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

Thursday, April 3, 2014

Marriage equality comes to Medicare

President Lyndon B. Johnson signing the Medicare Bill at the Harry S. Truman Library in Independence, Missouri. Former President Harry S. Truman is seated at the table with President Johnson. The following are in the background (from left to right): Senat
Nearly 50 years after LBJ signed Medicare into law, same-sex married couples are now treated equally


More tyrannical despotism good news from the Obama administration:

The Obama administration announced on Thursday that same-sex married couples can qualify for Medicare hospital and physician benefits for the first time.

And something tells me that statements like this from Kathleen Sebelius actually get Republican angrier than the HealthCare.gov SNAFUs from last fall:

“We are working together with SSA to process these requests in a timely manner to ensure all beneficiaries, regardless of sexual orientation, are treated fairly under the law,” U.S. Health and Human Services Secretary Kathleen Sebelius said in a statement.

In the statement, the Department of Health and Human Services encouraged same-sex couples to visit the Medicare website for more information on how same-sex couples or survivors of same-sex spouses can apply for coverage.



Daily Kos



Marriage equality comes to Medicare

Monday, March 31, 2014

Congress Approves Bill to Avert Medicare Pay Cut for Doctors


The U.S. Senate gave final congressional approval on Monday to legislation to avert a pay cut for doctors who participate in the Medicare insurance program for the elderly and disabled.


By a vote of 64-35, the Democratic-led Senate sent the measure, approved last week by the Republican-led House of Representatives, to President Barack Obama to sign into law.


The bill would give doctors a one-year reprieve from a 24 percent cut set to kick in this week under the Medicare payment formula, known as the Sustainable Growth Rate, or SGR.


It marked the 17th time Congress had agreed to a temporary “doc fix” rather than agreeing to a permanent bipartisan replacement of the 1997 funding formula.


The payments affect doctors treating patients under Medicare, which pays for healthcare for nearly 51 million people in the United States who are 65 and older or disabled.


Republican and Democratic lawmakers approved the “doc fix,” knowing that failure to do so would risk prompting doctors to drop out of the program, leaving patients without care.


© 2014 Thomson/Reuters. All rights reserved.




Newsmax – America



Congress Approves Bill to Avert Medicare Pay Cut for Doctors

Friday, March 28, 2014

How Deficit Hawks Are Trying to Pit Millennials Against Seniors to Attack Social Security and Medicare



A Tea Party congressman calls out greedy Wall Streeters for the ruse.








Generational grievances pitting struggling young millennials against supposedly better-off seniors is creeping back into American politics, fanned by a new wave of deficit hawks who want to undermine public confidence in Social Security and Medicare—as the first step in cutting the social insurance programs.


A string of recent examples—rants from MSNBC’s wealthy young commentator, a notorious elderly-attacking House candidate, think tanks promoted on NPR—generational warfare cheerleaders are proclaiming that America is heading toward an epic and immoral conflict as better-off seniors are robbing millennials of shrinking federal dollars because retirement programs cost too much. That’s simply false, as Social Security is solvent through 2033, and spending as a percentage of GDP is close to where it’s been since 1975, at 21 percent. 


This line of attack isn’t in a political vacuum. It comes as some Democrats are reframing the debate on Social Security and campaigning for increased benefits. Nor is it a new argument, as a right-wing club of libertarians, Wall Street bankers and deficit hawks have tried for decades to undermine and privatize the program. Amazingly, the generational warmongers are not just irking progressives who see shifting political winds; they"re scaring at least one Republican congressman who called out the generational warfare ruse and game plan in fundraising letter.        


Pennsylvania Republican Tom Marino is a former U.S. Attorney and conservative two-term incumbent. His re-election website boasts he is anti-Obamacare, pro-gun, pro-fracking and anti-gay marriage. Yet, the top news item on his website is a letter from Vivian Mae Marino, “to let all of you know that my son, Tom Marino, will save Medicare and strengthen Social Security.”


Why is a 62-year-old Tea Partier calling on mom? Because a generational antagonist bent on sounding “the alarm of gerontocracy, or rule by the elderly,” may run against Marino as an independent in 2014. That self-proclaimed Paul Revere for millennials is Nick Troiano, 24, who co-founded a group supposedly representing young Americans who are losing sleep because they feel Congress is stealing their future by spending on seniors. Never mind that his deficit hawk group spectacularly imploded last month, after e-mails revealed that it couldn’t balance its budget, and had burned through funds from Wall Street billionaire Pete Peterson, the leading Social Security privateer.


