social Security




Sunday, January 17, 2016

How Hillary Blew It By Misrepresenting Sanders' Health Positions


Bernie clarifies his single payer proposal after Clinton lies.

Hillary and the DLC Clinton machine blew it big time by getting daughter Chelsea to act as a surrogate to grossly misrepresent Bernie Sanders' single payer proposals - asserting he'd take down Obamacare as well as ruin Medicare. This shameful act didn't work at all, in fact her boffo, premier performance on the stump backfired, producing a flood of political donations to Sanders.

The lesson to take away? As Bill Moyers put it, "if you're going to send a surrogate to do your dirty work for you,  be sure whereof she speaks, and also make sure she had better stick to talking about her candidate, not the opponent". Unfortunately, Chelsea Clinton misrepresented Senator Sanders’ position, and in the process undermined her mother's campaign - not enhance it.

Sanders' making his health plans understandable (as in tonight's Dem debate) could not have come at a better time given the Centers for Medicare and Medicaid Service in their drug price information report (for Medicare Part D) have now identified 80 drugs that ranked highest by Medicare spending according to a WSJ report from 2 weeks ago ('Drug Price Rises Drive Medicare'). All of this is because the ACA (Obamacare) which Hillary seeks to nix any changes for, will not permit Medicare to bargain for lower drug prices like the VA does.

To put a perspective on the rising costs, as the WSJ notes,  those 80 drugs account "for 33 % of all Medicare Part D spending and 71 % of all spending pm prescriptions by Medicare Part B - which covers drugs administered by doctors' offices?

Frankly this is unsustainable. Worse, according to CMS "540 drugs covered by Medicare  Part D had increases in cost per unit of at least 25 percent during 2014."

Meanwhile, Medicaid is feeling the strain in many states (cf. 'Medicaid at 50: Growth Strains System', AARP Bulletin, p. 36). As for the ACA exchanges, they are dumping people who signed up in good faith  because of cost cutting.. Here in Colorado alone more than 80,000 have lost coverage because the private insurers initially subsidizing the exchanges have pulled out - given the medical costs of the insured have exceeded what they expected and their profit margins have shrunk. If this doesn't show the need for a single payer system I don't know what does.

One of  the canards being circulated, apart from Chelsea's lies,  is:

"Sanders'  single-payer healthcare proposal would cost so much it would require raising taxes on the middle class.”

But as former Clinton Administration Treasury Secretary Robert Reich has noted in a recent blog article:

"This is a duplicitous argument. Studies show that a single-payer system would be far cheaper than our current system, which relies on private for-profit health insurers, because a single-payer system wouldn’t spend huge sums on advertising, marketing, executive pay, and billing. So even if the Sanders single-payer plan did require some higher taxes, Americans would come out way ahead because they’d save far more than that on health insurance."

This is a simple argument Bernie Sanders has made which has been distorted by the Repukian dog whistlers, by Demo Repub Lite centrists and the media.  That is, irrespective of the increase in middle class taxes that will be needed (you can't get anything for free!) the costs will still be significantly less than they'd pay in ever higher private insurance premiums. Thus, Sanders has referred to the higher needed taxes as a "public insurance premium" which it is.

Besides, wouldn't you rather pay such a "premium" yearly than suddenly have your private insurance costs skyrocket or be dumped from a healthcare exchange like those here in Colorado?

It would seem to be a clear 'no brainer'.

As usual also, Americans have the memory of gnats and many forget Hillary was foursquare for universal health coverage - not just federal "Romneycare" as long ago as 1993. But the hysterical Repuke reaction and disgraceful ads from the medical lobby forced a pullback. The point is, it is rather hypocritical for the Clintons to now try to smear Bernie when they were backing exactly the same thing he wanted back then. As Bill Moyer put it in a recent smirkingchimp.com piece:

"Here’s an ironic note: During that 1993 quest for a health care plan, Secretary Clinton sent Sanders an autographed picture of the two of them, wishing him the best and thanking the senator “for your commitment to real health care access for all Americans.”

But now, all of a sudden, she wants to go "pragmatic" because it suits her campaign and convenience, i.e. to have a point of departure from Sanders' own proposals which he has remained faithful too. While Hillary understands her Wall Street benefactors would never be happy with any health care system not run on profits.

Tonight's showdown between Sanders and Clinton ought to be interesting, to say the least.

See also:

http://www.smirkingchimp.com/thread/robert-reich/65576/six-responses-to-bernie-skeptics