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Medicare Under Siege, Yet Stronger Than Ever

Posted: 10/15/2012 2:51 pm

Over the next seven weeks, it will be increasingly clear that Medicare is strong, and that Congressman Paul Ryan's plan to end guaranteed health benefits for seniors is the wrong prescription for America.

Starting today, the nearly 50 million Americans receiving health care through Medicare and new enrollees can sign up for 2013 health benefits that -- without Medicare -- they couldn't afford.

President Lyndon Johnson's vision of a more affordable health care system for seniors is becoming more of a reality.

As he once put it, no senior should "be denied the healing miracle of modern medicine" or have to "crush and destroy the savings that they have so carefully put away over a lifetime so that they might enjoy dignity in their later years."

Medicare began in 1966. And now, thanks to the Affordable Care Act (ACA), its health coverage is better than before. Under the ACA, savings from cutting wasteful spending and fraud will extend the solvency of the Medicare trust fund by an additional eight years.

A lot has changed since Medicare went into effect. New technologies have developed that keep Americans healthier and help them live longer. Medicine has changed. But one thing hasn't: seniors need affordable care. In fact, the rising cost of health care today means seniors need Medicare's protection more than ever.

From today until December 7, during a period called Open Enrollment, Americans 65 and older, those with disabilities and some with diseases, can choose new coverage options or update old plan choices for 2013.

They can learn about new health benefits, increased discounts on prescription drugs and access new tools to navigate a wider selection of high quality options. All are available at www.medicare.gov.

The health care law phases out the Medicare prescription drug coverage gap known as the "donut hole," for example. In 2013, Medicare recipients who reach it will get approximately 53 percent off brand-name drugs and a 21 percent discount on generic drugs -- an improvement from 50 percent off brand names and 14 percent off generics this year.

For a beneficiary with urgent health needs, these savings are significant.

Nevada seniors in the "donut hole," for example, saved over $26 million on prescription drugs costs under health care reform. Next year, seniors across the country in the "donut hole" are projected to save over $720 on their drug costs.

Beneficiaries who want to switch coverage plans can mix and match options. If they want to quickly pinpoint the highest quality plans, Medicare offers 21 more "four or five-star" Advantage plans this year than last, and 13 more "four or five star" prescription drug plans. The star rating system for Medicare Advantage plans, a program that helps seniors asses the quality of private insurance providers, began under the Affordable Care Act.

Keeping quality health care affordable was one of our top goals in writing the Affordable Care Act in Congress. Since it passed in 2010, Medicare Advantage premiums have fallen by 10 percent and enrollment has increased by 28 percent.

Yet despite these benefits, Medicare is under siege.

Congressman Paul Ryan has a budget proposal that would replace guaranteed Medicare benefits with a voucher.

His plan would trade away the health and safety of today's seniors for tax breaks for billionaires, oil companies and corporations that ship jobs overseas.

Turning Medicare into a voucher program, as Congressman Ryan proposes, would increase premiums for most seniors, according to a nonpartisan study released today by the Kaiser Family Foundation. By 2022, the Congressional Budget Office estimates his plan would cost seniors an extra $6,400, on average, for health care.

If Congressman Ryan truly wants to reduce health care spending, he should look no further than the Affordable Care Act. I will never stop fighting to preserve this successful program. I'm proud that Medicare is stronger today than in the past. And as long as I am in the Senate, I will oppose Republican plans to weaken or undermine it.

 
 
 
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Over the next seven weeks, it will be increasingly clear that Medicare is strong, and that Congressman Paul Ryan's plan to end guaranteed health benefits for seniors is the wrong prescription for Amer...
Over the next seven weeks, it will be increasingly clear that Medicare is strong, and that Congressman Paul Ryan's plan to end guaranteed health benefits for seniors is the wrong prescription for Amer...
 
 
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Lightknight1
Taking truth to a dark wasteland.
05:26 PM on 10/21/2012
Senator Reid...I guess you just don't get out much and talk to average Americans . The vast majority of us hate Obamacare. There are all kinds of hidden taxes and regulations in this huge entitlement program that will hasten the destruction of our economy. We consider you to be a disgrace and a menace to the America that we love. Please do us a favor and retire immediately.
02:46 PM on 10/21/2012
I predict that, one day, Obama will be proud that the ACA is called "Obamacare."
08:14 PM on 10/23/2012
He has already said that he likes the name. It also means that Obama Cares.
02:41 PM on 10/21/2012
The elephant in the room is utilization. Addressing it publicly is lethal for a politician. We spend way too much on care of the oldest and sickest while way too many get little or no care.