“As a college student in Washington, D.C., this individual [Troiano] founded a group called The Can Kicks Back,” Marino’s appeal said. “The Can Kicks Back claimed to be concerned about our nation’s debt and deficit. In reality, it is just another front group funded by Wall Street billionaire Pete Peterson.” Marino’s letter did what Republicans almost never do—unmask other Republicans’ real agenda. “Why are Pete Peterson and Kick The Can Back so dangerous?” he wrote. “Their goal is to increase tax loopholes for the largest corporations in the country and they plan to pay for this corporate giveaway to the Fortune 500 by cutting Social Security benefits for older Americans.”


Marino didn’t stop there. “One commentator recently suggested that The Can Kicks Back’s strategy was, ‘to attempt the enlistment of millennial (young Americans age 18 to 25) in the effort to impoverish their grandparents,” he said. “Within just a day of his announcement, this individual considering running against me claimed that he had already raised $ 10,000. How much of that do you think was from Peterson and other Wall Street fat cats who want to get their hands on your Social Security benefits.”


This spat captures the contours of an old and still looming political fight where centrist Democrats and most Republicans refuse to fortify America’s most popular and widely used social insurance programs by a mix of simple tax increases and more realistic cost-of-living increases. More than 80 percent of Social Security benefits go to people with incomes of less than $ 30,000—and most average less than $ 12,000 a year. Yet faces are appearing on America’s airwaves posing a false analysis and choice: that federal finances are a mess; and that the only fix is depriving seniors of earned social insurance benefits so those funds could be diverted to struggling youths. 


Abby Huntsman, the poised 27-year-old daughter of multi-millionaire 2012 GOP presidential candidate, Jon Huntsman, and a co-host of MSNBC’s millennial-targeted show, “The Cycle,” is a prime example. Two weeks ago, she went into an on-air tizzy about how Social Security would disappear for her peers if older Americans kept getting all the benefits. “At the rate we are spending, the system will be bankrupt by the time you and I are actually eligible to get these benefits,” she declared, citing new Pew Research Center research. “Would you rather have 80 percent of what you have today, or nothing at all?” 


Baby boomers will have to forgive Huntsman for plagiarizing the Beatles—she calls her TV commentary Abby’s Road. But they shouldn’t let her off the hook for wild inaccuracies, Los Angeles Times business columnist Michael Hiltzik noted. Telling her peers that they will get zero when the retire, which is incorrect, so that they will accept a budget deal that would instead lower their eventual retirement benefits, is not looking out for her generation.


On Thursday, Huntsman hit back at Hiltzik, flashing his column on the air, and declaring, “entitlement reform is the most pressing long-term budget decision we have to make as a country. Come on, man! It isn’t about me. It’s about the major problem.” Her solution, needless to say, was cutting Social Security, screening incomes of Medicare recipients, and postponing the onset of that program from age 65 to 67.


The problem is that Huntsman doesn’t understand the real problem—and refuses to consider other options besides spending cuts, as Hiltzik said in a Friday piece. “That’s where she really goes off the rails,” he said, citing her remarks no one is discussing serious options. “We have been debating those options, for years.”


Huntsman is not alone in resurrecting a generational warfare meme. Comedian Bill Maher recited the same incorrect clichés in jokes on his TV show. But more serious is the Pew Research Center report—and a new related book—cited by Huntsman, from ex-Washington Post reporter turned Pew research czar Paul Taylor.


Taylor’s book, The Next America: Boomers, Millennial and The Looming Generational Showdown, is a full-throttled Pew production. It’s packed with facts, figures, graphs, and dire-sounding analysis to support a particular conclusion, which Taylor told NPR. Speaking of Social Security and Medicare, he said, “Everybody who looks at the demographics knows that those systems are going broke within 15 or 20 years and the longer you wait, the more the burden of the solution is going to fall on millennials.”


It’s worth noting that this is the same line that U.S. News and World Report, the pro-business weekly magazine, took in its November 5, 1984 editorial, after President Ronald Reagan, the conservative Republican, and Democratic House Speaker Tip O’ Neill, put together a bill modifying but not privatizing Social Security—as right-wingers had hoped. The magazine called it “nothing less than a massive transfer of wealth from the young, many of them struggling, to the elderly, many of them living comfortably.”


Fast-forward 30 years and Paul Taylor is making the same case on NPR—as an information broker to its educated, influential audience. “I leave this book thinking we have very serious demographically driven challenges,” he said on March 4. “We’ve got to rebalance the social safety net so it’s fair to all generations.” 


