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

Thursday, October 13, 2016

Big Pharma Lobbyist - Prescription Drug Bill Allow Drug Company To Charge Medicare/Medicaid $1,000.00/Pill For Drug That Cost $1.00 To Make

Hepatitis C Drug Cost $1 to Make - Iliad Sciences Charges Medicare $1,000.00/Pill

Photo credit to KTTN/KGOZ Radio

John A. Smith, Founder/Editor, October 13, 2016

Why Can't Medicare Negotiate Drug Prices

     It started in 2003 when Medicare was expanded to include medications. George W. Bush and Republicans sold out to Big Pharma payoffs and forced the passing of the Medicare Prescription Drug Improvement and Modernization Act. (aka the "Prescription Drug Bill.") The vote was unprecedented because as the vote was going on and the Republicans seen they might not have the votes to pass the bill, they held the vote open for hours. While holding the vote open for hours they "twisted the arms" of their own members by telling them that if they didn't vote to pass the bill the Republican Party would run someone against them in a primary in their next election. Once they got the required votes they quickly ended the voting.


Medicare Prescription Drug, Improvement, and Modernization Act
Great Seal of the United States
Long title An act to amend title XVIII of the Social Security Act to provide for a voluntary prescription drug benefit under the medicare program and to strengthen and improve the medicare program, and for other purposes.
Acronyms (colloquial) Medicare Modernization Act or MMA
Citations
Public law 108 - 173
Legislative history
  • Introduced in the House as Medicare Prescription Drug and Modernization Act of 2003 by Representative Dennis J. Hastert on June 25, 2003
  • Passed the House on June 27, 2003 (216 - 215, 1 Present)
  • Passed the Senate on July 7, 2003 (Unanimous Consent)
  • Reported by the joint conference committee on November 21, 2003; agreed to by the House on November 22, 2003 (220 - 215) and by the Senate on November 25, 2003 (54 - 44)
  • Signed into law by President George W. Bush on December 8, 2003

So Who Profited From The Bill? - And Who Lost? 

The Winners 

     The biggest winner is obviously Big PharMa. After passage of the bill they could charge Medicare and Medicaid any price they wanted for a drug. A common heart medication that cost Medicare $234/yr immediately went to $1,600.00/yr. This went on right across the board.

  (From Wikipedia:)   "W.J."Billy" Tauzin, the Louisiana Republican who chaired the Energy and Commerce Committee from 2001 until February 4, 2004 was one of the chief architects of the new Medicare law.[6][7] In 2004 when Tauzin was appointed as chief lobbyist for the Pharmaceutical Research and Manufacturers of America (PhRMA), the trade association and lobby group for the drug industry with a "rumored salary of $2 million a year,"[6] drawing criticism from a Washington-based Public Citizen, the consumer advocacy group."


     In fact, all 29 original sponsors of the bill, within 2 years of the bill passing, were either lobbying or directly working for a pharmaceutical company with a hefty salary. 

The Losers: Taxpayers

     Costs:  The Republicans knew very well that passing this bill was going to give Big PharMa a gigantic windfall due to the fact that Medicare would not be able to negotiate drug prices even though they should have the biggest "buying power" on this earth and under-played what the cost would be. (From Wikipedia:) "Initially, the net cost of the program was projected at $400 billion for the ten-year period between 2004 and 2013. Administration official Thomas Scully instructed analyst Richard Foster not to tell Congress of Foster's finding that the cost would actually be over $500 billion. One month after passage, the administration estimated that the net cost of the program over the period between 2006 (the first year the program started paying benefits) and 2015 would be $534 billion.[14] As of February 2009, the projected net cost of the program over the 2006 to 2015 period was $549.2 billion.[15] ."  

In That Bill Was the Provision That Medicare and Medicaid Could NOT Negotiate Drug Prices 

     The Veteran's Administration did well in refusing to give their right to negotiate drug prices away and was able to stay out of this. However Medicare and Medicaid had no choice and the Republicans gave that right away. 

     "Through 2012, Medicare Part D added $318 billion to the national debt (see “General Revenue” on Page 111 in the 2013 Medicare trustees report). That same report projects that Medicare Part D will add $852 billion to the debt over the next 10 years." READ MORE: Medicare Part D: Republican Budget-Busting  

     Former President George W. Bush LIED  to Congress and the American public. "  The Bush White House lied to Congress about the cost. Within two months of signing the Medicare Modernization Act (MMA) into law, President Bush quietly informed Congress that the true cost of the program would be $550 billion, not $395 billion, over the next decade. When Medicare actuary Richard Foster sought to present the true price tag to Congress in late 2003, then agency chief Thomas Scully threatened to fire him. By the time the program was launched in 2006, the estimated 10 year price tag for the Medicare prescription plan had increased to $720 billion."  To attack Obamacare, Republicans forget the lessons of Bush's Medicare reform

George W. Bush Lied to America About This Prescription Drug Bill Just As He Did About Iraq To Get Us Into War That Killed More Than 4,000 U.S. Troops - Only This Time It Was To Give Big Pharma and Republicans A Windfall! 

