Wednesday, July 30, 2008

Celebrating Medicare’s Anniversary

43 years ago, President Lyndon Johnson signed Medicare legislation into law not only for the elderly but also for younger generations who care for them. Before Medicare, half of all seniors had no health insurance and nearly 35% lived in poverty. Today senior poverty has dropped by two-thirds and all Americans 65 and older can get health insurance through the Medicare program. Medicare works.

But as Lynda Johnson Robb reminded us at our 25th Anniversary celebration in June, her father knew "Medicare would have to be carefully guarded and improved through the generations".


Unfortuntely, the privatization of Medicare has neither improved nor carefully guarded the program's core mission to provide equitable and dependable healthcare coverage for America's retirees and the disabled. In fact, massive industry subsidies to private insurers, means-testing, higher premiums and the unchecked costs of healthcare threaten the program.

But there have been some signs that the policy and fiscal truths of the Medicare Modernization Act can no longer be ignored. Our President/CEO, Barbara Kennelly hopes next year's Medicare anniversary will be celebrated in a very different political landscape in Washington:

“The Congressional Medicare veto override and vote to delay arbitrary cuts show Congress has the courage to reconsider these destructive privatization provisions written by and for the drug and insurance industries. Our members hope that with a new Congress and President in the White House we’ll be able to celebrate next year’s anniversary and the end of Medicare privatization at the same time.

This privatization, which was accelerated by the 2003 Medicare Modernization Act, has left seniors saddled with rising premiums, growing out of pocket costs and means testing at a time when they are already feeling the effects of an economic downturn. We must reverse the privatization politics of the past in favor of real policy solutions providing healthcare reform nationwide and strengthening our one universal healthcare plan – Medicare.”
Barbara B. Kennelly, President/CEO

Tuesday, July 29, 2008

Will Harry and Louise become healthcare bloggers?

It's a provocative thought offered in jest at today’s Kaiser Family Foundation discussion on Health Bloggers and the role they play in policy debates.

For those of you who don’t remember (or would rather forget), Harry and Louise were the stars of the infamous television ad campaign launched by the health insurance industry to torpedo President Clinton’s healthcare reform proposals in 1993.

By most accounts, including this study by Duke University, this ad
campaign helped turn the tide of public opinion...leaving us without healthcare reform for going on 15 years. But as the nation finally appears ready to take another pass at reform, today's Kaiser panelists talked about the role “new media”, specifically blogs, will play in future healthcare debates.

Here’s a sampling of what some of today’s panelists opined:

The one thing the blogs are very good at is getting the media to notice them. They’re going to be very influential...There will be much more careful conversation because so many partisans are waiting to jump so ferociously on any missteps on either side.” Ezra Klein...The American Prospect

“There will be a much better debate with this many eyes and voices.” Michael Cannon, Cato Institute

“I don’t know if there will be better debate just because there will be more debate.” Tom Rosenstiel, Project for Excellence in Journalism

“It will all happen much, must faster.” John McDonough, Senior Advisor to Senator Edward Kennedy and Former Contributor, A Healthy Blog

As we’ve said here many times, we see nationwide healthcare reform and strengthening Medicare as one in the same. There are clearly lessons to be learned from America’s only universal healthcare plan, lessons we hope policy makers will heed in any future reform debate.

You can also link to video of the full Kaiser session (it runs about 90 minutes).

Friday, July 25, 2008

Congress Does NOT Pull the Trigger on Seniors

Congress once again did the right thing and cast a vote for seniors in Medicare by setting aside the Bush administration’s flawed Medicare trigger proposal (required in privatization legislation passed in 2003) and the mandatory cuts it requires. Chairman Pete Stark says the trigger was passed solely “to do a hatchet-job on Medicare”. He’s so right.

The 45 percent threshold at which the “trigger” is set is a completely arbitrary limit included in the Medicare Modernization Act. There has never been a public debate on whether it is appropriate to establish a cap on the federal revenue contribution to the Medicare program at any level, nor has any policy rationale been identified for selecting 45 percent as that federal contribution limit. The fact that more than 45 percent of Medicare financing may come from general revenues poses no more of a problem in itself than the fact that 100 percent of the financing for defense, veterans’ benefits, education or most other federal programs comes from general revenues. The problem facing Medicare is the cost of health care, not how the cost is allocated between revenue sources.