Pew isn’t the disinterested wise observer that’s NPR presents. It and the right-wing Laura and John Arnold Foundation have lead a tag team effort to cut back government employee pensions. They recite austerity frames—talking about slashing spending and avoiding other options where wealthy interests would pay more. Taylor is a bit too black and white when he says “everyone” in Washington knows that a retirement safety net crisis will explode in 15 or 20 years. That’s not how liberal economists see it.


“It is striking that NPR is willing to focus so much more attention on the threat to the living standards of millennials presented by a 2-3 percentage point increase in payroll taxes,” blogged Dean Baker, at Washington’s Center for Economic and Policy Research after Taylor’s appearance. That focus ignores the “policies that could lead to much or all of the benefits of productivity growth over the next three decades going to those at the top, as has been the case for the last three decades,” he said, referring to America’s wage and income stagnation.  


When you peel back the details, what’s going on here is simple and not new. Right-wingers—starting at the libertarian Cato Institute which doesn’t want federal social insurance programs to work, going next to Wall Street firms that see a gold mine from privatizing Social Security, and continuing to today’s spokespeople for these interests—want to undermine public confidence in government and push for-profit substitutes. They know that seniors and near-retirees won’t buy into any of this, which is why they have tried for decades—as Republican Congressman Marino’s fundraising letter noted—to create generational grievances pitting America’s young against its elderly.


“I’m not quite a believer in cabals, but that’s sort of what happened,” said Eric Kingson, Syracuse University Professor of Social Work and co-director of Social Security Works, the national advocacy organization. “It [generational warfare] doesn’t take off when people see their parents and their grandparents struggling on fairly minimal income.”


Right Wing History Repeats Itself


Experts who have studied America’s social insurance programs for decades know that cutting Social Security would cause more poor seniors in the future—including today’s millennials. That is because smaller baseline benefits would yield smaller future monthly checks, even after cost-of-living increases. How do they know that? Because in the early 1980s, when Social Security faced a funding shortfall in a bad economy, Congress’s fix ended up shrinking payments to today’s retirees by more than 20 percent, compared to what they would have been if left alone. Three factors did that: increasing income taxes on Social Security benefits, delaying annual cost of living increases every year by six months, and eventually raised the retirement age from 65 to 67.


The losers in that political fight—lead by the Cato Institute and anti-tax Wall Streeters—have been fighting to privatize Social Security ever since. Their best strategy, as laid out in the fall 1983 Cato Journal, was seen as fomenting a generational divide fighting for a shrinking slice of the federal pie. At the same time, they also began to push businesses to replace employee pensions with individual retirement accounts, which, as AlterNet’s Lynn Stuart Parramore has described in detail, have produced far less for retirees.


“We must prepare the political ground so that the fiasco of the last 18 months is not repeated,” Cato Journal’s influential 1983 article, “Achieving A “Leninist” Strategy,” began. “We must begin to divide this [pro-Social Security] coalition and cast doubt on the picture of reality it presents to the general public.” Cato knew who it wanted on its team. It “should consist not only of those who will reap benefits from the IRA-based private system [that a lawyer and columnist Peter J.] Ferrara has proposed, but also the banks, insurance companies, and other institutions that will gain from providing such plans to the public.” 


And Cato knew its target. “The young are the most obvious constituency for reform and a natural ally for the private alternative,” it said. “The overwhelming majority of people in this group have stated repeatedly that they have little or no confidence in the present Social Security system.” Youthful indignation and grievance could be powerful, Cato said, fantasizing about its coming revolution. “Younger workers… would see just how much of a loss they are taking by participating in the program… assuming, for the sake of argument, that they would ever have received those benefits.” 


Needless to say, Social Security has not collapsed as Cato forecast—even though today’s generational warfare arguments are basically repeating 30-year-old rhetoric. The program is solvent under promised benefits through 2033—a half-century after Congress reformed it. Social Security advocates say such longevity is a sign of its great success. But, as was the case in 1983, federal law requires Social Security to pay out only what it takes in. The next funding shortfall is predicted to come in 2033, when benefits would be cut by about 20 percent to Baby Boomers and GenXers if no revenue changes were made. But modest increases in payroll taxes—fifty cents a week for most workers, and raising the cap on how much of one’s annual income is subject to Social Security taxes (the first $ 117,000) would more than offset 2033’s predicted shortfall.


Those simple options, needless to say, are almost never discussed by Cato’s narrative or by its more modern descendents. Cato’s generational warfare script had another dark thread that was developed in a second article the same issue of the Cato Journal, where it suggested that elderly people were more likely to be greedy when the government was signing the check, which amounted to taking money from younger people’s pockets. That feeds rightwing scripts that seniors are immorally stealing federal funds from the young. 