From: Prescription Drug Bill: The Good, the Bad, and the Ugly, Brookings

     "The House voted first. At the end of the customary 15 minutes allocated for electronic voting, the bill seemed to be failing. The Republican leadership held open the voting for nearly three hours until they succeeded in arm-twisting a few G.O.P. opponents into switching their votes from nay to aye. A few Democrats were ready to shift their votes into the negative column, but their leadership failed to get them back to the floor in time, and the chair gaveled the vote closed. The bill passed the House by a single vote."

     "The Democratic opposition was breathtakingly mismanaged. That hoary quip by Will Rogers—”I do not belong to any organized political party; I am a Democrat”—never seemed more apt."

      "The bill indisputably and significantly deepens an already horrendous fiscal mess. Plausible projections indicate that over the decade 2005-2014 cumulative federal budget deficits will run to about $4.7 trillion. The Medicare bill will add just under $600 billion in that decade and $1.5 to $2 trillion in the succeeding decade, when deficits will explode. Closing these deficits would require either reneging on these benefits or enormous tax increases." READ MORE

     The biggest thing that bothers me, there are many, is that 29 original Republican sponsors of this bill left public service and were given jobs by large pharmaceutical companies for payment, for getting this bill passed. It will cost taxpayers Trillions of dollars and individual Medicare recipients much more. The former President Bush outright lied, just like he did after sending Ambassador Joe Walsh overseas to find out if Iraq had purchased a large amount of material to biuld nuclear bombs. When Joe Walsh came back and told him there was no way that Iraq could have bought the materials former President Bush went on TV and to Congress and outright lied and said yes, they did make that purchase and we went to war. When Joe Walsh couldn't keep quiet about such a lie he went public and the Bush administration attacked him and his family. They first exposed his wife Valerie Plume as being a CIA operative which not only put her in danger but also many other CIA operatives, but they didn't care, they needed to stop him from telling the truth. You might remember Scooty Libby, a close friend to the one pulling all the strings Dick Cheney. Dick Cheney got very mad at Bush for not giving Libby a pardon in his conviction of what they did to Valeria Plume and Joe Walsh. Bush and Cheney were angry at each other ever since then, and never really put up with each other after that. Those 29 Republicans who sponsored the bill and took jobs with large pharmaceutical companies for payment for passing the "Prescription Drug Bill" all left public service within two years of passing the bill and are all making millions of dollars a year, while taxpayers and Medicare recipients are paying trillions of dollars for their injustice.

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Friday, January 10, 2014

War on Poverty 50 Years Old

War on Poverty 50 Years Old - President Johnson Declared the War on January 8, 1964 During His State of the Union Speech

President Lyndon B. Johnson State of the Union Speech January 8, 1964
 President Lyndon Johnson stood in the Capitol on Jan. 8, 1964, and, in his first State of the Union address, committed the nation to a war on poverty.

 "We shall not rest until that war is won," Johnson said. "The richest nation on Earth can afford to win it. We cannot afford to lose it."

 There are currently 46 million Americans living below the poverty line. Take that in for a moment, Forty-Six (46) Million Americans. For a single parent with child the poverty line is $15,510/yr, ($1,292.50/mo or about $300.00/wk.) For a family of four the line is at $23,550. See the entire 2013 Federal Guidelines at Families USA

 On Nov. 22, 1963, just hours after Kennedy was assassinated, Johnson was meeting with advisers in Washington to get the affairs of state in order. The chairman of the Council of Economic Advisers, Walter Heller, mentioned to Johnson that under Kennedy, he had begun looking at ways to help those in poverty — about 1 in 5 Americans at the time. The new President, historian Robert Caro told NPR's David Greene wanted to go "Full Tilt" on the program.

 That ambitious initiative would help Johnson politically. Many liberals, who had rallied around the cause of poverty, were suspicious of him — but it was something he knew the pain of personally.

 His father failed. He once had been a very respected state legislator and businessman, and he totally failed. And as a result, for the rest of his boyhood, Lyndon lived in a home that they were literally afraid every month that the bank might take away. There was often no food in the house, and neighbors had to bring covered dishes with food. In this little town, to be that poor, there were constant moments of humiliation for him, and insecurity. It was a terrible boyhood.

