Showing posts with label health care reform. Show all posts
Showing posts with label health care reform. Show all posts

Monday, April 16, 2012

Long-Term Care Insurance Reform


“I wanna be on the cover of Forbes magazine
Smiling next to Oprah and the Queen”
‘Billionaire’ by Travie McCoy

When Forbes Magazine turns its capitalist focused eye on Long Term Care reform it is worth noting.

“Why not make insurance for long-term care services and supports part of health care coverage?
It is a radical idea that turns the current model—which often treats long-term care insurance as an element of retirement planning—entirely on its head…”
“We have to try something new” concludes the article.

It’s been thousands of years of mythology plus thousands of years of knowledge since ol’ Oedipus solved the Riddle of the Sphinx, ‘What walks on four legs in the morning, two legs at noon, and three legs at night?’ Yet how many of us deny daily our own aging and eventual need for care.

Only a third of all adults say they have even talked with family or a friend about providing care to them in the future or had purchased disability income insurance or looked into independent or assisted living arrangements or purchased long-term care insurance.

Only 4 in 10 adults have set aside funds to cover additional expenses or signed a living will or healthcare power of attorney.

How many can even afford such options?

As a result … family caregivers provide about 80 percent of all long-term care services in the U.S; an estimated 120 million adult Americans (57 percent) are either providing unpaid care to an adult family member or friend or have provided this care in the past.

When the baby boomer generation starts walking on three legs, how long before this house of cards comes crashing down?

Yes! We need to try something new!

Sunday, October 16, 2011

Was long term care insurance a CLASS act?


As a society, I am convinced that we cannot even grasp much less be prepared for the crushing cost of long-term care.

Is money the only definition of cost? Families are changed forever, what about the lives lived and not lived?

How did we even get to this insurmountable gap between medical science and quality of life?

On Friday the Obama administration informed Congress that offering long term care insurance as part of Health Care reform was not “budget neutral” and therefor unsustainable.

Secretary Sebelius’ Letter to Congress about CLASS (Community Living Assistance Services) and attached Health and Human Services Report.

Of course with the gnat like attention span of our society, this story barely made it out of a 24 hr news cycle.

The ‘unsustainability’ of the Community Living Assistance Services Act is not a solution. The challenge of long term care is not going away.

Here’s the bottom line - EVERYONE will one day know or love someone who can no longer care for themselves …

… and we do not have a clue how we will do it.  

Caregivingly Yours, Patrick Leer 
videos: www.youtube.com/daddyleer
web site: caregivinglyyours.com  

Thursday, March 24, 2011

politics of Multiple Sclerosis

"The health and safety of Canadians is of the highest importance, and we need reliable, national information on Multiple Sclerosis to help those diagnosed with MS and their health-care providers" … "It is political because there have been public demands for action here and the government is responding." Ottawa announces MS monitoring system to track disease patterns, treatments 

South of the border here in the USA, The prices of multiple sclerosis medicines have risen as much as 39 percent since last year … The prices may rise further ... analysts said in a Feb. 7 note to clients ... sees room for additional increases” U.S. Price Increases for MS Treatments 

Almost as if an illustration for a modern version of “The Emperor’s New Clothes” Democrats light a birthday candle, “This is a very special month for us because one year ago we passed the historic Affordable Health Care Act, which has made a difference in the lives of the American people.” House Minority Leader Nancy Pelosi (D-Calif.)

One difference is true, a year ago the caption would have read House ‘majority’ leader. In the real world where cost of MS medications have skyrocketed, elections in between have demonstrated the confusion and dispute that continues.  At least for ‘we the people’, Big Pharma has not missed a beat.

Locally a corner is accused of removing prescription medications from death scenes. While obviously innocent until proven guilty, the unaffordability of prescription medications in the US is a blank page just waiting to be written on.

“reliable, national information on Multiple Sclerosis” - Go Canada!

Caregivingly Yours, Patrick Leer 

Sunday, January 02, 2011

Affordable??? Care Act

As of January 1, 2011 our family health insurance premiums for myself and college age daughter increased 35%, the largest jump ever.

Patti’s Medicare supplemental insurance premium has increased 18% (another record jump), gratefully her Medicare insurance premium remains unchanged since January 2008.