“If transfers to aged parents were purely a family decision, I doubt those among today’s elderly who have accumulated significant wealth would be willing to ask their children for a significant portion of their income,” Marilyn Flowers wrote. “Yet these same individuals seemingly have no qualms about using their political clout to demand through Social Security what is, in an objective sense, the same thing.”   


Back To Reality


There have been many fact-filled rebuttals to these frames—that seniors are taking too large a slice of America’s limited public resources—even as this pro-austerity script has evolved under the more recent deficit hawk banner. It’s key to note what these right-wingers aren’t calling for. They don’t want to cut corporate subsidies or defense spending, nor do they want to pay more in taxes—such as taxing investment income. They’ll cite big numbers on how much is spent on safety nets to scare people, but they don’t mention the even bigger sums spent on corporate welfare. That’s was the striking takeaway from David Sirota’s investigate report on the joint Arnold Foundation and Pew attack on pensions for The Institute for America’s Future and PandoDaily, which prompted WNET, New York City’s largest public television station, to return Arnold’s $ 3.5 million grant and cancel a “Pension Peril” series.   


Social Security defenders like Kingson know that the right’s arguments are simplistic while real life is more complicated. It’s almost impossible to quantify how much money flows from one generation to the next over a lifetime—such as parents raising children and paying for college, helping with a first home down payment or bailing out a child’s bad business decision; to elderly people on the other end not being paid at all for their care giving as their life partners age in their own homes. This reality points to Kingson’s biggest disappointment with today’s political leaders—they aren’t noting how American of all ages are facing intertwined economic struggles.


“Obama’s failure is not building on his promise of we’re in all in this together,” Kingson said. “The concept of all of us being connected and being together leads to policies of compassion, citizenry, decency, dignity. It leads to form social structures that support human beings throughout life. And we as a country aren’t seeing ourselves as being in it together, and nobody is speaking out for that with moral force today.”


“Instead, there’s moral force that’s being exerted from the right in a negative way,” he continued. “They have a narrative that government is falling apart, too much money is being spent, you’re being screwed—and we thought that Obama was going to do this—counter that.”    


But a funny thing is happening as today’s generational warmongers—MSNBC’s Abby Huntsmen, prospective GOP House candidate Nick Troiano, Pew research czar Paul Taylor—are that saying generational conflict is America’s fate.


“What’s so fascinating is there isn’t any tension at the moment,” Taylor told NPR. “You have a generation coming in that isn’t wagging its finger with blame at mom or grandma. In fact, they’re living with mom and grandma… and maybe that’s the best basis upon which to go forward and rebalance our books on Social Security and Medicare.”


In other words, there’s no real generational warfare. There are just new faces touting an old line, which is an opportunistic political attack for sponsors to line their pockets or hobble effective government programs—which is exactly what Republican Rep. Tom Marino wrote in his edgy March 10 fundraising appeal unmasking this rhetorical red herring.


“You will not believe the length to which this community organizer and his Wall Street friends will go to buy a seat in Congress,” Marino’s letter began. It ended, “We’ll let the billionaires know that we mean business when we tell them to keep their hands off the Social Security benefits we have earned.”


 

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How Deficit Hawks Are Trying to Pit Millennials Against Seniors to Attack Social Security and Medicare

How Deficit Hawks Are Trying to Pit Millennials Against Seniors to Attack Social Security and Medicare

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How Deficit Hawks Are Trying to Pit Millennials Against Seniors to Attack Social Security and Medicare

Thursday, March 27, 2014

House backs one-year delay to doctor pay cuts under Medicare


WASHINGTON Thu Mar 27, 2014 12:18pm EDT



WASHINGTON (Reuters) – The U.S. House of Representatives on Thursday approved legislation to temporarily avert looming pay cuts for doctors under the government’s Medicare health insurance program for older Americans and the disabled.


The measure was approved in a voice vote.



Reuters: Politics



House backs one-year delay to doctor pay cuts under Medicare

Tuesday, January 14, 2014

Insurance ad blitz to preempt Medicare cuts

A senior citizen is pictured receiving medical care. | AP Photo

More than 14 million people are enrolled in the private Medicare Advantage plans. | AP Photo





This time around, the insurance industry isn’t even waiting for the Obama administration to threaten cuts to private Medicare plans: It’s launching a peremptory strike.


America’s Health Insurance Plans will announce Tuesday an all-out advertising campaign. “Seniors are Watching” is the group’s biggest ad mobilization for Medicare Advantage, a spokesman said, in advance of an annual notice that sets the plans’ payment rates for the upcoming year.