 He says, President Johnson, [the causes of poverty may lie]  "In a lack of education and training, in a lack of medical care and housing, in a lack of decent communities in which to live." These were to Johnson real-life foes, and Johnson knew what to do with enemies: You destroyed them. So he loved the word "war."
READ MORE: "For LBJ, The War On Poverty Was Personal" by NPR Staff.
 
 Unless your over, say, 55, you probably wouldn't remember the poverty that existed then. The same way that the ultra-rich can't really understand how little people live on in this country, and how hard it is to just survive, you can hardly the poverty was shared by both black and white equal measure. When you heard Former Presidential candidate Mitt Romney talk of the famous "47%" it was because he truly believed what he was saying because he had never lived not knowing where his next meal was coming from. From time-to-time you will see the media ask a politician how much a loaf of bread, or gallon of milk cost, often, they don't know. I remember seeing a news report in New York that I never forgot. They had discovered a 14 year old boy, who was attending public school that when he wasn't in school he was kept in a coffin at home. He ate and defecated in the coffin. For obvious reasons the boy was introverted and when asked the most obvious question of all by the media he said "I thought everyone lived the same way." My point is this, unless you witnessed it, you cannot imagine America's poverty before LBJ's anti-poverty effort. It was to be a worthwhile effort. People were highly motivated and totally committed to their mission.
New programs included Housing, Foodstamps, Headstart, and Medicaid. It was amazing how people could get by on so little and begin to lift themselves out of poverty. The Federal programs were equal in every state until the 1990's. Former President Clinton signed a bill that returned Aid to Families with Dependent Children (AFDC) to states in block grants. Since then the states decided your eligibility and fewer families qualified. The number of homeless families grew as a result. 

 

Homelessness 

 

by the National Alliance to End Homelessness
  It is very difficult to determine how many homeless people there are in the world because countries have different legal definitions for homelessness. Natural disasters and sudden civil unrest also complicate the picture. The best we have is a conservative estimate from the United Nations in 2005, which puts the number of homeless at 100 million.

 By the Numbers from the National Alliance to End Homelessness (NAEH)

  Homelessness occurs when people or households are unable to acquire and/or maintain housing they can afford.

The Big Picture
  While circumstances can vary, the main reason people experience homelessness is because they cannot find housing they can afford. It is the scarcity of affordable housing in the United States, particularly in more urban areas where homelessness is more prevalent, that is behind their inability to acquire or maintain housing.
By the numbers:
  • There are 610,042 people experiencing homelessness on any given night in the United States.
  • Of that number, 222,197 are people in families, and
  • 387,845 are individuals.
  • About 18 percent of the homeless population - 109,132 - are considered "chronically homeless,"and
  • About 9 percent of homeless adults- 57,849 - are veterans. These numbers come from point-in-time counts, which are conducted, community by community, on a single night in January every other year. The U.S. Department of Housing and Urban Development (HUD) requires communities to submit this data every other year in order to qualify for federal homeless assistance funds. Many communities conduct counts more regularly.
How Many People are Homeless in the United States?

 One approximation of the annual number of homeless in America is from a study by the National Law Center on Homelessness and Poverty, which estimates between 2.3 and 3.5 million people experience homelessness. According to a 2008 U.S. Department of Housing and Urban Development report an estimated 671,888 people experienced homelessness in one night in January 2007. Some 58 percent of them were living in shelters and transitional housing and, 42 percent were unsheltered.

How many of the homeless are children?

One out of 50—or about 1.5 million—American children are homeless each year, according to a 2009 study by the National Center on Family Homelessness.
See state-by-state rankings on child homelessness.

See more information on homelessness and how to help at the National Alliance to End Homelessness .

Food Stamps

by www.motherjones.com


Food Stamps (SNAP) is a nutrition assistance program serving over 40 million low income Americans. Basically the program provides about $1.50 per meal, per person, although that was prior to the $5B that was recently cut from the program. There currently proposed "Farm Bill" in the Senate would cut another $4B, and the currently proposed Farm Bill in the Congress would cut $40B. A disabled veteran that I spoke to was receiving $184.00 per month prior to the $5B cut that recently took place, he now receives $173.00 per month. That's not what I call "supporting our troops" like the Republicans like to continuously say.
 
Wikipedia - The Supplemental Nutrition Assistance Program (SNAP),[1] formerly known as the Food Stamp program, provides food-purchasing assistance for low- and no-income people living in the U.S. It is a federal aid program, administered by the U.S. Department of Agriculture, under the Food and Nutrition Service (FNS) Administration, though benefits are distributed by each U.S. state's Division of Social Services or Children and Family Services.

