Font Size

From the category archives: Max Richtman

CBO Confirms: GOP Healthcare Bill is a Huge Setback for Older Americans

Twenty-three million people will lose health insurance in the next decade under the GOP's American Health Care Act (AHCA) according to the latest Congressional Budget Office (CBO) report.  The CBO analysis concludes that the House Republican plan benefits the young and healthy at the expense of older and sicker Americans. The report indicates that “near seniors” (aged 50-64) will be hit particularly hard by the GOP healthcare bill, as we discussed this morning on our Facebook Live broadcast from Capitol Hill.  

 

“The CBO report was no surprise to those of us who are looking out for the best interests of older Americans. The GOP leadership was so focused on passing repeal and replace legislation that they failed their due diligence by ignoring an ominous flaw; their bill will drive up seniors’ out-of-pocket costs by repealing subsidies that help defray the cost of premiums,” says Max Richtman, President and CEO of the National Committee to Preserve Social Security and Medicare.  

 

According to the CBO, near seniors could see their net premiums rise by as much as 700-800 percent if the AHCA becomes law.  A 64 year-old with an income of $26,500 per year who paid $1,700 annually for an Obamacare policy would now pay a whopping $13,600 under the Republican plan.

 

The report also confirms that the House bill will only compound the problems faced by near seniors with pre-existing conditions. While an amendment by Rep. Fred Upton (R-MI) adds $8 billion over five years to fund high-risk pools for patients with pre-existing conditions, that will not be nearly enough to offset the extra costs to seniors. 

 

“People who are less healthy (including those with pre-existing or newly acquired medical conditions) would ultimately be unable to purchase comprehensive non-group health insurance at premiums comparable to those under current law, if they could purchase it at all,” the CBO says

 

Seniors who rely on Medicaid will suffer under the American Health Care Act.  The CBO report calculates that the AHCA slashes Medicaid spending by $834 billion. Medicaid currently helps pay for long term care for millions of seniors nationwide. The CBO estimates that some 14 million Medicaid recipients would lose coverage under the AHCA – or not be able to attain it in the first place – within the next 10 years.  In fact, more than half of the increase in uninsured Americans under the AHCA would come from this vulnerable population.

 

The GOP healthcare bill also weakens Medicare by repealing a tax on high wage earners, which would decrease the solvency of the Medicare Part A Trust Fund by three years.  The CBO had earlier estimated that the Part A Trust fund would forgo $177.3 billion over ten years if the ACA Medicare payroll tax is repealed, opening the door for those who want to privatize (or "voucherize") Medicare. 

 

The amended American Health Care Act is an assault on the health care of all seniors,” says Richtman.  “We can only hope that the Senate will take the CBO’s new figures into consideration – and reverse the provisions that are so demonstrably harmful to our nation’s seniors.” 


 

 

Trump & GOP Should Do More than Pay Lip Service to Older Americans Month

May is Older Americans Month.  It began in 1963 as “Senior Citizens Month” by proclamation of President John F. Kennedy.  His proclamation half a century ago was not only an acknowledgment of seniors’ contributions to society, but an inspiring call to action:


“I urge all persons and public and private organizations to cooperate in its observance by increasing community awareness of the problems faced by older men and women, strengthening services and opportunities to meet their special needs… and making this special month the beginning of continuing interest and activity on their behalf.” – John F. Kennedy, April 18, 1963

 

At the time, approximately 33 percent of seniors in America lived in poverty. Today that figure is down closer to 10 percent, thanks in no small part to federal programs designed to buttress the financial and health security of older Americans, including Medicare and Medicaid – signed into law by President Lyndon B. Johnson in 1965.  LBJ also renamed Senior Citizens Month “Older Americans Month” that same year upon passage of the Older Americans Act.  This legislation created new forms of federal assistance for seniors – including Meals on Wheels and home heating assistance.  Every President since has issued proclamations honoring seniors during the month of May.  President Trump is no exception.  Today, the White House released a statement saying:


We… recommit ourselves to ensuring that older Americans are not neglected or abused, receive the best healthcare available, live in suitable homes, have adequate income and economic opportunities, and enjoy freedom and independence in their golden years.” – White House proclamation, 5/8/17


These sentiments sound quite noble.  But the Trump proclamation is an empty missive in light of the administration’s policies. National Committee President Max Richtman called out the President and his party in The Hill newspaper last week:


“May is Older Americans Month, but the Trump administration and Congressional Republicans are putting a serious damper on the celebration.” – Max Richtman, The Hill newspaper.