Halving insurance profits, CEO salaries and doctor pay won't solve the problem. BTW, don't forget RN's, they are very well paid in the US. Besides, despite the rhetoric, CMS(Medicare and Medicaid) have strained but necessary partnerships with the private sector. For example, drug costs will never be controlled without a closed formulary, and at present private insurance administers most of those. Yes, "administrative costs" that Medicare needs but doesn't pay. That will limit drug choices and they already do it in other countries.

The current political offerings BOTH intend to shift costs to seniors, Vouchers by forcing seniors to buy supplements for more services, ACA by forcing the cost of Medicare Advantage supplements up. Medicare Advantage is similar to vouchers BTW, Medicare pays a fixed price to insurance companies who compete to offer supplements at the right price point for service.
02:41 PM on 10/21/2012
Harry has lied so many times about so many things. Who is going to believe this little story.
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Fredday
Nyak Nyak Nyak
08:38 PM on 10/21/2012
Prove this story wrong.

You can't.
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Jay Daterman
Dump The Teapot
01:29 PM on 10/21/2012
Teapubs want kill Medicare as they have wanted to do since 1965. That voucher stuff is just a bug chewed fig leaf to temporarily cover their real objective.

Teapubs want to kill ACA and "replace" it with nothing worthy of thought much less benefit.

Teapubs are the angels for corporate profit and the Freddy Krugers to social programs that help people.
02:42 PM on 10/21/2012
little girl name calling is just so erudite. It must be awe inspiring just to be in the same room with a clever wit like you. Wow!
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Jay Daterman
Dump The Teapot
03:28 PM on 10/21/2012
Name calling illustrated truth about the teapub agenda. I thought right wingers liked name calling. They use it routinely. Seems for them it's a one way street.
11:50 AM on 10/21/2012
Thoughts and questions from suburban Texas: Health and Welfare of America

Thanks to this article and the many individuals and groups that help this program progress. It's no doubt that the next generation will have to re-tool and create their own systems for the health and welfare of our future citizenry. We certainly have the intellect and the knowledge to do it. For today, we have this program which helps sustain a very important part of our lives today.

With implementation of new laws and increased tracking and conviction of fraudulent activities this will certainly add to the quality of the program. There is also assurity that, as we move forward there will be tweaks throughout the whole of the Affordable Care Act and increased management tools to assist to making Social Security, Medicare, Medicaid and included programs better and bring to the current and future citizens of this great country to feel even if just a little better for this important part of their future.
07:41 AM on 10/21/2012
The ACA puts pressures on health care costs, and accountability, where the Romney Ryan plans are to eliminate any controls to futher insure the big profits for big insurance, and big pharma. They want a capitalist approach to everything, which is for the corporations to do as they please without regard to the consumer, or regulations to go by. They only support profits and promise more tax givaways for campaign contributors. In other words they'll sell you out for the wealthy and corporate to rake in even greater profits,and money to buy their election, and our democracy.
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Wayne Caswell
Consumer Advocate & Founder of Modern Health Talk
12:43 PM on 10/21/2012
The ACA takes important steps in reducing healthcare costs and addressing the underlying need for medical care in the first place. It also helps drive economic growth by allowing workers to seek better jobs or start new businesses without worry about getting insurance coverage due to preexisting conditions. But there's still more work to do in finding optimal ways to care for everyone while exploiting the complementary motives & incentives of both Public and Private entities. See http://mhealthtalk.com/2012/08/hybrid-model/.
07:23 AM on 10/21/2012
If Ryan truely want to decrease spending then he needs to reintroduce legislation to update the medicare prescription law they passed under W Bush. The thing is they left out the part that drug prices could be decreased by competitive pricing, which he and his other Republicans voted against. The VA has it, and its saving are quite good,, and with no problems from its use, yet Ryan and his Republican buddies wouldn't include it in their bill. Another demostration of Paul Ryan's rhetoric and actions completely different. His claims of reducing spending are distorted talking points he likes to use, but he won't tell you the spending cuts will be for the middleclass and poor, the elderly, and disabled, while he promotes giving away more to the wealthy. Romney and Ryan's propaganda is very misleading, and the only winners from a Romney/Ryan ticket are the wealthy and corporations that'll be given even more from the least who can afford to give. Thank you Sen. Reid for standing up for us, and fighting against these Republicans who have become so greedy and corrupt.
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06:44 AM on 10/21/2012
Insurance companies make as much in profit as they pay out in claims, that's why health care costs twice as much in this country as it does anywhere else, and yet our overall health care is rated #37 Internationally.

Capitalism is supposed to work by competition forcing down prices. This is not working in America because corporations buy up each other until just few dominate and rule like monopolies where they have tacit agreements to keep profit margins fat.

Once implemented, the ACA will put pressure on the insurance companies to compete on price, instead of using "death panels" as they currently do to deny coverage to people.