The ads will appear in Washington-area buses next week, and the campaign will expand to include TV, print and digital promotions, as well as grass-roots mobilization of the Coalition for Medicare Choices, an advocacy group that AHIP says includes 1.5 million seniors — who are “ready to defend the Medicare Advantage coverage they like and want to keep,” according to one aggressive ad.


AHIP says the campaign is well-financed but declined to specify how much money is behind it.


The blitz follows a successful campaign last year to reverse a proposed 2.3 percent cut by CMS. Every February, the agency releases a notice of proposed pay rates for Medicare Advantage plans for the following fiscal year. The estimate is supposed to be based largely on expected health care costs, which of late have been growing at a historically slow rate.


For the past decade the calculation has assumed that a draconian cut to physician payments, called for by the sustainable growth rate formula, would take effect and reduce those expected costs — when in fact Congress has reversed the physician cuts each year. A bill moving through Congress would permanently repeal the flawed formula.


The pressure brought to bear by the industry in 2013, which included advertising in New York, Pennsylvania and Louisiana and letters from at least 160 supportive lawmakers, forced CMS to reverse its standard assumption. Instead of a 2.3 percent cut, the plans saw a 3.3 percent increase.


This year could be different, however. Because of the way the calculations are made, low-ball estimates of spending one year because of the SGR typically leads to offsetting higher payments the following year. If CMS follows the same methodology this year, the private Medicare plans would not receive that compensation.


The 2013 adjustment “just moved up when the plans got the extra bump,” said Edwin Park, a Medicare expert at the Center on Budget and Policy Priorities.


The campaign comes as Medicare Advantage faces a host of payment reductions and fees under the Affordable Care Act, as well as cuts from the budget sequester.


“This is just setting the stage so that when the 2015 announcement comes out, AHIP will try to argue that these are new cuts,” Park said. “But there are no new cuts.”


More than 14 million people are enrolled in the private Medicare Advantage plans — about one-fourth of the total in the federal health care program for seniors. On average, the government spends more per person on Medicare Advantage than on Medicare, in part because the private plans offer additional benefits.


Certain ACA provisions were designed to bring the private Medicare payments in line with the traditional program. But the insurance industry hopes that the plans’ popularity with seniors will convince CMS to avoid proposing any cut next month, saying that plan choices and benefits could be limited as a result.


“If CMS doesn’t keep Medicare Advantage payment rates flat next year, it is going to create a huge political problem for members of Congress this fall when they have to face millions of angry seniors who just found out they are losing benefits and choices they were promised they could keep,” said an insurance industry source familiar with the campaign.




POLITICO – TOP Stories



Insurance ad blitz to preempt Medicare cuts

Sunday, November 17, 2013

VIDEO: Rahm Emanuel habla de la criminalidad en Chicago y del Plan de Salud del Presidente Obama en dura entrevista







El alcalde de Chicago y exjefe de Gabinete de la Casa Blanca, Rahm Emanuel, habla sobre dos de las promesas incumplidas de Obama durante su primer mandato













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VIDEO: Rahm Emanuel habla de la criminalidad en Chicago y del Plan de Salud del Presidente Obama en dura entrevista

Tuesday, October 29, 2013

Medicare chief apologizes for "Obamacare" woes








FILE – In this April 10, 2013, file photo, Centers for Medicare and Medicaid Services Acting Administrator Marilyn Tavenner speaks during a news conference at the Health and Humans Services Department in Washington. Tavenner, the senior Obama administration official closest to the implementation of the health care law’s dysfunctional website faces tough questions Tuesday, Oct. 29, from Congress at the start of a pivotal week. Tavenner will be questioned by the House Ways and Means Committee on what went wrong with HealthCare.gov, and whether she saw any of it coming. (AP Photo/Manuel Balce Ceneta, File)





FILE – In this April 10, 2013, file photo, Centers for Medicare and Medicaid Services Acting Administrator Marilyn Tavenner speaks during a news conference at the Health and Humans Services Department in Washington. Tavenner, the senior Obama administration official closest to the implementation of the health care law’s dysfunctional website faces tough questions Tuesday, Oct. 29, from Congress at the start of a pivotal week. Tavenner will be questioned by the House Ways and Means Committee on what went wrong with HealthCare.gov, and whether she saw any of it coming. (AP Photo/Manuel Balce Ceneta, File)





This screenshot made Monday, Oct. 28, 2013 shows the U.S. Department of Health and Human Services’ main landing web page for HealthCare.gov. With website woes ongoing, the Obama administration Monday granted a six-week extension until March 31, 2014 for Americans to sign up for coverage next year and avoid new tax penalties under the president’s health care overhaul law. (AP Photo/U.S. Department of Health and Human Services)













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(AP) — Stressing that improvements are happening daily, the senior Obama official closest to the administration’s malfunctioning health care website apologized Tuesday for problems that have kept Americans from successfully signing up for coverage.