The Trump administration and its allies on Capitol Hill are engaged in a historic reversal of the promises of 54 years ago. In fact, not since President George W. Bush tried to privatize Social Security in 2005 have seniors’ programs been so much under siege.  In a little more than 3 months in office, here is what the President and/or Republicans in Congress have done to undermine the economic and health security of older Americans:

*Passed the American Health Care Act (AHCA), which weakens Medicare, cuts $1 trillion from Medicaid, and makes private health insurance unaffordable for most older Americans.

*Created a budget plan which eliminates federal funding for Older Americans Act programs including Meals on Wheels, community service jobs, and home heating assistance, among others.

*Pledged to turn Medicare into a voucher program during the mark-up of the FY 2018 budget later this month.

*Introduced a House bill to raise the Social Security retirement age to 70 and slow the growth of Cost-of-Living adjustments (COLAs), effectively cutting benefits 30%.

*Repeatedly pushed the concept of “entitlement reform” and questioned the validity of Social Security Disability insurance

Several of these break President Trump’s campaign promises “not to touch” Social Security, Medicare and Medicaid.  Some in the administration and Congress have attempted to fudge the issue by saying that none of their policies will affect current retirees.  But during this Older Americans Month, it’s wise to remember that all of us will be seniors some day.  Attempts to cleave today’s and tomorrow’s seniors is a cynical ploy that cannot be allowed to undermine time-honored programs that have helped older Americans for decades.  None of the actions of President Trump, his team, and his allies in Congress honor the spirit of Older Americans Month.  Much more fitting are the words of President Obama last night as he accepted an honor named after the President who created Older Americans Month, the John F. Kennedy Profiles in Courage award.

“… It actually doesn’t take a lot of courage to aid those who are already powerful, already comfortable, already influential — but it does require some courage to champion the vulnerable and the sick and the infirm.” - President Obama, 5/7/17

Seniors citizens are among society’s most vulnerable and infirm members. We must demand that our current elected leaders do much more than pay lip service to the ideals of Older Americans Month.


House GOP Votes to Gut Medicaid, Weaken Medicare & Put Seniors' healthcare at Risk

The National Committee strongly condemns the American Health Care Act (AHCA) just passed by the House, which needlessly puts the healthcare of millions of older Americans in jeopardy. “Despite the bill’s name, risking the health of our nation’s most vulnerable citizens to give the wealthy an $880 billion tax cut is tremendously uncaring --- and does not reflect real American values,” says Max Richtman, President and CEO of the National Committee to Preserve Social Security and Medicare. “In modifying the original AHCA bill to give reluctant Republicans political cover, the House leadership made a bad piece of legislation even worse.”

“Recent amendments to this cruel, ill-advised bill could put coverage for older Americans with pre-existing conditions like cancer and diabetes out of reach. The $8 billion (over 5 years) added to the legislation at the last minute to defray the cost of higher premiums is woefully inadequate.  It’s a thin veil that covers a head of snakes.”

Paul Waldman of the Washington Post wrote a scathing, but accurate article about the human costs of the GOP healthcare bill - especially to patients with pre-existing conditions: 

"Make no mistake, if you’re one of them and this bill passes, your life will become hugely  more complicated, potentially more costly and possibly in danger if you’re unlucky." - Paul Waldman, Washington Post 5/3/17

The bill contains several other poison pills for older Americans. It replaces Obamacare subsidies with meager tax credits which discriminate against older Americans.  A $4,000 annual tax credit doesn’t come to close to covering premiums for seniors ages 60-64, meaning millions of older Americans will lose coverage altogether.

The bill cuts nearly $1 trillion from Medicaid by converting it into a block grant program or imposing per capita caps, which will make it harder for impoverished seniors to access long term skilled nursing care and community or home care.  Overall, the Congressional Budget Office estimates that 14 million people will be kicked off the Medicaid rolls in the next 10 years if this bill becomes law.

