Entitled to Know

by Alison Bonebrake, NCPSSM Policy Analyst


'Twas the night before Christmas, yet the Senate and the House
Have yet to fix Medicare due to a political louse.

Seniors were hoping that government would care,
That insurance industry subsidies made their premiums flare.

Those in traditional Medicare couldn’t get it through their head,
why they had to pay subsidies that were so widespread;

Those in private plans felt completely entrapped,
with high out of pocket costs and benefits severely capped,

Seniors wanted Congress to resolve this matter,
and prevent insurance company profits from getting even fatter.

But insurance industry lobbyists began doling out cash,
to preserve the subsidies they’ve collected en masse.

Negotiations received a deadly blow,
When Bush said MA savings are a no-no.

He threatened to veto legislation this year,
that reduced subsides the insurance industry held dear.

Without MA savings, the bill was pared down quick,
And Medicare improvements were no longer a policy pick.

All-in-all the Medicare bill looked pretty lame;
In fact, it was really more of the same.

No preventive, no mental health, no low-income protections!
Only future growth in insurer subsidy projections!

Seniors were astounded, they couldn’t believe the gall,
Bush’s allies in Congress didn’t eliminate subsidies, or reduce them at all!

They passed a short-term doc fix that was incredibly shy
of achieving the priorities the House laid out in July.

The one thing that seniors know is true
is their monthly premiums will increase in dollars of two.

They are charged more to fund MA plans, and if you need proof
The Medicare Modernization Act engorged this illogical goof.


MA subsidies give all taxpayers a reason to frown,
and the 150 billion dollar price tag is sure to confound.

The Medicare HI trust fund is also asked to foot,
the bill for these subsidies which are so hard put.

Subsidies place the trust fund further under attack,
It loses two years of solvency unless they are rolled back.

The unfairness of the situation made seniors anything but merry!
How could Congress pass a bill with public opinion so contrary?

Despite receiving subsidies, didn’t Congress know,
MA plans offered inferior coverage for services seniors couldn’t forgo?

Sure they might give you glasses or even some new teeth,
But hospital stays are costly and other tricks lurk underneath.

Their marketing handbooks must have been written by Machiavelli,
Because sales tactics can be unethical, illegal and just plain smelly.

Unfortunately for seniors, this year no Angel or Christmas elf,
will correct the situation since the issue has been shelved.

As they pay rising premiums with a bit of dread,
they look forward to 2008 and the election ahead.

Politicians who do not address this overpayment quirk,
may very well find themselves in 2009 out of work.

Perhaps the holiday season can convince our foes,
that traditional Medicare is not something they should oppose.

We should preserve social insurance, not arrange for its dismissal,
as we’ve discovered private plans are as thorny as a thistle.

As we approach the holiday, Medicare beneficiaries unite to say
"Happy Christmas to all, and next year we’ll win the fight."

Seniors nationwide are watching their Social Security checks shrink before their eyes ...

as rising premiums for healthcare and drug coverage eat away more and more of their limited monthly income. And each year it’s getting worse.

Skyrocketing healthcare costs are triggering rising Medicare premiums that reduce the amount of money left in seniors’ Social Security checks each month. In fact, the average retiree will lose 25% of their Social Security COLA in 2008 due to higher Medicare premiums. Many seniors enrolled in more expensive prescription drug plans will see even larger reductions in their COLA. Those with lower incomes (and smaller Social Security benefits) can lose their entire COLA due to the rising health care costs reflected in the Medicare premiums.

It’s easy to see why seniors’ Social Security cost of living adjustments (COLAs) are shrinking away at such a fast pace. That’s why we’re especially pleased to see new legislation introduced this week to limit the bite premiums can take from retirees’ monthly Social Security check. The “Social Security COLA Protection Act of 2007” would guarantee that no more than 25% of a retiree’s annual COLA could be taken by the combined increases in Part B and Part D Medicare premiums. Senator Tim Johnson (D-SD) and Rep. Stephanie Herseth Sandlin (D-SD) are the bill’s sponsors.

by Barbara B. Kennelly, President/CEO

"The debate over Medicare legislation has been a true disappointment to millions of seniors tired of paying more in premiums so that insurers offering private Medicare Advantage plans can keep their billions in government subsidies. While everyone in Washington talks about fiscal discipline, the President’s veto threat with support from his allies in Congress, shows the influence of the insurance lobby once again ruled the day.

This legislation offers only a band-aid fix to the doctor’s fee cut and clearly puts insurers’ profits ahead of Medicare’s solvency and seniors’ needs. The National Committee will continue to work with House and Senate members next year on legislation to eliminate these outrageous and wasteful subsidies to Medicare Advantage insurers, strengthen aid for low income beneficiaries and improve Medicare’s long-term solvency.”

The Treasury Department and the Office of Management and Budget have released their FY 2007 US Financial Report. This report shows that by using the same accounting methods as private companies, the federal budget deficit is actually 69% higher than the administration reported two months ago, putting the deficit at $275.5 billion for this fiscal year. The Bush administration will proudly tell you that this is 38% less than last year’s deficit. But who would’ve thought seven years ago we would be expected to celebrate a $275.5. billion dollar deficit?

Rather than focusing on the tax and spend policies which created this deficit, this report touts the “healthy economy” and continues to issue more dire warnings of an “oncoming fiscal train wreck” of entitlement spending.