SNAP is the largest nutrition assistance program and is estimated to have served more than 40 million low income Americans per year in recent years. The SNAP caseload has increased substantially as result the recent economic crisis, in addition to rising food prices[2] As an entitlement program, SNAP benefits costs $76.4 billion in Fiscal Year 2013 and supplied roughly 47.6 million Americans with an average of $133.08 per month in food assistance.[3] It is the largest nutrition program (see also WIC) and is a critical component of the federal social safety net for low-income Americans.[4] The high cost of the SNAP program makes the Nutrition title the most expensive, and contentiously debated, title of the United States farm bill.[5]


Education - Headstart

 


 In a conversation with Brian Williams on January 9, 2013 during a special NBC broadcast called "Poverty in America" House Budget Committee Chairman Paul Ryan (R-WI) said "It has Failed" when he spoke of the War on Poverty. However, he did say:
 
"pre-K makes a difference,” but he did not endorse any specific solution – only to say that the government should “stop subsidizing programs that are failing.” 

President Obama called for universal pre-K to be a national priority in his State of the Union last year. But there has since been no movement in Congress on expanding it. Ryan, who has said social safety nets have “failed miserably,” has made it a point to go to impoverished areas over the past year to try and show Republicans in a more compassionate light. Read More.

Head Start is a federal program that promotes the school readiness of children ages birth to 5 from low-income families by enhancing their cognitive, social and emotional development. Head Start programs provide comprehensive services to enrolled children and their families, which include health, nutrition, social services and other services determined to be necessary by family needs assessments, in addition to education and cognitive development services. Head Start services are designed to be responsive to each child and family’s ethnic, cultural and linguistic heritage.

Healthcare and Social Security

 

by www.dailykos.com

 In order to fight poverty, Lyndon Johnson pushed legislation that introduced or led to healthcare programs such as Medicare and Medicaid; education programs such as Head Start; and an expansion to Social Security.

 Social Security  

 A system that distributes financial benefits to retired or disabled people, their spouses, and their dependent children based on their reported earnings. While you work, you may pay taxes into the Social Security system. When you retire or become disabled, you, your spouse, and your dependent children may get monthly benefits that are based on your reported earnings. Your survivors may be able to collect Social Security benefits if you die.

 Politicians took money out of Social Security. The following excerpt is from the 1998 Senate Budget Committee session. Note the underlined portions.

BEGIN EXCERPT
 
GREENSPAN: I will wait to see what the numbers look like.

HOLLINGS: Well, the truth is...ah, shoot, well, we all know there's Washington's math problem. Alan Sloan in this past week's Newsweek says he spends 150%. What we've been doing, Mr. Chairman, in all reality, is taken [sic] a hundred billion out of the Social Security Trust Fund, transferring it over to the spending column, and spending it. Our friends to the left here are getting their tax cuts, we [sic] getting our spending increases, and hollering surplus, surplus, and balanced budget, and balanced budget plans when we continue to spend a hundred billion more than we take in. 
 
That's the reality, and I think that you and I, working the same side of the street now, can have a little bit of success by bringing to everybody's attention this is all intended surplus. In other words, when we passed the Greenspan Commission Report, the Greenspan Commission Report only had Social Security in 1983 a two hundred million surplus. It's projected to have this year (1998) a 117 million surplus. I've got the schedule, I'll ask to put in the record the CBO report: 117, 126, 130, 100, going right through to 2008 over the ten year period of 186 billion surplus. That was intended; this is dramatic about all these retirees, the baby boomers. But we foresaw that baby boomer problem, we planned against that baby boomer problem. Our problem is we've been spending that particular reserve, that set-aside that you testify to that is so necessary. That's what I'm trying to get this government back to reality, if we can do that.

We owe Social Security 736 billion right this minute. If we saved 117 billion, we could pay that debt down, and have the wonderful effect on the capital markets and savings rate. Isn't that correct? Thank you very much, Sir. Thank you, Mr. Chairman.

It should be obvious from the above that the government has for decades been taking the money intended to pay Social Security benefits and spending it as general revenue. The Social Security trust fund is filled with Government IOUs, and those people who insists Social Security is solvent are operating in the faith that T-bills are always good, because the taxpayer can always be forced to redeem them.

But there is a problem. There are so many T-bills in the Social Security fund that when the baby-boomers start applying for benefits, the sudden surge of T-bills being presented for payment would collapse the Federal System, because there are not enough young taxpayers to carry the extra load.
END EXCERPT

 Read More from What Really Happened.
  