The AHCA reduces Medicare’s solvency by repealing Obamacare’s 0.9% payroll tax on wages above $200,000. This could lead to cuts in Medicare, including privatizing the program --- harming current and future beneficiaries.  

Under the GOP bill, insurers can charge older enrollees five times more than younger ones.  The Congressional Budget Office predicts that by 2026 this provision will substantially raise premiums for older people by as much as 25%.

“We can only hope that the Senate majority will kill this reckless legislation before it punishes seniors - and millions of other Americans – for the crime of needing and wanting affordable health care,” Richtman says. 

***********************************************************

If you missed our "Behind the Headlines" analysis of the GOP healthcare bill on Facebook Live, you can watch it here

New Bill in U.S. House Boosts Social Security Benefits, Keeps System Solvent for Decades

 

Legislation just introduced in the U.S. House would put extra money in Social Security beneficiaries’ pockets while keeping the system solvent through the rest of this century.  Rep. John Larson’s Social Security 2100 Act does all of that and something more:  It gives lie to the myth that Social Security is going bankrupt and the only way to fix it is by cutting benefits.

Larson’s solution is simple… and fair.  It asks the wealthy to pay their fair share of Social Security payroll taxes. In exchange, the legislation ensures Social Security stays solvent through the year 2100 – with no benefit cuts and no turning over the program to Wall Street, which budget hawks have long dreamed of doing. 

The Act provides much needed relief to seniors who are having a difficult time paying for basic expenses like healthcare, housing, and utilities.  The bill includes a modest 2% benefit increase for all beneficiaries, higher cost of living adjustments (COLAs), and a tax break for 11 million seniors.  Since 2014, the National Committee’s Boost Social Security Now campaign has lobbied Congress to pass expansion legislation on behalf of its millions of members and supporters.  

In a Facebook Live interview with the National Committee, Congressman Larson says he hopes his bill will ride the wave of grassroots energy that defeated the GOP healthcare plan last month.  “What we saw was people saying, ‘Wait a minute, keep your hands off my healthcare.’  It’s the same with Social Security.  We want to continue to build a groundswell in this country.” Larson says the bill has already attracted more than 150 cosponsors in the House. The Congressman calls on President Trump to support it, based on his campaign promises to “protect” Social Security.

In order to keep the system solvent through the year 2100, the Larson bill would apply the Social Security payroll tax to wages above $400,000, which only would affect the top 0.4% of wage earners.  (Currently, earnings above $127,200 are exempt from the payroll taxes.)  Eventually, the cap would be phased out completely.  In addition, the legislation would gradually raise the overall payroll tax rate by 1% over 25 years – an increase of only 50 cents per week for a worker making $50,000 per year (or, as Larson himself is fond of pointing out, the price of one Starbucks coffee drink every nine weeks).  These financing changes would not only keep Social Security flush, they would allow for a modest 2% benefit increase for all beneficiaries --- and a tax break for 11 million seniors earning under $50,000 a year (or $100,000 for older married couples).

The Larson bill not only provides an increase in benefits, it would help retirees better keep up with inflation by linking cost of living adjustments (COLAs) to an index called the CPI-E (Consumer Price Index for the Elderly).  The CPI-E takes into consideration what seniors really spend for crucial goods and services, including housing and medical costs. 

The National Committee has enthusiastically endorsed the Social Security 2100 Act.  As President and CEO Max Richtman explains, “This bill is a win-win for beneficiaries and the entire country, because it protects the commitment to hard working Americans who pay into the system and enhances benefits.”

**************************************************************

Watch Congressman Larson’s full Facebook Live interview here.

Watch the Social Security 2100 Act event on Capitol Hill Facebook Live here

 


CBO Report on GOP Health Plan: More Bad News For Older Americans

National Committee President Max Richtman has rightly called the GOP Obamacare replacement “a triple whammy for seniors” because of its impacts on the private insurance market, Medicare, and Medicaid.  Yesterday’s report from the Congressional Budget Office confirms this grim assessment.  Of the 24 million Americans who will lose health coverage over the next decade, many will be seniors and “near-seniors” aged 50-64 who can least afford to go without much needed medical care.     