“I want to apologize to you that the website has not worked as well as it should,” Medicare chief Marilyn Tavenner said as she began her testimony before the House Ways and Means Committee. It was the most direct mea culpa yet from a top administration official.


The first senior official to publicly answer questions from lawmakers, Tavenner is being grilled not only on what went wrong with HealthCare.gov, but also whether lawmakers can trust promises to have things running efficiently by the end of November.


She firmly refused to provide current enrollment numbers, saying repeatedly they will not be available until mid-November.


Tavenner’s appearance follows the testimony last week of outside contractors who said there wasn’t enough time to test the complex online enrollment system. It froze up the day it was launched, Oct. 1.


At stake is what the Republicans’ partial government shutdown could not achieve: a delay of President Barack Obama’s law expanding coverage for uninsured Americans. As a result of widespread sign-up problems, even some Democrats have joined Republicans in calling for a one-year postponement of the law’s tax penalties for the remaining uninsured. The insurance industry warns that would saddle the new system with too many high-cost patients.


In prepared testimony, Tavenner acknowledged the initial performance “has not lived up to the expectations of the American people and is not acceptable.” But she also seconded administration talking points that despite the website problems the law is living to its promise of quality, affordable health insurance for those who don’t have access to workplace coverage.


Less well known than Health and Human Services Secretary Kathleen Sebelius, Tavenner was closer to the day-to-day work of setting up the enrollment website, which was handled by experts within her agency, the Centers for Medicare and Medicaid Services, along with outside contractors. Like other administration officials, she previously had assured Congress that everything was on track for a reasonably smooth launch in all 50 states.


“If people can’t navigate such a dysfunctional and overly complex system, is it fair for the IRS to impose tax penalties?” said Ways and Means Chairman Dave Camp, R-Mich. In a concession, the White House has said it will waive penalties for anyone who signs up by March 31, in effect granting a limited grace period.


Tavenner began her career as a nurse and built a successful record as a hospital executive before entering public service. Seen as a businesslike manager, she has enjoyed support from lawmakers across the political spectrum. Indeed, Republicans are calling for Sebelius to resign, not Tavenner. But the Medicare chief’s professional reputation is also at stake.


On Monday, a spokeswoman acknowledged Tavenner’s central role. The Medicare agency “has said we are responsible for the issues the website is currently facing,” communications director Julie Bataille said. As administrator, Tavenner “has been in charge of the overall … implementation effort.”


What Tavenner knew about the potential for problems and whom she told will be key questions from lawmakers. Additionally, some are concerned about the security of the HealthCare.gov site. Others worry about unintended consequences from the feverish, hasty work to repair the site.


Sebelius is likely to face some of the same questions Wednesday when she appears before another powerful House panel, the Energy and Commerce Committee.


Momentum to fix the problems has grown since Obama personally acknowledged the problems last week. He sent in management consultant Jeff Zients to assess the situation. By the end of the week, Zients reported that he had two big lists with dozens of needed fixes, and said he was optimistic they could be completed by Nov. 30.


HHS also announced that an outside company would assume the role of general contractor shepherding the fixes, in effect taking over the coordination job that Tavenner’s agency had been doing.


Although the administration has released a blizzard of statistics on the numbers of people visiting the website, opening accounts and having their income verified by the Internal Revenue Service, it has yet to say how many have successfully enrolled for health insurance.


The website was supposed to be the online portal to coverage for people who don’t have a health plan on the job. Its target audience is not only uninsured Americans but those who already purchase coverage individually. A companion site for small businesses has also run into problems.


Under the law, middle-class people can qualify for tax credits to make private health insurance more affordable, while low-income people will be steered to Medicaid in states agreeing to expand that safety net program.


Associated Press




Top Headlines



Medicare chief apologizes for "Obamacare" woes

Wednesday, October 9, 2013

Amid government shutdown, Obama signals cuts to Social Security, Medicare



Source: WSWS


Obama for the first time in his Wednesday press conference went on record in supporting a short-term increase in the debt ceiling, saying, “If they can’t do it for a long time, do it for the period of time in which these negotiations are taking place.”


As the October 17 deadline for raising the US government’s borrowing limit approaches, both sides are zeroing in on their real goals: a “Grand Bargain” to make sweeping cuts to social programs, while lowering corporate taxes.