Here’s reaction from our President Barbara Kennelly, after last night’s House vote suspending consideration of the Medicare trigger:

"The National Committee applauds Congress for postponing cuts which would have hurt millions of seniors who depend on Medicare while ignoring the real challenges facing our healthcare system nationwide. The 45% financing cap, mandated in Medicare privatization legislation passed 5 years ago, is arbitrary and meaningless in the larger debate of reigning in the high cost of healthcare. This healthcare crisis is crippling our nation and skyrocketing costs affect not only seniors in Medicare but Americans of all ages. This trigger is nothing more than a distraction from the true challenge facing Medicare: how will our nation provide high-quality health care for an aging population in an era of unchecked health care costs? We congratulate Congress for turning the tide away from arbitrary cuts and cost-shifting to seniors in favor of taking the longer view. Our National Committee members look forward to working with Washington to craft meaningful reform which will serve seniors in Medicare, their children and grandchildren as well."

Tuesday, July 22, 2008

New Social Security Estimator

When should I retire?

Sounds like such a simple question...one asked by millions of seniors each year. Yet the answers are as unique as the individual asking them. To help future retirees sort through it all, the Social Security Administration has unveiled a new benefits calculator.

This isn’t a first for SSA but this latest version goes further than earlier models. The Baltimore Sun’s Eileen Ambrose provides a nice breakdown of how it works:

You won't be able to use it if you don't have enough credits to qualify for benefits - 10 years of earnings - or you are already receiving benefits.

You will need to plug in your Social Security number and mother's maiden name. The agency says the site is secure. And when you print out your information, it won't include these identifying details.

The calculator will ask when you plan to stop working and your average future earnings. It combines these with your earnings history so far.

With the click of the mouse, you can see what your monthly benefit will likely be at 62 - the earliest year to receive benefits - and at other ages. You can,for instance, calculate the difference in benefits by working one more year,something the annual paper estimates don't tell you. In my case, retiring at 63 instead of 62 would mean an extra $100 a month.

Our own senior policy analyst, Mary Jane Yarrington, says the more tools available to workers the better. She answers hundreds of questions from seniors and future retirees each year. Do you have a Social Security question? You can reach her at: “Ask Mary Jane”.

Monday, July 21, 2008

New Medicare Law is About More Than Just Doctors’ Pay

Last week’s Medicare votes gave Congress and the President a simple choice: strengthen the Medicare program for seniors and their physicians or support billions in wasteful subsidies the health insurance industry has lobbied hard to protect. Ultimately, even those who’ve supported the billions of dollars of wasteful subsidies to private Medicare Advantage insurers for years realized this was a very important vote to seniors, doctors and their families.

While the major goal was to block scheduled cut in fees to doctors in Medicare there were many other important provisions, which didn’t get as much attention, yet will affect millions of seniors on Medicare, such as:



  • Provides lower out-of-pocket costs for mental health services


  • Offers new preventive benefits to Medicare beneficiaries


  • Some widely used anti-anxiety and sleep drugs will be added to Part D coverage


  • Increases funding for low income beneficiaries and extends the program
    until December, 2009


  • Eliminates the Part D enrollment penalty for low income seniors


  • Provides incentives to doctors to encourage electronic prescribing


  • For more details, here’s our summary of The Medicare Improvements For Patients and Providers Act (MIPPA).

Tuesday, July 15, 2008

Seniors Applaud Congressional Veto Override

Barbara B. Kennelly, President and CEO of the National Committee to Preserve Social Security and Medicare, issued the following statement to NCPSSM members and supporters today:

“Thanks to hard won bi-partisan support in the House and Senate, America’s seniors and their caregivers have averted physician pay cuts that would have severely limited healthcare access to millions receiving Medicare. The National Committee’s members and supporters applaud those in Congress who made the right choice today and voted to put seniors’ healthcare needs before insurance industry profits, by overriding President Bush’s veto. I hope this is just the first vote of many to come, which will reverse the destructive and costly privatization of Medicare, begin a serious bi-partisan debate about nationwide healthcare reform and strengthen the Medicare program for future generations.”

