Medicare

Rep. Amodei and the GOP’s House of Cuts

The Road to Ruin

— by Rep. Dina Titus (NV-CD1)

Today, the Republicans in the House voted to approve the Paul Ryan budget, which Ryan calls “The Path to Prosperity.” I think it’s more like a road to ruin. In effect, he is giving the middle finger to the middle class.

Please sign our petition today and tell Paul Ryan and his Republican friends that his path to prosperity will leave most Americans in the dust.

Mr. Ryan’s budget helps Big Oil, takes away jobs here in the U.S. and hurts seniors. Instead of tackling the rising cost of health care, Ryan and his fellow Republicans want to destroy Medicare by giving seniors vouchers for a fixed amount, leaving them to make up the difference.

The Economic Policy Institute says that the Ryan budget would eliminate over 1 million jobs in the first year and 3 million jobs by 2016. As of last month, the private sector had recovered all the jobs lost during the Bush Administration. The Ryan budget will erase those gains.

Rep. Ryan also grants more tax cuts to the rich while cutting programs that help the middle class succeed, like early childhood education, college loans, and workforce training.

Paul Ryan’s budget will have dire consequences for our country. We need a budget that reflects our country’s values and helps people get back on their feet, create jobs, and prepare us for the global economy.

Please sign our petition today and tell Paul Ryan and his Republican friends that our country deserves better.

21 Things Republicans Have Demanded In Exchange For Not Shutting Down The Government Or Tanking The Global Economy

boehner

BY JUDD LEGUM ON SEPTEMBER 30, 2013

Since the Republicans took over the House of Representatives in 2011, they have repeatedly attempted to use the prospect of a government shutdown or a debt default as leverage. A shutdown would furlough close to a million federal workers and cut off essential services for millions more Americans, while a default on U.S. debt, even according to Speaker John Boehner, could devastate the global economy. While the recent debate has focused on Obamacare, that is just the latest in a series of demands made by Republicans. The following is a list of things that have been, at various times, demanded by Republicans under threat of a government shutdown or default:

1. A balanced budget amendment [Link]

2. Approving Keystone XL [Link]

3. Eliminating funding for Planned Parenthood [Link]

4. Medicare privatization [Link]

5. Tax reform, as outlined by Paul Ryan [Link]

6. The REINS Act, which would require Congress to approve significant federal regulations [Link]

7. Means-testing Social Security [Link]

8. Defunding Obamacare [Link]

9. Allowing employers to eliminate insurance coverage for birth control [Link]

10. An expansion of off-shore drilling [Link]

11. Preserving all the Bush tax cuts [Link]

12. “Trillions” in budget cuts [Link]

13. Slashing funding for food stamps [Link]

14. Protecting mountaintop strip mining [Link]

15. Stripping the EPA of authority to regulate greenhouse gases [Link]

16. Loosening regulation on coal ash [Link]

17. Delaying Obamacare implementation by one year [Link]

18. Repealing a tax on medical devices [Link]

19. Eliminating Social Service Block Grants [Link]

20. Expanding drilling on federal lands [Link]

21. Restricting the child tax credit [Link]

In just over 2 years, Republicans have been successful in extracting around $1.7 trillion in budget cuts or 72% of the total deficit reduction over that period. Under President Bush the government never shut down and the debt limit was raised five times with bipartisan support and without conditions.


This material [the article above] was created by the Center for American Progress Action Fund. It was created for the Progress Report, the daily e-mail publication of the Center for American Progress Action Fund. Click here to subscribe.

Why Are American Health Care Costs So High?

By the incomparable John Green, who says the following about his sources: “For a much more thorough examination of health care expenses in America, I recommend this series at The Incidental Economist and The Commonwealth Fund’s Study of Health Care Prices in the U.S. Some of the stats in this video also come from this New York Times story.”

How the Health Care Law is Making a Difference for Nevadans

Because of the Affordable Care Act, the 78% of Nevadans who have insurance have more choices and stronger coverage than ever before. And for the 22% of Nevadans who don’t have insurance, or Nevada families and small businesses who buy their coverage but aren’t happy with it, a new day is just around the corner.