We owe Social Security $736 Billion Dollars

The fact is that politicians took money from Social Security or it would be solvent today. We saw the baby boomer situation and were prepared for it. But then the money was taken out of the trust, and now they call it an "entitlement." REALLY?! I want to take $736B from the tax breaks for the ultra-rich and corporations and when they ask for it back tell them we don't have the money for their entitlements that they think they deserve.

Healthcare

In 1964, 44 percent of seniors had no health care coverage, and with the medical bills that come with older age, this propelled many seniors into poverty. In fact, more than one in three Americans over 65 were living below the poverty line -- more than double the rate of those under 65. Medicare was an important and big change in American health care -- it was called the "biggest management job since the invasion of Normandy" -- and it was up to John Gardner to make it work. He helped shepherd Medicare to reality, and the results have been extraordinary: virtually all seniors now have health care, and the poverty rate for the elderly has fallen to approximately one in ten -- a rate lower than that of the general population. Along with Medicare, the Johnson Administration established the Medicaid program to provide health care to the poor. 
People Don't Understand the Benefits of the "Patient Protection and Affordable Care Act"
Prior to the Patient Protection and Affordable Care Act was signed into law people like to forget that the cost of their healthcare was going up significantly every year, doubling in four years. These increases were happening while insurance company executives were getting bigger and bigger salaries, and even bigger bonuses. The rise in healthcare premiums were slowed immediately when the ACA was signed into law. One of the reason the costs slowed was because the ACA had a provision that the insurance companies had to spend 80% of all the money they collected through premiums. Many people received refund checks from their insurance companies because they didn't spend the money from premiums on actual patient claims, and the law said they could no longer just give it to themselves. Most people didn't know why their insurance companies had sent then that check, and still don't. 

 The Cost of Medicare and Medicaid and Medicare Part D


Another reason the raising cost of Medicaid and Medicare was the passage of the "Prescription Drug Bill" in which immediately after it's passage former President George W. Bush went on television and was taking "a victory lap" for "helping the seniors" with the cost of their prescription drug costs. There were a few problems with this sham, these lies, of how "good" it was. Leading up to this bill coming to a vote the Republicans said it would only cost $395B over the first decade. Within two months of signing the Medicare Modernization Act (MMA) into law, President Bush quietly informed Congress that the true cost of the program would be $550 billion, not $395 billion, over the next decade. By the time the program was launched in 2006, the estimated 10 year price tag for the Medicare prescription plan had increased to $720 billion. 

See To Attack Obamacare Republicans Forget the Lessons of Bush's Medicare Reform
 
1. President Bush initially opposed it. On Jan. 1, 2006, the federal government launched Part D, which enabled the nation's 43 million Medicare beneficiaries to get subsidized prescriptions through a choice of private insurance plans. But in early 2003, the Bush administration was opposed to providing the new benefit to those enrolled in traditional Medicare (that is, 85 percent of all recipients). Instead, those wanting to gain the drug benefit would have to switch to an HMO or private Medicare Advantage plan. As the New York Times explained in March 2003:
The Bush administration backed away from its idea to offer no drug benefits to elderly people in the traditional fee-for-service Medicare program. But drug benefits available through private plans would be far more extensive, so Medicare recipients would have strong incentives to join private plans.
It was only the overwhelming public opposition to Bush's Medicare privatization agenda that forced Republicans to make the prescription drug benefit available to all Medicare recipients. It was with an eye towards the 2004 elections that House Majority Leader Tom Delay warned his recalcitrant colleagues:
"We must forget about ideological absolutes."
2. Medicare Part D was not paid for. When it was passed in December 2003, the new Medicare drug benefit was forecast by the Bush administration to cost $395 billion over its first decade. To pay for the program, President Bush and his GOP allies did—wait for it—nothing. As Utah Sen. Orrin Hatch admitted in 2009, during the Bush years:
"It was standard practice not to pay for things."
In contrast, the nonpartisan Congressional Budget Office has forecast that with its cost savings and new revenue sources, the Affordable Care Act will reduce the national debt over the next two decades. In response, House Majority Leader Eric Cantor, who voted for Medicare Part D, denounced the CBO for "budget gimmickry."

3. The Bush White House lied to Congress about the cost. Within two months of signing the Medicare Modernization Act (MMA) into law, President Bush quietly informed Congress that the true cost of the program would be $550 billion, not $395 billion, over the next decade. When Medicare actuary Richard Foster sought to present the true price tag to Congress in late 2003, then agency chief Thomas Scully threatened to fire him. By the time the program was launched in 2006, the estimated 10 year price tag for the Medicare prescription plan had increased to $720 billion.