Monday, July 14, 2008

Bush Will Veto Medicare Bill Tomorrow

The majority of Congress, including loyal Republicans, America's seniors and their physicians will be told once again where this administration's priorities lie...with the insurance industry. Congressional Quarterly reports this afternoon:

President Bush will veto the recently cleared Medicare bill Tuesday, a senior administration official said Monday on a conference call arranged by the White House. The administration is unhappy with the Republican senators who voted for the bill July 9, but appears to hold out little hope of being able to sustain the veto, or flip back GOP senators who deserted the president on the controversial measure. “If everyone votes as they did, we would not be able to sustain this veto,” said Tevi Troy, deputy secretary of the Department of Health and Human Services. Speaking of the likely override, Troy said, “That is a real problem, but it’s not the Democrats who put us in that position. It’s the nine Republicans” who changed their votes in support of the bill.

They changed their vote in support of a bill which would prevent scheduled pay cuts for Medicare doctors, improve access to prevention and mental health services for all beneficiaries, and decrease the cost-sharing burden for low-income seniors who often forgo services because of expense. Of course, private insurers will lose some of their billions in government subsidies too and that's where the President will draw a line with his veto pen. However, this time it appears his allies in Congress won't be following his lead:

Both chambers have more than enough votes to override the president, assuming no members change their votes. In the case of a veto override, the House would vote first. A House vote on overriding the president’s veto could occur as early as Tuesday, with the Senate acting rapidly afterwards.

Thursday, July 10, 2008

Sen. McCain Spins Social Security Comment

You know it’s bad when even the “clarification” gets it wrong. Senator McCain’s explanation of his ‘Social Security is a disgrace’ comment shows he either doesn’t understand the system’s long-term financial picture or he’s just picking up where the President’s privatization campaign left off. Here is his clarification from The Trail:

McCain sought to clarify his remarks this afternoon on the Straight Talk Express. Young people, he said, "are paying so much that they are paying into a system that they won't receive benefits from on its present track that its on, that's the point."The Social Security trustees "have clearly stated its going to go bankrupt," he said, adding that this is what he meant when he called the system a disgrace. "I don't think that's right," he said. "I don't think it's fair, and I think it's terrible to ask people to pay in to a system that they won't receive benefits from. That's why we have to fix it."

And yet, the Social Security Trustees report actually shows young people are on track to receive 78% of current benefits, even if not a single thing is done to modify funding in the out years (and no one believes that will happen). Beneficiaries will receive full benefits for another 33 years! Let's not forget that the “Social Security is bankrupt” myth and this intergenerational warfare strategy were also the heart of President Bush’s failed attempt to scare the American people into privatizing Social Security 3 years ago. That campaign failed largely because the American people didn’t Buy the Lie.

Unfortunately, it appears Senator McCain is ready to begin that same privatization debate all over again. The Straight Talk Express is beginning to feel more like a time machine transporting us back to 2005.

Medicare Victory for Seniors and Their Doctors

HR 6331 Stops Medicare Physician’s Payment Cuts and Trims Wasteful Insurance Industry Subsidies.
Reaction from National Committee President/CEO, Barbara B. Kennelly:

“Today’s vote provided a clear choice between sound policy to improve healthcare for seniors or funding massive giveaways to private Medicare insurers. We thank those Senators who made the right choice. We only hope President Bush will also put the needs of seniors and their physicians ahead of insurance industry profits. Make no mistake about it, Medicare beneficiaries, low income seniors and their physicians need this legislation. However, President Bush has threatened a veto in order to preserve billions in subsidies to private insurers offering Medicare Advantage plans which will put the healthcare of America’s seniors in jeopardy. The National Committee’s members and supporters nationwide urge the President to set aside privatization politics in favor of doing what’s best for seniors and their caregivers."