Soon, the new online Health Insurance Marketplace will provide families and small businesses who currently don’t have insurance, or are looking for a better deal, a new way to find health coverage that fits their needs and their budgets.

Open enrollment in the Marketplace starts Oct 1, with coverage starting as soon as Jan 1, 2014.  But Nevada families and small business can visit HealthCare.gov right now to find the information they need prepare for open enrollment.

Key Features of the health care law are already providing better options, better value, better health and a stronger Medicare program for the people of Nevada:

Key Features

Coverage

Costs

Care

Better Options

The Health Insurance Marketplace

Beginning Oct 1, the Health Insurance Marketplace will make it easy for Nevadans to compare qualified health plans, get answers to questions, find out if they are eligible for lower costs for private insurance or health programs like Medicaid and the Children’s Health Insurance Program (CHIP), and enroll in health coverage.

By the Numbers: Uninsured Nevadans who are eligible for coverage through the Marketplace. 

  • 473,971 (22%) are uninsured and eligible
  • 347,244 (73%) have a full-time worker in the family
  • 174,840 (37%) are 18-35 years old
  • 218,730 (46%) are White
  • 44,217 (9%) are African American
  • 157,518 (33%) are Latino/Hispanic
  • 33,012 (7%) are Asian American or Pacific Islander
  • 258,036 (54%) are male

438,826 (93%) of Nevada’s uninsured and eligible population may qualify for lower costs on coverage in the Marketplace, including through Medicaid.

Nevada has received $74,754,285 in grants for research, planning, information technology development, and implementation of its Health Insurance Marketplace.

New coverage options for young adults

Under the health care law, if your plan covers children, you can now add or keep your children on your health insurance policy until they turn 26 years old. Thanks to this provision, over 3 million young people who would otherwise have been uninsured have gained coverage nationwide, including 33,000 young adults in Nevada.

Ending discrimination for pre-existing conditions  

As many as 1,157,045 non-elderly Nevadans have some type of pre-existing health condition, including 162,452 children.  Today, insurers can no longer deny coverage to children because of a pre-existing condition, like asthma or diabetes, under the health care law. And beginning in 2014, health insurers will no longer be able to charge more or deny coverage to anyone because of a pre-existing condition.  The health care law also established a temporary health insurance program for individuals who were denied health insurance coverage because of a pre-existing condition.  1,373 Nevadans with pre-existing conditions have gained coverage through the Pre-Existing Condition Insurance Plan since the program began.

Better Value

Providing better value for your premium dollar through the 80/20 Rule

Health insurance companies now have to spend at least 80 cents of your premium dollar on health care or improvements to care, or provide you a refund.  This means that 88,491 Nevada residents with private insurance coverage will benefit from $3,977,544 in refunds from insurance companies this year, for an average refund of $75 per family covered by a policy.

Scrutinizing unreasonable premium increases 

In every State and for the first time under Federal law, insurance companies are required to publicly justify their actions if they want to raise rates by 10 percent or more. Nevada has received $4,959,972 under the new law to help fight unreasonable premium increases.

Removing lifetime limits on health benefits 

The law bans insurance companies from imposing lifetime dollar limits on health benefits – freeing cancer patients and individuals suffering from other chronic diseases from having to worry about going without treatment because of their lifetime limits. Already, 937,000 people in Nevada, including 329,000 women and 269,000 children, are free from worrying about lifetime limits on coverage. The law also restricts the use of annual limits and bans them completely in 2014.

Better Health

Covering preventive services with no deductible or co-pay

The health care law requires many insurance plans to provide coverage without cost sharing to enrollees for a variety of preventive health services, such as colonoscopy screening for colon cancer, Pap smears and mammograms for women, well-child visits, and flu shots for all children and adults.

In 2011 and 2012, 71 million Americans with private health insurance gained preventive service coverage with no cost-sharing, including 615,000 in Nevada. And for policies renewing on or after August 1, 2012, women can now get coverage without cost-sharing of even more preventive services they need.  Approximately 47 million women, including 391,181 in Nevada will now have guaranteed access to additional preventive services without cost-sharing.