Obama reiterated that the Democrat-controlled Senate has already passed a budget at funding levels demanded by Republicans, and that “we’re willing to have conversations about anything.” He added, “I will sit down and work with anyone of any party, not only to talk about the budget; I’ll talk about ways to improve the health care system … I’ll talk about ways that we can shrink our long-term deficits.” This is Washington-speak for cutting social programs.


Obama added, “If anybody doubts my sincerity about that, I’ve put forward proposals in my budget to reform entitlement programs for the long haul and reform our tax code in a way that would … lower rates for corporations.”


Leaders of both parties had been angling for such a deal during the 2011 debt ceiling crisis, but such a sweeping agreement proved elusive. Instead, the White House and Congressional Republicans approved a more limited series of cuts that largely left Social Security and Medicare intact.


Obama made a stark admission of his broader goals in the debt negotiations during the press conference, when, in response to a reporter’s question, he said, “Whenever I see John Boehner to this day, I still say, you should have taken the deal that I offered you back then, which would have dealt with our long-term deficit problems, would not have impeded growth as much, would have really boosted confidence.”


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Amid government shutdown, Obama signals cuts to Social Security, Medicare

Saturday, March 23, 2013

Selling the Store: Why Democrats Shouldn"t Put Social Security and Medicare on the Table



Prominent Democrats — including the President and House Minority Leader Nancy Pelosi — are openly suggesting that Medicare be means-tested and Social Security payments be reduced by applying a lower adjustment for inflation.


This is even before they’ve started budget negotiations with Republicans — who still refuse to raise taxes on the rich, close tax loopholes the rich depend on (such as hedge-fund and private-equity managers’ “carried interest”), increase capital gains taxes on the wealthy, cap their tax deductions, or tax financial transactions.


It’s not the first time Democrats have led with a compromise, but these particular pre-concessions are especially unwise.


For over thirty years Republicans have pitted the middle class against the poor, preying on the frustrations and racial biases of average working people who can’t get ahead no matter how hard they try. In the Republican narrative, government takes from the hard-working middle and gives to the undeserving and dependent needy.


In reality, average working people have been stymied because almost all the economic gains of the last three decades have gone to the very top. The middle has lost bargaining power as unions have shriveled. American politics has been flooded with campaign contributions from corporations and the wealthy, which have used their clout to reduce marginal tax rates, widen loopholes, loosen regulations, gain subsidies, and obtain government bailouts when their bets turn sour.


Now five years after the worst downturn since the Great Depression and the biggest bailout in history, the stock market has recouped its losses and corporate profits constitute the largest share of the economy since 1929. Yet the real median wage continues to fall — wages now claim the lowest share of the economy on record — and inequality is still widening. All the economic gains since the trough of the recession have gone to the wealthiest 1 percent of Americans; the bottom 90 percent continue to lose ground.


What looks like the start of a more buoyant recovery is a sham because the vast majority of Americans have neither the pay nor access to credit that allows them to buy enough to boost the economy. Housing prices and starts are being fueled by investors with easy money rather than would-be home buyers with mortgages. The Fed’s low interest rates have pushed other investors into stocks by default, creating an artificial bull market.


If there was ever a time for the Democratic Party to champion working Americans and reverse these troubling trends, it is now — forging an alliance between the frustrated middle and the working poor. This need not be “class warfare” because a healthy economy is in everyone’s interest. The rich would do far better with a smaller share of a rapidly-growing economy than a ballooning share of one that’s growing at a snail’s pace and a stock market that’s turning into a bubble.


But the modern Democratic Party can’t bring itself to do this. It’s too dependent on the short-term, insular demands of Wall Street, corporate executives, and the wealthy.


It was Bill Clinton, after all, who pushed for repeal of Glass-Steagall, championed the North American Free Trade Act and the World Trade Organization without adequate safeguards for American jobs, and rented out the Lincoln Bedroom to a steady stream of rich executives.


And it was Barack Obama who continued George W. Bush’s Wall Street bailout with no strings attached; pushed a watered-down “Volcker Rule” (still delayed) rather than renew Glass-Steagall; failed to prosecute a single Wall Street executive or bank because, according to his Attorney General, Wall Street is just too big to jail; and permanently enshrined the Bush tax cuts for all but the top 2 percent.


Meanwhile, over the last several decades Democrats have allowed Social Security taxes to grow and its revenue stream to become almost as important a source of overall government funding as income taxes; turned their backs on organized labor and labor-law reforms that would have made it easier to form unions; and then, even as they bailed out Wall Street, neglected the burdens of middle-class homeowners who found themselves underwater and their homes worth less than what they paid for them because of the Street’s excesses.