As the New York Times reported later in 2004, the GAO ultimately concluded that the Bush administration "illegally withheld data from Congress on the cost of the new Medicare law" and that Scully "should repay seven months of his salary to the government." While Scully was later fined for other ethics violations, he was never held accountable for his role in the Medicare fraud. Today, Thomas Scully "now works for a law firm and a private investment firm, has registered as a lobbyist for Abbott Laboratories, Aventis Pharmaceuticals, Caremark Rx and other health care companies."

4. Part D costs could have been lower. Mercifully, those dire forecasts in 2006 did not come to pass. But it was much lower enrollment (77 versus 93 percent) and the rapid adoption of generic drugs, rather than "competitive mechanisms" which largely explain the lower Medicare Part D bill for taxpayers.

But the costs to Uncle Sam could have been much lower. Then as now, Democrats wanted the federal government to negotiate directly with the pharmaceutical companies and pass the savings onto the Treasury and beneficiaries. In November 2005, a report released by Democratic staff on the House Government Reform Committee showed that under the new Medicare plan, prices for 10 commonly prescribed drugs were 80 percent higher than those negotiated by the Veterans Department, 60 percent above that paid by Canadian consumers and still 3 percent higher than volume pharmacies such as Costco and Drugstore.com. The report concluded that:
"The prices offered by the Medicare drug plans are higher than all four benchmarks, in some cases significantly so. This increases costs to seniors and federal taxpayers and makes it doubtful that the complicated design of Medicare Part D provides any tangible benefit to anyone but drug manufacturers and insurers."
Which is exactly as Louisiana Republican Billy Tauzin designed it. Just months after shepherding the Medicare prescription bill he wrote through the House, Tauzin, the chairman of the Energy and Commerce committee, left Congress and accepted a $2 million-a-year job as president of PhRMA -- the Pharmaceutical Research and Manufacturers of America. 
 The MMA's ban on Medicare negotiating better prices directly with the drug companies is the key reason why only 16 Democratic House members voted for it.

5. Part D would not have passed without Tom Delay's ethics violations.  Tom Sculley wasn't the only Bush administration rule-breaker who ethics violations made passage of the Medicare drug benefit possible.
As you may recall, Tom Delay twisted arms and extended debate on the bill by hours in order to ensure passage. But that wasn't all, as CBS News recounted Delay's reprimand from the House ethics committee:
The investigation, by a four-member subcommittee, was triggered when the retiring [Nick]Smith said that unidentified lawmakers and business interests promised substantial money to his son's congressional campaign if he voted for the Medicare legislation. Smith said the same interests threatened to support other candidates if he didn't change his vote from "no" to "yes." The committee found DeLay "offered to endorse Representative Smith's son in exchange for Representative Smith's vote in favor of the Medicare bill. In the view of the investigative subcommittee, this conduct could support a finding that Majority Leader DeLay violated House rules."
6. Democrats improved Medicare Part D. In his Washington Post screed, former HHS Secretary Leavitt declared, "Part D and the Affordable Care Act resulted from contentious negotiations and fierce legislative battles." That statement is true in much the same way that a Yugo and a Mercedes are both cars. 

After all, it's not just that only three GOP senators and zero House members voted for the Affordable Care Act. House Republicans have voted 39 times since 2011 to repeal the ACA. Meanwhile, Democrats opposed the Part D legislation because they wanted to make it better. And since 2003, they have. After all, it was Obamacare which has reduced the costs of the so-called "donut hole" which left Medicare recipients with the steep out of pocket costs for their prescriptions. And over 30 million Medicare recipients have taken advantage of new preventive services now covered by the ACA.

As Sarah Kliff noted back in June:
Eight years ago, the federal government rolled out Medicare Part D, a prescription drug benefit. For the first time ever, Medicare was launching a benefit administered exclusively through private health insurance plans. The benefit was not popular: In the spring of 2005, when enrollment efforts ramped up, polls showed Medicare Part D to be less popular than the Affordable Care Act. Fewer Americans felt they understood how it worked, too.
Things have improved, and not just because of the efforts of officials like Mike Leavitt. Unlike the Republicans still trying to kill the Obamacare, Democrats helped make Medicare and its Part D prescription drug benefit better.
Originally posted to Jon Perr on Wed Jul 17, 2013 at 01:09 PM PDT. DailyKos

Recap: White House Lied to Congress, Tom Delay's Ethics Violations, Politicians Leave Congress to Accept $2M-a-year Jobs at Pharmaceutical Companies and Lobbying Organizations. WOW! Now that's Healthcare Reform!

 

War on Poverty or War on Poor?