The Constitution does not guarantee a fat profit to corporations. Insurance companies are some of the most profitable corporations and yet they don't add any value to the product! They're parasites which suck a big fat margin of profit off the top. If the ACA doesn't push them toward competing on price as a mechanism in capitalism, then I say kick em out and have a single payer system which just about every other country has and which is working in just about every other country.

There's a reason Health Insurance Companies donate so heavily to Republican candidates. Think about it.
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Tony Sanchez
03:32 AM on 10/21/2012
Ryan can expect a voucher instead of a vote. Lets see if it's counted at the polls.
ga conservative
Now in TX..
01:03 AM on 10/21/2012
Only Reid would call something a successful program when it hasn't even been fully implemented yet. I guess when you pass it to see what's in it you can declare victory before it even really starts.
02:42 PM on 10/21/2012
Reid lies.
This comment has been removed due to violations of our [Guidelines]
05:06 PM on 10/18/2012
Come on Harry. You know what you really want is every current and future medicare user to flip over to medicaid! You old so-and-so...get out of the way and let some real leaders take over.
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Wayne Caswell
Consumer Advocate & Founder of Modern Health Talk
01:06 PM on 10/21/2012
Healthcare should NOT be a divisive political issues, and I believe it's morally wrong to profit (politically or financially) from the misfortune of others. This brings me to insurance companies who add nothing to the healthcare system but costs and have perverse incentives to drive UP those costs to justify higher premiums, or to deny care to reduce expenses. They continue to promote a "sick care" system that views patients as paying customers, works to keep them with lifelong treatment of symptoms, and pay practitioners for each test, drug and procedure. ACA is a good step toward addressing those issues.
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heron77
Drive on the right
04:28 PM on 10/21/2012
Health insurers are the only ones in the insurance industry that have overwhelming government control. Life insurance, homeowners insurance and car insurance all operate without government intervention and serve the public well. There is a lesson here.
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jstrate
12:35 AM on 10/17/2012
The Senator makes some good arguments but the country really needs a health policy, not more health care. Nanny speaking: Exercise more, eat real food (stuff that will eventually rot), lay off the sugar and soda and pasta, get your shots, wear your seat belt, stop the poisons (alcohol, tobacco, drugs) and the people of this country would be healthier and the government would not need to worry so much about soaring health care costs. Probability of people changing their bad habits? Close to 0.00.
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skylark
Tangled up in blue..
04:46 PM on 10/17/2012
So doing all that will mean that people's bodies don't wear out with age? It will prevent arthritis, liver or kidney cancer, glaucoma, MS, Parkinsons, cataracts, spinal degeneration? Your post is out of touch with reality, and just wants to blame the victims. Why is it fine that every other industrial country in the world has a national health system, and all the US has is the highest number of health care related bankruptcies in the world?
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Wayne Caswell
Consumer Advocate & Founder of Modern Health Talk
12:50 PM on 10/21/2012
It's easy to blame individuals for bad or risky lifestyle choices, but there are often social issues underlying them. Public health officials, for example, can reliably estimate weight and obesity levels by zip code and have noticed lifespan differences of 20 YEARS or more between poor neighborhoods on one side of town and affluent ones on the other.
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heron77
Drive on the right
04:32 PM on 10/21/2012
Lying around getting government checks means lying around watching TV and eating unhealthy snack food. Before welfare and the War on Hunger and Poverty, most people were out working even though they were poor. Now the poor die early because of obesity and not having to work. Is the government responsible?
08:11 PM on 10/16/2012
It appears that the only people who don't like the ACA are those who have health insurance. Those of us who don't have insurance because we can not afford it welcome it. I am sure there will be bugs to work out but if it saves lives and helps fellow Americans, isn't it worth it?
05:08 PM on 10/18/2012
Of course you like it...it's free for you, costly for me! Too bad people like yourself didn't look out for their future years ago.
02:29 PM on 10/19/2012
Who said anything about free? Affordable is what I want. When you have a disabled wife, and your employer does not offer healthcare, a policy would cost us about $900 a month. You should count your blessings and stop being so callous and heartless.
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Wayne Caswell
Consumer Advocate & Founder of Modern Health Talk
12:57 PM on 10/21/2012
Even those with insurance should welcome the ACA, but they often don't understand the benefits of prevention and ensuring that everyone is covered so they don't have to rely on the ER, which is far more expensive.
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heron77
Drive on the right
04:37 PM on 10/21/2012
Who says they rely on the ER? The hospital will bill them if they go there, which they might in a life threatening event. Otherwise they use clinics and pay as you go or self treat when they can. The only ones abusing the ER are Medicaid recipients that use the most expensive part of the facility for head colds