Let’s be clear here, entitlement costs did not create our current budget deficit. The challenges facing each of these programs are different and they’ll require unique solutions, yet the Bush administration continues to lump Social Security, Medicare and Medicaid together in an attempt to persuade older Americans and their families to foot the bill for this administration’s irresponsible budget policies. The long-term challenges facing Social Security are modest and manageable and should be addressed -- but there is no need to buy into this “crisis” campaign designed to persuade Americans this program must be eviscerated in order to be fixed.

Medicare, on the other hand, faces a shortfall in 2019 in large part because it suffers from the same skyrocketing healthcare costs Americans are seeing nationwide. We can’t continue to ignore national health care reform if we want to control federal spending. Yet the administration’s supporters continue to ignore the real issues in favor of their rhetoric designed to erode Americans’ deep faith in social insurance programs.

Americans want fiscal discipline returned to Washington; however, the challenges facing Medicare and Social Security are different. A one-size-fits-all ‘let’s cut entitlements’ approach won’t work no matter how hard the Bush administration tries to sell it.

More than 10 million Medicare beneficiaries live at or near the poverty line but it’s been hard to get much attention for reforms that could ease their burden.

House and Senate conferees appear bogged down in negotiations of a Medicare reform bill. Of course, the focus of Congressional wrangling so far has been on cuts to wasteful subsidies to private Medicare Advantage insurers and a fix to prevent a 10% pay cut to Medicare physicians, which is scheduled for the New Year.

Now, Senators Jeff Bingaman (D-NM) and Olympia Snowe (R-ME) are sending a letter to Medicare negotiators, signed by more than 30 of their Senate colleagues, urging them to support reforms in three other areas:

· Increase the asset allowance for the Part D low income subsidy so that those with very limited incomes, but modest retirement savings, can obtain the assistance the Medicare Modernization Act was intended to deliver in paying premiums and coinsurance under the drug benefit

· Update the income and asset allowances for the Medicare Savings Programs, and provide continuing inflationary adjustment for those limits. Today many fail to receive needed assistance due to an asset test which has been unchanged for two decades

· Improve outreach and enrollment in both programs

Here’s more information on the Medicare Savings Program and the Low-Income Subsidy.

Yes, you read that correctly. Unfortunately, it’s a statement that is less likely to be included in any news coverage thanks to a 7-year propaganda campaign created to convince Americans that “Social Security won’t be there when today’s younger workers retire...baby boomers will bankrupt the system and you can make more money if you trade your Social Security for a Wall Street account.”

These myths are simplistic and wrong. The facts, unfortunately, are more complicated to understand. Maybe that’s why the mainstream media has bought the Social Security “crisis” claims so easily and completely? Until lately, that is.

The Dallas Morning News has among the most comprehensive articles we’ve seen in months describing the truth of Social Security. Bob Moos talked to a broad range of economists, actuaries, and advocates. He also summarizes the Presidential candidates’ positions. It’s definitely worth a read.

The Association of Marketing & Communications Professionals has honored the National Committee’s website and blog for outstanding achievement among public service and charitable organizations. “Entitled to Know” received MarCom’s Gold Award and the redesigned website received an Honorable Mention.

As baby-boomers age and an increasing number of older Americans turn to the internet for their news and information, the need for thorough and thoughtful analysis on issues affecting seniors is also growing.

That’s why, as the nation’s leading advocate for strengthening Social Security and Medicare for future generations, the National Committee launched it’s blog “Entitled to Know” earlier in 2007 to positive reviews from senior bloggers:

“I write about these issues frequently, but I can’t keep up as thoroughly and with as much detail as the people who write for this blog. I urge you to bookmark “entitled to know”. It’s important stuff you need to know”...Ronni Bennett, Time Goes By

by Max Richtman, NCPSSM Executive Vice President

That simple sentiment sums up my trip to Iowa this week perfectly. I met with National Committee members and supporters who are organizing for the Iowa Presidential Caucuses,which are just a month away. We have more than 38-thousand supporters in Iowa and these seniors want to be sure that the Presidential candidates don’t ignore issues critical to retirees and their families.

We talked about so many different issues of concern to seniors including, the continuing preoccupation by some in Washington with privatizing Social Security and the inadequacy of the Medicare drug benefit. But nothing raised the hackles of this group of National Committee activists as much as our discussion about the Medicare Advantage Program or, as one participant characterized it, the Medicare Disadvantage Program.

They resent the fact that all Medicare beneficiaries, including the 81% of beneficiaries who have not signed up for Medicare Advantage, are paying more in premiums ($2 per month) to help finance this outrageous subsidy of the insurance companies selling Medicare Advantage Plans.

They were outraged that $149 billion dollars will be spent, or more accurately wasted, over the next 10 years on government subsidies to these plans while so many health care needs of seniors go unmet – supposedly due to lack of money in the Medicare budget.

The participant who said, “I thought Medicare was for seniors – not the insurance industry”, summed up the tone of our meeting perfectly. The Medicare law passed nearly 4 years ago had a different set of priorities and forgot that Medicare is for seniors. The National Committee is doing every thing we can to change this and is urging the Congress to eliminate this wasteful spending on subsides to the insurance companies.

It is time to get our priorities in order. It is time to devote theses precious resources to those in need -- not those motivated by greed.

The huge irony of watching President Bush accuse Congress of “wasteful Washington spending” while at the same time threatening to veto a Medicare bill which could trim billion dollar subsidies to the insurance industry might make us chuckle...if only it weren’t so harmful to seniors.

According to Congressional Quarterly today: