Showing posts with label Social Security COLA. Show all posts
Showing posts with label Social Security COLA. 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




Tuesday, June 21, 2016

Sanders' Socialism Makes Its Imprint On Dems With Consensus to Expand Social Security

"The Ron Paul of the left": Why Bernie Sanders is the cranky socialist 2016 needs
Bernie discussing Social Security expansion one year ago.

Despite the existing and persisting hysterical calls of Trumpites to "send Sanders to a Socialist country", and conflating his democratic socialism with the National Socialism of Hitler- Bernie has left his mark. According to a New York Times piece (June 19, p. 14), 'Driven By Campaign Populism, Democrats Unite on Social Security Plan'):

"President Obama, Hillary Clinton and other Democrats are rallying around proposals to expand Social Security and increase benefits, a sea change after three decades dominated over the program's rising costs. The Democrats' new consensus was driven by the populist election year politics of Senator Bernie Sanders and by a realization that many workers have neither significant pensions or any significant retirement savings."


In other words, one of Bernie's socialist platform cornerstones - expansion of Social Security as opposed to cutting it to "make it better" - has now come front and center for at least one political party. This means they will also be prepared to defend the proposal as it wends its way into the Democratic Party 2016 platform.

Of course, what many of the anti-socialist yappers tend to forget or ignore is that Social Security is indeed a socialist program. For example, it increases benefits disproportionately for lower earning  workers, enabling them to secure more in retirement benefits than if their earnings were integrated into a linear scale. Thus, a $12,000/yr. earner who puts in at least his 40 quarters will eventually receive (by age 70) far more by proportion than a $100,000  a year earner who puts in the same time or even double that.

Now, with Social Security expansion, the benefits to lower wage workers and those who have suffered by virtue of not having pensions, or years of littler or no earnings will be even greater if monthly benefits are increased. This, as opposed to enduring a Repuke plan of Social Security cuts to fix it. (Or, as one wit once observed: "Cutting off a runner's leg to make him faster".)

Recall the last momentous change to the system was in 1983 when Allan Greenspan - at the behest of a bipartisan commission - pushed through a plan where spending was trimmed, taxes were raised and the eligibility age (for full benefits) was advanced, i.e. to 67 for all those born after 1959.

But now all that's changed and even a once Neoliberal-tilting President appears to be on board. As the Times noted, back in 2011 and 2012 Obama seriously considered proposals (at the behest of his "Debt Commission") to curtail Social Security's benefits by cutting cost of living increases using the chained CPI. See e.g.

http://brane-space.blogspot.com/2011/07/chained-cpi-yes-for-chainsaw.html

But now Mr. Obama appears to have touched base (finally!) with his inner Socialist, asserting in a speech in Elkhart, Indiana on June 1:

"It's time we finally made Social Security more generous, and increased its benefits so that today's retirees and future generations get the dignified retirement they've earned,"

This is momentous stuff right out of Bernie's playbook and contradicts all the naysaying we heard last year, from the likes of Claire McCaskill.   As noted by Nancy J. Altman of Social Security Works:

"Senator Sanders...has transformed the debate so that expanding Social Security today is a central tenet and consensus of the Democratic Party."

Indeed. The Times (p. 17) observes that among the plans for expansion being considered we have:

- An increase in benefits for widows and those who take time out of the paid work force to care for sick family

- Increase benefits for everyone but with extra help for those considered most vulnerable (e.g. that $12,000 /year worker with three kids)

- Increase the COLA to reflect the fact that older Americans tend to use more health care.

Bear in mind that non-increases in the COLA for several of the last 6 years have effectively meant an increase in Medicare premiums - given the premiums are deducted from one's Social Security check. Hence, without increases in the COLAs the non-increases translate to cuts - since the Medicare premium never decreases.

The only fly in the ointment left is Mr. Obama's seeming Jekyll-Hyde Neoliberal persona which often appears to act contrary to what he says. We already observed it in the case of speaking like a global warming aware Prez - but then approving offshore oil drilling, first in the Arctic now in the Gulf and off the Atlantic.

In the case of Social Security, while he delivered a terrific June 1 speech the Times points out the Senate Dems are "digging in against a Republican nominated by Mr. Obama to serve a second term as a public trustee of Social Security".