Original meme by www.Facebook.com/StoptheObstructionistTeaParty


Republicans and TeaPublicans are screaming that they will not consider extending the Emergency Unemployment Compensation to the 1.3 million Americans whose benefits ran out on December 28, 2013. I don't necessarily disagree with having a way to pay for anything that we spend, but let's look at how we can find that money in a way that doesn't crush middle America because they can't find a job. Right now there are 3 applicants for every job available in this country. Not only was the Prescription Drug plan not paid for, neither was the Iraq war which former President George W. Bush out right lied to the American people to get us into, and many other things the current President inherited. As Utah Sen. Orrin Hatch admitted in 2009, during the Bush years: "It was standard practice not to pay for things." I say that since the Afghanistan war is costing us $2B a week, and it would cost $6B to fully fund the Emergency Unemployment Compensation (EUC) we bring the troops home just 3 weeks earlier. O.K. you don't like that one, how about taking $6B in corporate subsidies back from the corporations? How about the tax breaks for the wealthy that have gone on for 10 years under the premise that those tax cuts would "create jobs" which has been proven time and time again didn't happen. It always disturbs me when the Republicans have the gall to call the wealthy, who receive these tax cuts "Job Creators" when in fact everyone, except the low-information Fox News watchers, know is not the case.

You can't keep taking from the poor and middle class, giving to the rich and corporations, and continue the income inequality that has gone on for decades and expect the country, and economy,  to grow. But they don't care, who? you ask? The Ultra-Rich, the corporations, the people using the absurd Citizens United decision to contribute massive amounts of money to influence our politicians and elections. The war on poverty is no where as big as the war on the poor.


References for Wikipedia description of Supplemental Nutrition Assistance Program (SNAP)
  1. ^ "Nutrition Assistance Program Home Page", U.S. Department of Agriculture (official website), March 3, 2011 (last revised). Accessed March 4, 2011.
  2. Jump up ^ Wilde, Parke (January 2012). "THE NEW NORMAL: THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP)". American Journal of Agricultural Economics 95 (2): 325–331. doi:10.1093/ajae/aas043.
  3. Jump up ^ "SNAP Monthly Data". Fns.usda.gov. 2013-12-06. Retrieved 2013-12-31.
  4. Jump up ^ Wilde, Parke (May 2012). Amer. J. Agr. Econ 95 (2): : 325–331. doi:10.1093/ajae/aas043.
  5. Jump up ^ "Supplemental Nutrition Assistance Program Participation and Costs". Food and Nutrition Services. Retrieved 17 December 2013.


Wednesday, December 4, 2013

Medicare Part D - Joe Scarborough Doesn't Remember "All These Problems"

 Medicare Part D - It's Problems - It's Rollout Similarities to the Affordable Care Act

by Kaiser Family Foundation




It bothered my when Joe Scarborough said he didn't remember "all these problems" with the Prescription Drug Plan bill back when President George W. Bush and the Republicans pushed through what some call the "worst legislation passed since the 1960's. At about 6:20 AM  this morning on his show, Joe Scarborough said "the only thing I remember is that they (the Republicans) held the vote open for 3 weeks and then bribed Nick Smith for his vote. He should use his current health plan to look into what pharmaceuticals are available for a bad memory. I sent an e-mail off to the show immediately, here's a copy of the text:
 
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"First let me say that I love Morning Joe and you all help me start my day, everyday. I've been watching for years and depend on the show to start my day and gather information before I work on my blog www.Medic3569.blogspot.com which I use to inform and motivate people to become well informed and especially to contact Congressmen/women and Senators.

At approximately 6:20 AM Joe Scarborough said he didn't remember "all these problems with Medicare Part D."  What I remember about the Medicare Prescription Drug, Improvement, and Modernization Act is that the vote was held open until like 3:00 AM while Republicans twisted arms of other Republicans to vote for the bill. The party threatened Republicans to not back them in their next election if they didn't vote for the bill. I remember that it took away the right to negotiate price (except for the Veterans Administration who was smart enough to stay out of it) and the price Medicare would pay for a common heart went from $280 annually to over $1200 annually.
On December 8, 2003 these provisions of the law passed the Congress by a narrow margin:
  • it provides a subsidy for large employers to discourage them from eliminating private prescription coverage to retired workers (a key AARP goal.)
  • it prohibits the Federal government from negotiating discounts with drug companies;
  • it prevents the government from establishing a formulary , though does not prevent private providers such as HMO's from doing so.
It's the second one I have a problem with, especially since the Republicans and George W. Bush offered no way whatsoever of paying for it!
Later, after the hugh windfall that drug companies enjoyed, I believe it was 60 Minutes who reported, 23-25 of the politicians that co-sponsored the bill had left their jobs in the Congress by either not running for re-election or, in at least one case, just resigned their position, and went to work for pharmaceutical companies at salaries well north of $1M a year.
Joe Scarborough doesn't remember any problems with the bill except for one Congressman that the Republicans were pressuring to change his vote, perhaps he should look into what prescriptions are available for senility."
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Photo by crooksandliars.com

Here are Some of the Problems Medicare Part D had on Rollout

For one thing, the Bush administration faced a difficult political battle to get the bill passed in 2003. I remember they had to hold the vote open until 3:00 AM while they twisted the Republicans arms to vote for the bill. Joe Scarborough said they actually held the vote open for three weeks, I don't know about that.