In fairness, it could have been worse. Clinton did stand up to Gingrich. Obama did get the Affordable Care Act. Congressional Democrats have scored tactical victories against social conservatives and Tea Party radicals. But Democrats haven’t responded in any bold or meaningful way to the increasingly concentrated wealth and power, the steady demise of the middle class, and further impoverishment of the nation’s poor. The Party failed to become a movement to reclaim the economy and our democracy.


And now come their pre-concessions on Social Security and Medicare.


Technically, a “chained CPI” might be justifiable if seniors routinely substitute lower-cost alternatives as prices rise, as most other Americans do. But in reality, seniors pay 20 to 40 percent of their incomes for healthcare, including pharmaceuticals — the prices of which are rising much faster than inflation. So there’s no practical justification for reducing Social Security benefits on the assumption inflation isn’t really eating away at those benefits as much as the current cost-of-living adjustment allows.


Likewise, although a case can be made for reducing the Medicare benefits of higher-income beneficiaries, as a practical matter their savings are almost as vulnerable to rising healthcare costs as are the more modest savings of middle-income retirees. “Means-testing” Medicare also runs the risk of transforming it into a program for the “less fortunate,” which can undermine its political support.


In short, Medicare isn’t the problem. The underlying problem is the sky-rocketing costs of health care. Because Medicare’s administrative costs are a fraction of those of private health insurance, Medicare might be part of the solution. Medicare for all, or even a public option for Medicare, would give the program enough clout to demand health providers move from a fee-for-service system to one that paid instead for healthy outcomes.


With healthcare costs under better control, retirees wouldn’t be paying a large and growing portion of their incomes for healthcare — which would alleviate pressure on Social Security. I’m still not convinced a “chained CPI” is necessary, though. A preferable alternative would be to raise the ceiling on the portion of income subject to Social Security taxes (now $ 113,600).


Besides, Social Security and Medicare are the most popular programs ever devised by the federal government, which is why Republicans hate them so much. If average Americans have trusted the Democratic Party to do one thing it has been to guard these programs from the depredations of the GOP.


Putting these two programs “on the table” is also tantamount to accepting the most insidious and dishonest of all Republican claims: That for too long most Americans have been living beyond their means; that we are rapidly approaching a day of reckoning when we can no longer afford these generous “entitlements;” and that prudence and responsibility dictate that we must now begin to live within our means and cut back these projected expenditures, particularly if we are to have any money left to invest in the young and the disadvantaged.


The truth is the opposite: That for three decades the means of most Americans have been stagnant even though the overall economy has more than doubled in size; that because almost all the gains from growth have gone to the top, most Americans haven’t been able to save enough for retirement or the rising costs of healthcare; and that because of this, Social Security and Medicare are barely adequate as is.


Paul Ryan’s House Republican budget takes on Medicare, but leaves Social Security alone. Why should Democrats lead the charge on either?


The Republicans are already slashing help for the young and the disadvantaged. Democrats shouldn’t succumb the lie that the elderly and young are in competition for a portion of a shrinking pie, when in fact the pie is larger than ever. It’s just that those who have the largest and fastest-growing portions refuse to share it.


We are the richest nation in the history of the world — richer now than we’ve ever been. But an increasing share of that wealth is held by a smaller and smaller share of the population, who have, in effect, bribed legislators to reduce their taxes and provide loopholes so they pay even less.


The budget deficit “crisis” has been manufactured by them to distract our attention from this overriding fact, and to pit the rest of us against each other for a smaller and smaller share of what remains. Democrats should not conspire.


Needy children should be getting far more help, better pre-school care, better nutrition. Seniors need better healthcare coverage and more Social Security. All Americans need better schools and improved infrastructure.


The richest nation in the history of the world should be able to respond to the legitimate needs of all its citizens.


ROBERT B. REICH, Chancellor’s Professor of Public Policy at the University of California at Berkeley, was Secretary of Labor in the Clinton administration. Time Magazine named him one of the ten most effective cabinet secretaries of the last century. He has written thirteen books, including the best sellers “Aftershock” and “The Work of Nations.” His latest is an e-book, “Beyond Outrage,” now available in paperback. He is also a founding editor of the American Prospect magazine and chairman of Common Cause.


Follow Robert Reich on Twitter: www.twitter.com/RBReich




Robert Reich



Selling the Store: Why Democrats Shouldn"t Put Social Security and Medicare on the Table

Monday, February 4, 2013

Healthcare

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Healthcare