In addition to preventing the scheduled cuts for Medicare doctors, the Medicare Improvements for Patients and Providers Act of 2008 (H.R. 6331) will improve access to prevention and mental health services for all beneficiaries, and decrease the cost-sharing burden for low-income seniors who often forgo services because of expense.

Wednesday, July 9, 2008

John McCain Says Social Security is a “Disgrace”

Hard to imagine, right? Even the most hard-core, anti-Social Security flame throwers in town generally use less inflammatory (and fundamentally flawed) language to describe America’s most popular government program. Why then would Senator McCain go there? Good question.

Now, you might be thinking “he probably didn’t mean what he said...or it was just a slip of the tongue” (honestly, that was our first thought too). However, when a politician delivers basically the same message twice in 24 hours the “he didn’t mean it” theory just doesn’t work. Specifically, here is what Senator McCain has said about Social Security in the past two days, first at his Denver Economic Town Hall on Monday:

“Americans have got to understand that we are paying present-day retirees with the taxes paid by young workers in America today. And that's a disgrace. It's an absolute disgrace, and it's got to be fixed.” John McCain, Denver Economic Town Hall, July 7, 2008
Well...Social Security is a pay-as-you-go system but that’s certainly not news, at least it shouldn’t be to someone who's been in Congress for more than 25 years. And while conservatives do want to fundamentally change the program through privatization, does that really make Social Security an absolute disgrace? Hardly.

Here’s the Senator’s second pass at the same message, pitting young versus old in an attempt to convince us Social Security is broken, this time on CNN.

“On the privatization of accounts, which you just mentioned, I would like to respond to that. I want young workers to be able to, if they choose, to take part of their own money which is their taxes and put it in an account which has their name on it. Now, that's a voluntary thing, it's for younger people, it would not affect any present-day retirees or the system as necessary. So let's describe it for what it is. They pay their taxes and right now their taxes are going to pay the retirement of present-day retirees. That's why it's broken, that's why we can fix it." John McCain, CNN American Morning, July 8, 2008
So, Senator McCain, not just once but twice this week, has objected to the very definition of Social Security. This is a very different argument than what has been posted on his website or presented to the American public during his campaign to date (which has been confusing enough as it is).

Our President, Barbara Kennelly, summed up our reaction this way:

“Since its inception, Social Security has been a pay-as-you-go system. That’s not new and it’s certainly not a disgrace. To suggest that Social Security is fundamentally ‘broken’ because of this fact, shows a lack of understanding of the program, its traditional role and and the need to preserve and strengthen it for the future. Social Security is a successful intergenerational program that has served this country well. If Senator McCain wants to entirely restructure Social Security’s funding, through privatization or some other means, now is the time to say it directly. Calling Social Security a disgrace is anything but straight talk.”...Barbara B. Kennelly, President/CEO

Monday, July 7, 2008

Improved Medicare Patient Care or Higher Insurer Profits?

Sounds like an easy choice, right? Apparently, not for Republican Senators who voted against the Medicare bill last month. By all accounts, that Medicare vote, which preserved billions in insurance industry subsidies while requiring cuts in doctors’ payments, made for a tough July 4th recess for some Senators. You can certainly see why... casting a vote to protect billions in industry overpayments while cutting pay for doctors in Medicare has to be a tough sell to seniors, their families, and the doctors serving them. Especially as they're all feeling the pinch of this current economy.

The bill will come up again this week and National Committee members have added their voices to the debate by urging the Senate to cast the right vote this time around. We’re launching an internet ad campaign and have emailed our new :30 Medicare spot to our members urging them to contact their Senators before the mid-week vote:

As Finance Committee Chairman, Senator Max Baucus told reporters today:

“It’s not often we get a second chance to do the right thing... This bill will do a lot more for seniors and that’s the point. Our job is to legislate good policy...that’s what we’re doing. “

Find out how your Senators voted and then use our Legislative Hotline at (800) 998-0180 to connect to them directly with one toll-free call. Ask them to support HR 6331-the Medicare mprovements for Patients and Providers Act of 2008.