Increasing support for community health centers

The health care law increases the funding available to community health centers nationwide. In Nevada, 2 health centers operate 30 sites, providing preventive and primary health care services to 57,987 people.  Health Center grantees in Nevada have received $8,264,743 under the health care law to support ongoing health center operations and to establish new health center sites, expand services, and/or support major capital improvement projects.

Community Health Centers in all 50 states have also received a total of $150 million in federal grants to help enroll uninsured Americans in the Health Insurance Marketplace, including $451,674 awarded to Nevada health centers.   With these funds, Nevada health centers expect to hire 9 additional workers, who will assist 10,600 Nevadans with enrollment into affordable health insurance coverage.

Investing in the primary care workforce

As a result of historic investments through the health care law and the Recovery Act, the numbers of clinicians in the National Health Service Corps are at all-time highs with nearly 10,000 Corps clinicians providing care to more than 10.4 million people who live in rural, urban, and frontier communities.  The National Health Service Corps repays educational loans and provides scholarships to primary care physicians, dentists, nurse practitioners, physician assistants, behavioral health providers, and other primary care providers who practice in areas of the country that have too few health care professionals to serve the people who live there.  As of September 30, 2012, there were 36 Corps clinicians providing primary care services in Nevada, compared to 12 in 2008.

Preventing illness and promoting health

As of March 2012, Nevada had received $7,500,000 in grants from the Prevention and Public Health Fund created by the health care law. This new fund was created to support effective policies in Nevada, its communities, and nationwide so that all Americans can lead longer, more productive lives.

A Stronger Medicare Program

Making prescription drugs affordable for seniors 

In Nevada, people with Medicare saved nearly $41 million on prescription drugs because of the Affordable Care Act.  In 2012 alone, 22,122 individuals in Nevada saved over $14 million, or an average of $611 per beneficiary.  In 2012, people with Medicare in the “donut hole” received a 50 percent discount on covered brand name drugs and 14 percent discount on generic drugs.  And thanks to the health care law, coverage for both brand name and generic drugs will continue to increase over time until the coverage gap is closed.  Nationally, over 6.6 million people with Medicare have saved over $7 billion on drugs since the law’s enactment.

Covering preventive services with no deductible or co-pay

With no deductibles or co-pays, cost is no longer a barrier for seniors and people with disabilities who want to stay healthy by detecting and treating health problems early. In 2012 alone, an estimated 34.1 million people benefited from Medicare’s coverage of preventive services with no cost-sharing.  In Nevada, 166,815 individuals with traditional Medicare used one or more free preventive service in 2012.

Protecting Medicare’s solvency

The health care law extends the life of the Medicare Trust Fund by ten years.  From 2010 to 2012, Medicare spending per beneficiary grew at 1.7 percent annually, substantially more slowly than the per capita rate of growth in the economy.  And the health care law helps stop fraud with tougher screening procedures, stronger penalties, and new technology. Over the last four years, the administration’s fraud enforcement efforts have recovered $14.9 billion from fraudsters.  For every dollar spent on health care-related fraud and abuse activities in the last three years the administration has returned $7.90.

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House GOP-led Social Security Cmtee Proposing to Cut Benefits for Current Seniors, Veterans and the Disabled!

Draft legislative language released by the House Social Security Subcommittee last night would cut benefits for millions of middle-class and poor Americans still struggling in this economy by adopting a new formula to calculate cost of living adjustments.  Read more about the specifics in this DailyKos article.

Where Would We Be Without Social Security?

Congress must ensure that the promise of Social Security and Medicare remains fully funded.

By Jo Comerford

Jo Comerford is the executive director of the National Priorities Project

Nearly every single American is intimately connected with the earned benefits of Social Security and Medicare — as either a contributor, a recipient, or both.

In fact, a recent national poll indicated nearly 90% of us favor taking strong measures to preserve the long-term stability of both programs. So a recent report released by the trustees of Social Security and Medicare may have caused you to take notice and provoked you to think about — or tell — your stories. Here are a few I’d like to share:

NPP-SocSecMedicare-DonkeyHotey

Melissa M. of Stinson Beach, California, talked about her father-in-law, 60 years old, working for low wages six or seven days each week for 40 years as a manager of a nearby cattle ranch. “The one thing that keeps him going is the letter he gets from the Social Security Administration,” she said. It “tells him how much he has earned in Social Security.”