Huh?  The guy, Charles P. Blahous III, is definitely no friend of S.S. expansion given he has "undermined public confidence in the program by exaggerating its financial problems".

Worse, this character was one of George W. Bush's architects for Social Security privatization.

We can safely say then that unless: a) Obama retracts the nomination, or b) the Senate Dems pull his plug, the agenda to expand Social Security won't be going anyplace fast.

Still, it's a sign of victory for Sanders' democratic socialism that the Dems have embraced his expansion proposal - even if thus far mostly by talk as opposed to doing the walk.

Btw, what does Donald Drumpf propose? Well, according to his 2000 book, 'The America We Deserve', Social Security is a "Ponzi scheme" and needs to be privatized. Imagine, if you will, how that would have worked out if Bush Jr. had succeeded in doing that ca. 2006 with the financial crash ahead in 2008. The losses and mass poverty in the wake would have been staggering and the system might never have recovered.

Yeppers, we need Drumpf, aka Trump, like a hole in the head.



Wednesday, April 13, 2016

Big PhRma Prescription Drug Hikes: Fleecing Oldsters & Costing Youngsters Jobs



The news in the April issue of the AARP Bulletin ('Prescription Drug Costs Doubled in Just 7 Years', p. 4) was sobering to say the least. The article noted that "the average retail cost of many widely used prescription drugs has surpassed $11,000" - this according to a new AARP Public Policy Institute Report. For those who may not know, that amount is roughly three fourths of the annual Social Security retirement benefit  - and half the median income of someone on Medicare.

To put that in firmer perspective, it means that if Uncle John or Gramps doesn't have enough money for his prescription pills and rent (or food) he may have to go back to work. Hence, the next AARP story (p. 10) that oldsters by 2024 will make up 25% of the workforce, while those under 24 will be reduced to 11.3% cannot be good news for the young. It is basically a case of "Peter paying for Paul". In this case the young 24-year old "Peter" will be hard put to find any kind of a decent job so long as Gramps "Paul" needs it more. Blame it on PHRMA!

There is no good reason why the young, heavily indebted now with college loans - a WSJ piece two days ago cited 3 million now in default and another 3.3. million near it - for a total approaching $200b.  But a lot of this is because so much pressure has been put on oldsters of Social security and Medicare age that they just can't afford to stop working.

In the case of the AARP report, it looked at more than 600 "specialty, brand name and generic drugs most widely used by older Americans from 2006 to 2013."  And through 2012, the "average annual price increase for the selected drugs was from 3.6 to 7.6 percent. In 2013 the average increase was 9.4 percent - with brand name drug jumping nearly 13 percent".

This is atrocious to put it mildly. I already noted, too, my own jacked up drug prices including one for an ear infection (antibiotic drops for over $200 for a less than 0,5cc bottle) and another for gout. Then there was the recent gall bladder attack, for which I needed anti-nausea pills, at literally $5 each. Fortunately, I have enough income from S.S. and an immediate annuity to cover these costs, but many oldsters don't and so have to work - staying in the work force longer and depriving youngsters of opportunities.

The AARP report concluded (ibid.):

"The average retail price for a year's supply of the medications more than doubled, from $5,571 in 2006 to $11,341 in 2013."

Note also, for the bulk of this interval there were either minimal or zero increases to the cost of living allowance (COLA) for Social Security. That effectively meant a cut in benefits, though for sure the corporate media (which have a lot of PhRMA CEOs sitting on their interlocking directorates) won't put it that way.

Meanwhile, the spike in specialty prescription drugs was even greater, at least 18 times more for comparative brand name drugs relative to costs in 2006, and a whopping 189 times than for a comparable generic drug relative to 2006.

PhRmA, of course, denies the obvious but what would you expect? It claims (ibid) the drug prices have been a "consistent share of overall care spending".. What? When you include dogs, sick ponies and snakes?

The AARP Chief Public Policy Officer, Debra Whitman (who I choose to believe) asserts:

"If these trends continue, more and more Americans will simply be unable to afford the medications that they need to get and stay healthy."

Or....they will take jobs that the young could use to pay for them.