PRIVATE HEALTH INSURANCE

On the private health insurance front, the CBO projects that premiums will rise by more than 20% for older Americans.  This is mainly because the bill allows insurers to charge older customers up to 5 times more than younger ones.  At the same time, the GOP legislation yanks the financial rug from underneath older enrollees by replacing generous Obamacare subsidies with meager tax credits. According to today’s New York Times:

“The CBO estimates that the [net] price an average 64-year-old earning $26,500 would need to pay… would increase to $14,600 under the Republican plan.” – New York Times, 3/14/17 

The Times reports that older American’s out-of-pocket insurance costs would also rise:

“The hypothetical older customer who could pony up $14,600 for insurance under the GOP plan would also pay substantially more out of pocket for any health care services. And changes to the requirements for health plans mean that, across the board, deductibles and cost-sharing will increase.” – New York Times, 3/14/17

The reason for the word “hypothetical” is that most older Americans would not be able to afford $14,000 in premiums, let alone rising deductibles and co-pays.  Unable to pay these exorbitant prices, millions of “near seniors” (aged 50-64) will simply have to drop their health insurance during those crucial years before they are eligible for Medicare and need it most.

MEDICAID

The GOP phase-out of Obamacare’s Medicaid expansion will also hit near seniors in the lower income brackets particularly hard.  As a result of these changes, the CBO finds that people between 50 and 64 years old earning less than 200% of the federal poverty level would make up a larger share of the uninsured, from just over 10% under Obamacare to nearly 30% under the Republican replacement.   To re-iterate:  30% of near seniors earning a modest income will lose healthcare coverage from Medicaid.  That’s nearly one third of the lower income seniors who benefited from the Obamacare Medicaid expansion.  

The GOP bill also radically restructures Medicaid by ending guaranteed federal matching funds to the states and effectively cutting $880 billion from the program over ten years. Cash-strapped states will be compelled to compensate for this shortfall by cutting benefits and eligibility for Medicaid.  The CBO estimates that 14 million people will be forced off of Medicaid rolls by 2026. This is particularly bad news for seniors who rely on Medicaid to pay for long term care services and supports when their personal savings are depleted.  Those seniors will either have to rely on their financially-squeezed families to pay for long term care, or be forced to forgo the care they need.

MEDICARE

According to the CBO report, the Republican health plan achieves most of its budget savings by rescinding taxes on higher-income Americans.  Unfortunately for current and future retirees, those tax revenues were helping to keep the Medicare program on a sound financial footing.  By repealing a $117 billion tax on income above $200,000 a year, the GOP bill reduces the solvency of Medicare by 3 years. 

In a perversely self-fulfilling prophecy, the very budget hawks who insist that Medicare needs to be “reformed” because of its solvency problems are now making the program even less financially sound.  This opens the door for the “reformers” to argue even more vehemently for privatizing Medicare and turning it into a voucher program, which will hurt seniors with low or modest incomes.

REVERSE ROBIN HOOD

In reviewing the CBO analysis, a theme quickly emerges.  The Republican plan rips benefits away from lower income and older Americans while rewarding upper income earners with billions of dollars in tax breaks. It achieves federal budget savings on the backs of the people who can least afford to sacrifice.  The young, healthy and wealthy do better under the GOP plan.  With the triple assault on Obamacare, Medicaid, and Medicare, seniors and near seniors are left in the cold. As National Committee president Max Richtman likes to say, the Republicans’ message to older Americans seems to be, “You are going to be on your own and good luck… and I'm not even sure about the ‘good luck’ part.”

*****************************************************

We discussed Trumpcare's impact on older Americans on Facebook Live "Behind the Headlines."  Watch here.  

Read the National Committee's response to the CBO report here.

Pages: Prev1234567...29NextReturn Top



   

Questions?

Have a Social Security or Medicare question?




 

Archives
Media Contacts

Pamela Causey
Communications Director
causeyp@ncpssm.org
(202) 216-8378
(202) 236-2123 cell

Walter Gottlieb
Assistant Communications Director 
gottliebw@ncpssm.org
(202) 216-8414

Entitled to Know

            

 

Copyright © 2017 by NCPSSM
Login  |