While more provisions of the Affordable Care Act also kicked-in January 1st, this financial kick in my stomach has left me more than conflicted about health care reform.

Our health insurance premiums were more ‘affordable’ before the Affordable Care Act. 

+35% +18% + unchanged = “affordable care” is a formula I am having problems embracing. 

Now I ‘get’ that this is not a “me” issue and I have to try and see the bigger picture. Yet with so many people unemployed, and income not rising for those fortunate to be employed - who can afford any premium much less welcome higher premiums for the better good?

“The clock is ticking for health care reform …” Health care reform 101: What will kick in Jan. 1? 

Caregivingly Yours, Patrick Leer 

Tuesday, November 09, 2010

new healthcare: don’t ask don’t tell

   With my first annual check up since healthcare reform approaching, I received a letter from my doctor’s office.

   Reaching for my letter opener I mused, “Ooooh! Let’s see what healthcare reform has brought?”

“If we choose to address any health problem or concern at the time of the preventive physical, we will bill you an additional visit … and some insurance companies add a second co-payment … “ 
“…many patients feel this is a time to also ask us to evaluate problems or concerns … these issues take away from the time we have scheduled to spend with you …”

WTF! What happened to the much ballyhooed preventive services?  Health questions or concerns take away from ‘our’ time spent together? Who wrote this? … Is arguing with a piece of paper considered a health concern? OMG, I just cost myself four co-pays.  

Jumping on line to healthcare.gov I learned the error of my thinking. It seems the trumpeted preventative services (at no additional cost) of the Affordable Care Act apply to people enrolled in health insurance policies "created after" March 23, 2010.

So since I had existing health insurance, let me get this straight. If I do not ASK about any health problems or concerns, and my physician chooses not to TELL me about any health problems or concerns then … well, ‘yes we can’ be healthy. You just gotta love Obamacare.

Caregivingly Yours, Patrick Leer 

Monday, September 20, 2010

hubris is a disease

"The fact is that we would have had comprehensive health care NOW, had it not been for Ted Kennedy's deliberately blocking the legislation that I proposed” former US President Jimmy Carter said. “It was his fault. Ted Kennedy killed the bill."

Slack jawed I’ve surfed the net over this squabble absolutely stunned that ‘pundits’ and news seem more concerned with political legacies than ‘getting’ the toll this bickering cost.

30+ years of people’s health, life and death have been impacted. Big Pharma and Big Medicine have infected the US economy perhaps irreparably. Rising medical bills have cost many families everything. U.S. residents without health insurance soared to a record high last year as employment-based coverage plummeted.

Championing health care reform in the 1970’s, Sen. Ted Kennedy trumpeted, “We are the only industrialized nation in the world outside South Africa that does not have universal, comprehensive healthcare insurance.”

Kennedy pulled out of a comprise bill with then President Gerald Ford. OK I can get why accept compromise when waiting a year or so and the Democrats might put together their own. 

Of course no one, not even his mother, envisioned Jimmy Carter winning the Democratic Party nomination.

However he did and went on to win the 1976 US presidential election. Now with control of both the White House and Congress health care reform became a squabble between Carter and Kennedy centered around implementation.

“He (Kennedy) did not want to see me have a major success in that realm of life,” Carter said.

Neither would blink and history swept the moment in time aside. Sen. Kennedy chose to challenge President Carter in the Democratic primaries of 1980. Beat Carter, beat Reagan, and then he could push through the legislation he wanted. … Sigh! Hubris is a disease.

Decades have passed, real people’s lives and health have been affected every day.

Time magazine in 1979 reported that health care reform could cost an estimated $130 billion. What are we talking these days in the trillions?

Whenever a man has cast a longing eye on offices, a rottenness begins in his conduct.  
~Thomas Jefferson

Caregivingly Yours, Patrick Leer 
musings: patrick ponders

Wednesday, June 23, 2010

U.S. scores! ... dead last in healthcare

"... when a country fails to meet the needs of the most vulnerable, it also fails to meet the needs of the average citizen ..."