That damaged public opinion of the law, making it a challenge to educate 43 million seniors on its nuances.

Enrollment in the law was set to begin in late 2005. In April of that year, a Kaiser Family Foundation poll found that only 27 percent of respondents understood the law, while only 21 percent favored it. (In a comparable Kaiser poll in April 2013, 35 percent viewed the Affordable Care Act favorably and less than half felt they were well-informed of its details.)

The Medicare site, meant to help seniors pick benefit plans, was supposed to debut Oct. 13, 2005, but it didn’t go live until weeks later in November. Even then, "the tool itself appeared to be in need of fixing," the Washington Post reported at this time.

From PolitiFact - Did Medicare Part D have the same rollout problems as the Obamacare online marketplaces? :

"Visitors to the site could not access it for most of the first two hours. When it finally did come up around 5 p.m., it operated awfully slowly," the Post reported. (Sensing a pattern?)

Once seniors began to enroll, problems persisted. According to the report, the online tools had "accuracy problems," and local organizations designated with assisting seniors "reported problems getting necessary and accurate information." Call centers provided by the Center for Medicare and Medicaid Services underestimated "the needed capacity to ensure that reliable answers could be provided" and "service representatives were not knowledgeable or failed to provide accurate information."

The Georgetown experts anticipated similar hiccups with the Affordable Care Act, noting that the country’s experience with Medicare Part D suggested "the experience will be far from perfect" and "problems were not always addressed as quickly or as thoroughly as critics would have liked, but fixes were usually found."
These days, nine in 10 seniors who utilize the program report they are satisfied with it.
"There’s really a striking amount of similarity even though this time it’s a far larger and daunting task. It’s a fair comparison," said Jack Hoadley at the Georgetown University's Health Policy Institute and one of the authors of the study. "Once something works its way through the problems, you forget the problems."

Approximately twp weeks before the bill passed and the Bush administration was saying the law would cost about $100M, but it was revealed that the plan would cost at least $500M, it turned out to cost much, much, more.

Photo by econbroswer.com


 In a story by Nick Gillespie at Reason.com on November 19, 2013:

         According to the latest actuaries’ report, Medicare Part D will cost taxpayers - beneficiaries pay virtually nothing -    Part D will cost taxpayers — beneficiaries pay virtually nothing — $62 billion this year. This figure is expected to rise sharply in coming years to $150 billion in 2019. By 2030, Part D alone will cost taxpayers 1 percent of GDP. In present value terms, Medicare Part D adds almost $16 trillion to our national indebtedness. (That's how much would need to be in a trust fund today to pay all the benefits that have been promised over and above the trivial premiums paid by beneficiaries.) That is why former U.S. Comptroller David Walker has called the unfunded prescription drug benefit "the most fiscally irresponsible piece of legislation since the 1960's."  Read more at Reason.com


Photo by blog.floridablue.com

Where Does The Affordable Care Act (Obamacare) Go From Here?

After spending more than $60M on 46 votes to repeal Obamacare the Republicans still have never offered any other plan to help insure the 40 million Americans who didn't have, and couldn't afford health insurance. Mitt Romney, the Republican, who when he was Governor of Massachusetts passed the health law that Obamacare is designed after. They would like to forget how much insurance premiums were rising and that since the Affordable Care Act was signed into law that the rate of increases has been reduced. The Republicans complain about "millions of policies being cancelled" but choose to not respond to where they were when millions of people who paid health insurance premiums for years had their policies cancelled once they became ill. The TeaPublican Republicans have no response about positive things that the Affordable Care Act have done like; allowing children to stay on their parents policies until the age of 26; or that insurance companies now have to spend at least 80% of the money they collect from premiums on the policy holders instead of giving themselves hugh salaries and bonuses; or how 40 million Americans who only had emergency rooms to use as their only access to healthcare, the most expensive way to pay for someone's healthcare will now have healthcare plans and preventive medicine. What  we all need to do is work to fix the problems with The Patient Protection and Affordable Care Act as they arise and get everyone affordable healthcare.