Medicare Maneuvers, Part 3: The Insurer Showdown

July 16, 2008

Norm Wernet, Ohio State Director for the Alliance for Retired Americans, holds a sign to protest Medicare policy that hurts retiree, courtesy of Flickr It seems that Harry Reid gambled and won. In our previous two posts we described the battle being waged in Congress over the proposed 11% paycuts to Medicare physicians. After the Independence Day recess, the Senate Majority Leader and advocacy groups working on behalf of doctors and seniors - as well as informed and angry constituents - were able to put enough pressure on Senate Republicans to finally cross the aisle.

But party lines weren’t the real issue. The two sides squaring off in this debate were private insurers versus the average American. Why? Two words: Medicare Advantage.

As discussed in our July 2 post, Medicare Advantage came about when insurers convinced government that they were getting good at cutting spending on health care, and that maybe the government should learn from some of their tactics. Heck, they said, let’s just let insurers do the job themselves!

Medicare Maneuvers, Part 2: The Solution?

July 3, 2008

Capitol Building, D.C.As we wrote about yesterday, payment cuts for doctors who treat Medicare patients finally went into effect July 1. Unfortunately, the first legislative attempt to block the looming doctor payment cuts didn’t come until the end of 2007, and was part of the doomed legislation to improve public funding for children’s health care (see WhatIf’s piece on SCHIP). With the competing SCHIP bills finally all defeated this spring by Presidential vetoes and Republican opposition, there was little time left to deal with doctor payment cuts before the July deadline.

Medicare Maneuvers, Part 1: The Problem

July 2, 2008

Capitol Hill, Washington. D.C. Payment cuts for doctors who treat Medicare patients - which have been looming for about a year - finally went into effect yesterday. The payment cuts of 10.6% will affect the 600,000 doctors who treat Medicare patients, and thus millions of elderly and disabled Medicare enrollees who rely on them.

Maybe if you’re under 65 and/or not relying on government health care benefits you think this isn’t your problem. You’re wrong.

A little history (based on the writings of Jonathan Cohn):

Country Living

June 13, 2008

Early 20th Century photo of doctor treating farmboy Most Americans live in cities and their surrounding metropolitan areas and suburbs. Around 1 in 5 Americans live in the “country” – farms as well as small towns.

When country folks get really sick or injured, they typically have to make the long trip to a city medical center to get expert help. Though 20% of America’s population is rural, only 9% of its doctors are.

A recent study suggests that special programs in medical school to train students for country caregiving could boost the numbers of doctors available.

When Insurers Take Their Toys and Go Home

May 10, 2008

bipolar-disorder-1.jpgFor the past few years there has been work in cities and states across the country to improve our citizens’ access to health care. From San Francisco to Vermont, 39 states and a number of cities are in the process of creating legislation that would help address their numbers of uninsured.

Washington, D.C. is one of these. A look at the trouble our nation’s capital is facing on this issue may shed a light on why the words “health care reform” are often greeted with less than a smile.

SWF Looking for CHC

February 14, 2008

Glitter Graphics
What if you were battling cancer but didn’t have health insurance? How far would you go to get it? Like immigrants who marry citizens to get a green card, at least one person is trying the approach of looking for love - and coverage. Both heartbreaking and humorous, this article has the story of a Seattle woman who used her blog to advertise that she was looking for a Canadian man who would marry her and share his government-sponsored health care coverage.