Allen J. of Portland, Oregon, remarked that he was “a liver transplant survivor because of Medicare.” Martin L. of Cortland, New York, said he was born with a heart defect that required open-heart surgery to replace it. Without Medicare, Martin writes, he “would have no life and no future.”

Alton S. of Lakeland, Florida, was planting a citrus tree when he felt a pain in his lower abdomen. That night, an emergency room doctor told him he had a ruptured diverticulum. Alton remembers overhearing someone say, “We better get this guy to surgery or he’s dead meat.” A combination of his private insurance and Medicare paid for a series of successful surgeries. Looking back, Alton believes Medicare is one of the most “humane and caring arms of our government.”

With a 33-year career as a nurse, Janet P. of Cotati, California, noted that she worked to keep her “clients stable enough to stay out of the hospital.” Every time Medicare or Social Security policy changes, her clients’ lives are affected. Even as she hustles for others, Janet is aware that she needs to think about her own future.

“My savings was in my house, but I lost that,” she said. “I’m older now…getting back that nest egg gets harder and harder, and I’m not confident that either Social Security or Medicare will be there for me when I’m not able to work full-time.”

These are Melissa, Allen, Martin, Alton, and Janet’s stories. Like millions of their neighbors, Social Security and Medicare keep them going, offering them a humane and caring future.

Congress must take sound action to ensure that the promise of both these programs remains fully funded for coming generations. If our elected officials do nothing, after 2026, the government will be able to pay approximately 87% of projected Medicare costs and, after 2033, roughly 75 percent of anticipated Social Security benefits.

The trustees offer us a sobering reminder, not a crazed alarm as some fear. Luckily there are many smart actions Congress can take in response, starting with raising the payroll tax cap and fully implementing the Affordable Care Act. These actions are within our reach and would have a dramatic and positive impact on the well-being of both programs.

Our elected officials need to hear from all of us today. It’s our budget and our future. Let’s weigh in.


Jo Comerford is the executive director of the National Priorities Project. You can find these stories and more by visiting the NPP’s Faces of the Federal Budget website. NationalPriorities.org/us/   Distributed via OtherWords (OtherWords.org)  Photo credit to DonkeyHotey/Flickr

Ryan Budget – Bad for Veterans

Shared from VoteVets.org

Much has been said over the past few weeks about the budget proposal in the House of Representatives, offered by Rep. Paul Ryan, and backed by Republican members, but not much has been said about how it will affect our veterans.  As you know, the Paul Ryan plan will end Medicare, making it a voucher program, leaving seniors to buy their own insurance in the private system.  It will therefore end one of the most popular and successful initiatives ever offered.

This plan will also punish veterans – harshly – and it’s important that you spread the word on how it will do so.

Here are the facts:

  • Millions of veterans over 65 rely on Medicare, Medicaid or private insurance for their health care. In fact, according to the last survey of veterans by the Department of Veterans’ affairs, 39.3% of veterans use Medicare, compared with 14 percent of the general population.
  • Many of these veterans are relying on Medicare as their sole health care provider.  The Ryan plan would have an immediate impact on these veterans, forcing those falling into the “donut hole” with high-cost prescription drug costs to pay more for their medications in addition to paying more for preventative health services.
  • Veterans who rely on Medicaid would not escape cuts either. The Republican plan could slash $1.4 trillion in health benefits over the next ten years. Forty-four states are already facing significant budget shortfall in Fiscal Year 2012,and the cuts could force the state to either ration health care benefits for veterans across the country, restrict eligibility rules and leave thousands uninsured, including veterans, or raise taxes to cover the shortfall.
  • Finally, many veterans rely on private insurance, mostly through their employer. Because Republicans want to repeal the recent health insurance law, these veterans will no longer have guaranteed access to health insurance regardless of pre-existing conditions and may see annual or lifetime caps on coverage under the Republican budget.

In short, Republicans and Paul Ryan will strip away care for our veterans, in the name of budget cutting.  These proposals are draconian, cruel, and unfair to those men and women who put their lives on the line for this country.  But, unless we spread the word about how severely the Ryan/Republican plan will hurt veterans, most Americans won’t ever know.

Take some time to read their propaganda and get to know what they’re trying to do.  Be an informed voter, not someone who swallowed their propaganda, hook, line and anchor.


2012-GOP-Platform GOP Growth Opportunity Rpt 2009-GOP-Road-to-Recovery 2010-GOP-Better-Solutions
GOP 2012 Platform GOP Growth Opportunities 2009 Road to Recovery 2010-Better Solutions
2010-Pledge-to-America Path to Poverty v1.0 Path to Poverty v2.0 Path to Poverty v3.0
2010-Pledge to America P2P v1.0 P2P v2.0 P2P v3.0

Read/compare a few to see what you think — and if you’d like you can compare the actual budget numbers between plans here.

RADICAL REPUBLICAN BUDGET: ROBIN HOOD IN REVERSE

The Democratic Congressional Campaign Committee today is continuing the drumbeat against House Republicans who voted for the radical Republican budget, releasing a new web video to highlight the chasm between mainstream Americans’ priorities and House Republicans’ radical approach. In the video – “Radical Republican Budget: Robin Hood in Reverse” – Republicans describe the budget as the best way to communicate their “governing philosophy.” The video goes on to show the GOP Doctrine for Governance in clear terms: higher taxes for the middle class, bigger medical bills for seniors on Medicare, more expensive student loans and a tax break for millionaires.

Under the Republican doctrine for governance, the Ryan budget, middle class Americans could pay $3,000 more in taxes and the Medicare guarantee, paid for with deductions from every dollar earned by working Americans ….  will END. Thus, their governance philosophy will take that money to fund other things like a $245,000 tax for millionaires, and  force seniors to pay more for their care — if they can find an insurance company to cover it and if they can find a doctor to provide it.  And, while the middle class would be paying more in taxes, folks like Mitt Romney, whose tax liability is imposed primarily by capital gains taxes, would see their tax liabilities plummet with Ryan’s slash to capital gains taxes.  Valuing making money off the fruits of others’ labors, without having to exert an ounce of labor yourself, is not an “American” value.

Radical Republican Budget: Robin Hood in Reverse

 

“Republicans themselves tell us that their budget is the best way to communicate their ‘governing philosophy’ and that’s exactly what they did – more for millionaires and corporate special interests, less for the middle class and seniors,” said Emily Bittner of the Democratic Congressional Campaign Committee. “Americans rejected the philosophy of this radical Republican budget in the last election because it ends the Medicare guarantee for seniors and asks the middle class to pay more – all while cutting taxes for millionaires and corporate special interests. It might be the Republicans’ governing philosophy but it isn’t the right philosophy for America’s middle class.”

Ryan’s Path to Poverty budget is the third in a series, all espousing their out of touch governance doctrine.  The GOP hasn’t learned that their “philosophy” isn’t what Americans want.  Instead, thick-headed GOP members of the House  are continuing to push philosophies the American people don’t want.  Bound to their millionaire donors and determined to implement their demands, the GOP intends — to impose their revolutionary doctrine — to convert America into a Plutocracy ruled over by the uber-rich — using budgets — without firing a single bullet.

Here’s their “philosophy”  documents introduced since 2008 along with their platform.  Read/compare a few to see what you think — and if you’d like you can compare the actual budget numbers here.

 

2012-GOP-Platform GOP Growth Opportunity Rpt 2009-GOP-Road-to-Recovery 2010-GOP-Better-Solutions
GOP 2012 Platform GOP Growth Opportunities 2009 Road to Recovery 2010-Better Solutions
2010-Pledge-to-America Path to Poverty v1.0 Path to Poverty v2.0 Path to Poverty v3.0
2010-Pledge to America P2P v1.0 P2P v2.0 P2P v3.0

Related Posts:

Affordable Care Act at 3: Increased Savings for Seniors

— by Kathleen Sebelius, Secretary of Health and Human Services,  March 21, 2013

In the three years since the Affordable Care Act became law, the slower growth of health care costs is saving money in Medicare and the private insurance market, helping to curb previously skyrocketing premiums and making Medicare stronger.

The nonpartisan Congressional Budget Office recently estimated that Medicare and Medicaid spending would be 15 percent less — or about $200 billion— in 2020 than was previously projected, thanks to this slower growth. Medicare spending per beneficiary rose by just 0.4% in 2012, while Medicaid spending per beneficiary actually dropped by 1.9% last year. We are making Medicare stronger, too, by spending smarter, promoting coordinated care, and fighting fraud. Not only does this ensure that taxpayer dollars are spent wisely.  It means that those who count on Medicare — our grandparents, parents, our friends, and neighbors – will have it for years to come.

Today, we are announcing that thanks to the Affordable Care Act, more than 6.3 million seniors and people with disabilities on Medicare have saved more than $6.1 billion on prescription drugs since the health care law was enacted three years ago. This is the result of the law’s closing of the prescription coverage gap known as “the donut hole.”

Nearly 3.5 million people with Medicare saved an average of more than $706 each on their prescriptions in 2012.

In the case of Helen Rayon of Pennsylvania, the savings on her medications is enough to help her contribute to the education of her grandson. She says: “I take seven different medications. Getting the donut hole closed … gives me a little more money in my pocket.”

David Lutz, a community pharmacist from Hummelstown, PA, described his elderly customers, “splitting pills, taking doses every other day, missing doses, stretching their medications.”  But he says this has begun to change with the savings resulting from the Affordable Care Act, and that’s good for their health as well as their budgets.

After the law was passed, the Affordable Care Act provided a one-time $250 check for people with Medicare who reached the Part D prescription drug coverage gap in 2010. Since then, individuals in the donut hole have continued to receive savings on prescription drugs. In 2013 individuals in the donut hole are saving over 50% off of the cost of branded drugs. The savings on both brand name and generic drugs will continue to increase until the coverage gap is closed in 2020.

Along with savings on their medications, American seniors have also benefited from access to vital preventive services — such as mammograms, cholesterol checks, cancer screenings, and annual wellness visits — with no Part B coinsurance or deductibles. In 2012, more than 34 million seniors and people with disabilities with Medicare received at least one free preventive service. Having easier access to preventive services without worrying about the cost helps seniors stay healthier and identify health conditions before they become more serious and costly.

Helen works as a health-and-wellness coordinator at a senior center, arranging for health and fitness activities for seniors older than herself.  She knows they struggle with the costs of staying healthy. “If it weren’t for the health care reform, many of our seniors would not get to a doctor,” to get a check up, Helen says. “It is expensive for us to keep good health.”

Affordable Care Act initiatives are also ensuring that if Medicare beneficiaries do end up in the hospital that their care is coordinated and they stay out of the hospital once they’re discharged. This also gives Medicare beneficiaries – and other taxpayers – more value for their health care dollars. In fact, hospital readmissions in Medicare have fallen for the first time on record, resulting in 70,000 fewer readmissions in the last half of 2012.

The Affordable Care Act is helping us keep our moral commitment to ensure that our grandparents and other seniors get the high-quality, affordable health care and security they need and deserve.

To learn more about how the Affordable Care Act is saving seniors on prescription drug costs by closing the donut hole coverage gap, visit www.hhs.gov/news/press/2013pres/03/20130321a.html


NOTE:  Today, in the U.S. House of Representatives, GOP members of that House, on a purely partisan vote, passed the Ryan Budget which, if it were to become law, would repeal the Affordable Care Act, and all of it’s provisions which help not just those folks on Medicare, but those of us who might have what the insurance industry has termed a “pre-existing condition” that they can then use to deny coverage.  It would also allow insurance companies to once again impose both annual and lifetime limits on coverage.  Those of you with children under 26 would no longer be able to continue to carry them on your existing health insurance policy once they reach age 18. And that’s just a few of the provisions that make a difference in ordinary Americans’ lives.  Please take the time to review exactly “what” is covered under Obamacare  and then help us bury Senator Heller in emails, tweets, and letters letting him know you will not forget any vote he takes to repeal this needed and necessary law by voting for Ryan’s Path to Poverty budget.