The GOP Attack on Medicare and All Health Care Remains in Place Even Now

Most of us unfortunately remember how, when DJT was in office, he and most of his GOP did all they could to undermine Medicare, and health coverage in general for most Americans. This effort to undermine healthcare continues.

 

One largely unknown aspect of this was proposed by the Center for Medicare and Medicaid Innovation. Medicare is administered either by the traditional government Medicare fee-for-service program or by a private Medicare Advantage plan. Under DJT, a new process for managing fee-for-service program benefits was started, called the Direct Contracting pilot program. Helaine Olen, writing in the Washington Post, said advocates of this program claimed it would lower the price the government paid for Medicare coverage while improving care.

 

But in fact, she showed it does the opposite. It increases what insurers get paid yet results in more limits of coverage for those enrolled. It increases bureaucracy and the financial burden on the Medicare trust fund. It protects the insurance companies over the insured. It increases the leverage that private equity firms have over Medicare. It can lead to more people being shifted from traditional Medicare to Advantage plans, to the privatization of Medicare and an enormous worsening of health care for seniors and eventually, everyone not a millionaire.

 

The Biden administration stopped the most egregious version of this, but only for a year. In certain areas of the country, it would have automatically enrolled seniors in a Direct Contracting fee-for-service program. But why haven’t they ended this for a longer period? The original Build Back Better bill would have improved prescription drug coverage and other aspects of Medicare. Is President Biden waiting to see what happens with this bill?

 

Recently, on 12/15, a New York state judge ordered New York City Mayor DeBlasio to hold up on switching the health insurance plan for retired city workers to an Advantage plan until April, 2022. Why? Aside from confusion about the plan, many retirees argued that the switch to private insurers would lead to inferior care. Also, that retirees should not be automatically switched but given the opportunity to opt out of the plan.

 

Medicare Advantage plans, first introduced in 1997, might sound good, at first. They combine Medicare Part A (hospitalization), Medicare Part B (medical insurance), and often Part D (prescription drug coverage) into one plan, and often add coverage not provided by traditional Medicare, such as vision, hearing, and dental.

 

However, as Investopedia argued, the problem is in the details. Sick people might find their costs skyrocketing due to copays, deductibles, and out-of-pocket expenses. The plans limit choice of providers and how they pay hospitals.

 

The local retired teachers plan is Medicare Advantage and is decidedly mixed. Fellow retirees have reported a variety of troubling problems: for example, prominent hospitals were unwilling to accept the insurance, coverage for physical therapy was not fully recognized as a treatment for Parkinson’s, it was difficult for some of us to get a prescribed medication covered, etc. A member of our group of retired teachers shared a government report stating “Medicare Advantage Plans have an incentive to deny preauthorization of services for beneficiaries, payments to providers, in order to increase profits.”

 

A universal healthcare plan or expanded Medicare would be the most comprehensive solution. But the opposition to it by the DJT GOP and others is so entrenched and malignant we can barely hold onto what we have….

 

*To read the whole post, please click on this link to The Good Men Project.

January 6th. Light a Candle, Carry a Sign, Call Congress.

January 6th. Another day of infamy. Another day that must never be forgotten or allowed to be repeated. A day that, if we act, today and tomorrow⎼ If we find within ourselves the way to make political and social action a normal part of our day, then we can stop the theft of our rights and destruction of our world. We can end the pandemic. Even small things, signs on our cars, phone calls to Congress, letters, giving aid or support to others, talking honestly with neighbors and friends, wearing masks. Doing something helps us feel we can do something. Join with thousands of others who today will light a candle and carry it in a demonstration or put it in their window.

 

Then call Congress to end the filibuster and pass the Voting Rights Protection Act and the John Lewis Voting Rights Advancement Act. Then Build Back Better. Help put out the flames of hate and global warming. Today.

Putting Out the Flames: A Frightening Letter to Awaken the Conscience of Senators

 

A reader of my blogs shared with me a frightening letter. He felt something must be done, or that he must do something. He wrote by hand, to two Senators, Joe Manchin and Kyrsten Sinema, and sent the correspondence to the Senator’s offices. He also sent copies to a few media outlets hoping to motivate thousands of similar letters. Making a phone call, he thought, was ok. But a handwritten one is so old school and personal.

 

Here is the letter:

Dear Senators Sinema and Manchin,

Please vote for the voting rights bills now in Congress. Donald Trump is supported by people who call themselves Nazis. They praise Adolf Hitler and glorify war. If Trump wins again he will declare himself dictator, ending democracy forever. We must assume this because they will kill people we love.  

Senators Manchin and Sinema, when they start killing Democrats and minorities, the Republicans will let you join their party. You and your loved ones will be safe. For the love of my family and millions of families worldwide, please pass the voting rights bills.

Thank you,

 

His letter certainly expresses the fear he is feeling, not only for himself and his family, but for all of us. He sent it to awaken the conscience of these Senators, so they’d finally help put out the flames that are burning this nation and our world ⎼ or so they’d at least stop fueling the fires with their opposition to crucial legislation.

 

There is no doubt our nation and world are on fire. We know this, or many of us do. I think secretly we all know this. It’s hard to miss the fires that burned forests and homes in much of the western part of our nation this year and the recent past. It’s hard to miss sidewalks and roads that melted this past summer, record droughts, record windstorms and tornadoes that struck just a few weeks ago. Unless maybe we think they will only happen to someone else. They happen to all of us, one way or another, one disaster or another.

 

It is hard to miss the hate that too often walks our streets, or even our schools and workplaces. People shot or attacked. For being Black, Brown, Asian, HGBTQ, Jewish, Muslim, Native American ⎼ or a woman. They attack women who just want a choice as to what happens with their own body, or who want healthcare and rights equal to men. In Texas, the GOP passed a bill that could lead to mob violence against women and those who support them….

 

*To read the whole article, please click on this link to The Good Men Project.