Mirror, Mirror on the Wall: How the Performance of the U.S. Health Care System Compares Internationally, 2010 Update


Overall rankings:

  1. Netherlands
  2. United Kingdom
  3. Australia
  4. Germany
  5. New Zealand
  6. Canada
  7. United States


Caregivingly Yours, Patrick Leer

Sunday, March 28, 2010

timeline of health care law changes

Pro or Con what has always been needed was an easy to read view of health care law timeline and changes ...
Health Care Reform
Infographic by HealthInsuranceProviders.com: Compare health insurance options from many different providers!

Caregivingly Yours, Patrick Leer
web site: http://caregivinglyyours.com/
videos: http://www.youtube.com/daddyleer

Wednesday, January 13, 2010

healthcare the vote heard 'round the world

Is Massachusetts some root for historical change? Revolutionary legend and lore echoes of the "shot heard 'round the world" at Lexington Green. Next week Massachusetts voters cast not only their vote for US Senate but essentially a proxy vote for current US health care reform legislation, as the critical 60th US Senate vote is at stake.

Outside looking in I see a political version of the Mad Hatter’s Tea Party.

On one hand the White House exposes health insurance companies for attack ads:

“A new report today confirms one of Washington’s worst-kept secrets – that big insurance companies are fighting tooth and nail to kill health reform that will wrest power from their hands and give it to American families. …” White House Exposes Health Insurance Companies On Health Care Reform 

Yet, at the same time with the other pocket …

“…the health lobby is riding to the rescue of the Massachusetts liberal … the host committee for the fundraiser includes lobbyists for Pfizer, Merck, Eli Lilly, Novartis, UnitedHealthcare, Blue Cross Blue Shield, Humana and other insurers … lobbyists from America's Health Insurance Plans and Pharmaceutical Research and Manufacturers of America, the major trade groups, were on hand too…” Coakley's Saviors: The health-care industry rides to the Democratic rescue 

Turning down the backstretch the race is neck and neck. Martha Coakley (Democrat) leads with 49 percent over Scott Brown (Republican) at 47 percent and Joe Kennedy (Libertarian).

Lobbyists, big money, and national attention aside, Massachusetts was the first State to not only tackle health care reform but experience living with it. While this is their election for their US Senate seat, who better than the people of Massachusetts to cast the first proxy vote on national health care reform.

------------ 
updated 1/19/2010
Scott Brown (Republican) WINS with 52%, Martha Coakley (Democrat) 47%, and Joe Kennedy (Libertarian) 1%


Caregivingly Yours, Patrick Leer
web site: http://caregivinglyyours.com/
videos: http://www.youtube.com/daddyleer

Thursday, September 03, 2009

healthcare debate Multiple Sclerosis

“I know someone who has Multiple Sclerosis!” Likely not John and Jane Doe, more likely “I know someone who knows someone who knows …”

Approximately 400,000 people in the US are diagnosed with MS, a prevalence rate of 1 in 700. … Numbers can blur so let’s try to conjure that up as a visual.

Take 9 US football fields and place them in a line end to end. Start positioning people side by side an arm’s length apart in a line across those fields. Once our line of people stretches across all 9 fields we will have 700 people. ONE of them will likely have Multiple Sclerosis.

Prevalence too often invites “what does this have to do with me?” in our current national debate over health care reform.

I worry that chronic illness in general is being painted in a bull’s-eye? CDC reports “people with chronic diseases account for more than 75% of the nation’s $2 trillion medical care costs.” NIH “estimates place the annual cost of MS in the United States in the billions of dollars.”

For those living with any chronic health issue this is nothing new. A national reform of health care was LONG overdue.

11 years ago Duke University reported MS costly to the “individual, health care system and society” with a “conservative estimate” of the national annual cost of Multiple Sclerosis at $6.8 billion.” … Of course in 1998, we the people and our elected representatives were obsessed with the Clinton/Lewinsky scandal. Status quo health care won by default.

Has the status quo been successful? … Back in 1998 total national spending for health care was $1.1 trillion; in 2008 it more than doubled to $2.4 trillion.

Back then we were easily distracted by a sex scandal, now we are so intense about it that I read someone bit off another person’s finger while arguing at a health care reform rally in California.

I am beginning to wonder what the prevalence of public sanity is the United States?

Caregivingly Yours, Patrick Leer
web site: http://caregivinglyyours.com/
videos: http://www.youtube.com/daddyleer
musings: Patrick Ponders ...

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