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From the category archives: Max Richtman

Why Silence Isn’t Golden for Millions in Medicare

Nearly 30 million Americans suffer from hearing loss yet a small percentage have hearing aids.  Why? Many simply can’t afford the high cost...and Medicare does not cover hearing aids and related audiology services. 

Currently, Medicare Part B only covers hearing rehabilitation services for cases caused by an illness or accident. Progressive, age-related hearing loss is not covered, leaving many seniors to pay for their own hearing exams and hearing aids. Hearing aids are incredibly expensive, ranging from $600 to over $5,000 each. These high price tags discourage many seniors from seeking a very basic solution that could dramatically improve their lives.

Research shows even mild hearing loss can double the risk of dementia.  Untreated hearing loss also contributes to balance problems and falls, isolation, depression and a greater incidence of stress-related diseases like diabetes and heart disease.  Earlier this month, a Report from the National Academies of Sciences, Engineering, and Medicine found that hearing loss is a public health priority requiring national attention.

That’s why the National Committee is proud to join the Center for Medicare Advocacy, Rep. Rosa DeLauro (D-CT), Rep. Jim McDermott (D-WA) and hearing expert Frank R. Lin, M.D., in a briefing today on the need to expand Medicare to include hearing aids and treatment:

“Intervention would reduce the risks which come with hearing loss. This is hugely important in the case of dementia which, with the aging of the baby boomers, is a massive public health issue now.  Hearing loss may be one of the few modifiable risk factors that could reduce the risk of dementia; however, hearing health care is still broadly inaccessible and expensive.”...Dr. Frank Lin, M.D., Ph.D., Johns Hopkins School of Medicine and Bloomberg School of Public Health

“As always, there will be the critics who say “we can’t afford this” Well, yes we can. When the Affordable Care Act passed, 716 billion dollars in savings from Medicare were plowed right back into the program to provide expanded services such as preventive care and screenings at no cost to beneficiaries. And there are strategies such as restoring the pharmaceutical drug company rebates for medicines prescribed to dual-eligibles, people on both Medicare and Medicaid, which, according to CBO, could generate 121 billion dollars over ten years. If the Congressional will is there, we know it can be done.”...Max Richtman, NCPSSM President/CEO


Legislation introduced by Reps. Debbie Dingell (H.R. 1653), Jim McDermott (H.R. 5396) and Alan Grayson (H.R.3308) would close this gap in Medicare coverage. This legislation is vital to the health security of millions of Americans.

“Since its implementation in 1965, Medicare has enhanced health care for millions of Americans. But there are still major gaps in coverage. Given the growing numbers of older Americans who suffer from hearing loss, it’s time for that to change,” said Judith Stein, J.D., Executive Director of the Center for Medicare Advocacy.

"We don’t know exactly how much we spend on cases where we’re dealing with depression because they’re isolated...and hearing loss contributes to both. It’s absolutely critical that for an acceptable quality of life that people need to be able to hear the world around them.  In order for seniors to keep a good quality of live, just keeping them alive isn’t enough, we must have good hearing and dental care. This is not beyond our capacity to provide this for seniors.”...Rep. Jim McDermott (D-WA) 

“We’ve got millions of Americans over 45 effected by hearing loss. If untreated it has devastating impacts on our nation.  Medicare coverage should include audiology care, period. The promise of Medicare to keep Americans healthy is at stake.  Medicare should cover all the vital health needs of seniors. Why are we arbitrarily leaving some out?  There’s no reason for Medicare to remove the head from the body.”...Rep. Rosa DeLauro (D-CT)


Please call your Member of Congress or Sign our Congressional Petition today and tell them:

  We need hearing care coverage in Medicare.

(800) 998-0180

GOP Appropriators Want to Eliminate Funding for Medicare SHIP Programs

 

Each day 10 thousand Americans become eligible for Medicare.  The aging of the baby boom generation certainly isn’t a surprise to anyone and yet, instead of boosting programs to serve this increased need, Republican Congressional leaders continue to slash and now eliminate programs designed to help millions of aging Americans and their families. 

The latest target is one of the nation’s most effective consumer resources for seniors, the Medicare State Health Insurance Assistance Program (SHIP)

“The SHIP network provides critical information upon which people with Medicare rely to make informed decisions about their coverage options and enrollment decisions,” says Judith A. Stein, Executive Director, Center for Medicare Advocacy, Inc. “The SHIPs are critical to providing assistance with these increasingly complicated choices. People with Medicare and their families from all over the country depend on SHIPs as the key source of unbiased guidance.” 

Incredibly, the Senate Appropriations Committee approved a Fiscal Year 2017 budget appropriations bill that completely eliminates the $52.1 million in funding for SHIP. 

“Senate appropriators have turned their backs on a growing number of people who will need SHIP services to navigate the complexities of Medicare coverage by proposing to eliminate program funding. This kind of penny-wise, pound-foolish lawmaking will threaten the economic security of millions of Medicare beneficiaries and their families.”…Max Richtman, NCPSSM President/CEO

“Understanding the complexities and decisions required for Medicare is an overwhelming, isolating experience for seniors, people with disabilities, and caregivers who don’t know where to get help. For millions of Americans, their only option for that help is their SHIP. If SHIPs disappear, there is no replacement for the critical services they provide. The loss of SHIPs threatens the economic security and the health of all current Medicare beneficiaries and the thousands who become eligible every day.”…James Firman, President and CEO of the NCOA 

"Eliminating SHIPs would leave millions of older Americans, people with disabilities, and families who need help comparing coverage options, appealing denials, applying for financial assistance, and navigating an evolving and increasingly complex program stranded—with nowhere to turn. With 10,000 Baby Boomers aging into Medicare each day, it is imperative that the U.S. House of Representatives reject this unprecedented, nonsensical cut."…Joe Baker, President of the Medicare Rights Center

In case you have any doubt about the need for SHIP services consider this:  today’s Medicare beneficiary must choose among more than 20 prescription drug plans, an average of 19 Medicare Advantage plans, as well as various Medigap supplemental insurance policies—all with different premiums, cost sharing, provider networks, and coverage rules. SHIPs also help beneficiaries resolve fraud and abuse issues, billing problems, appeals, and enrollment in low-income health assistance programs. In 2015, SHIPs provided one-on-one assistance to more than seven million individuals and in the past decade, the number of beneficiaries receiving personalized counseling from SHIPs has tripled.

Not a day goes by that we don’t hear horror stories of seniors and their families who face severe economic hardship and even bankruptcy because of a bad choice made in their healthcare options.  That’s exactly why SHIP is so vitally important.    

We’re proud to join a coalition of aging organizations including; The Center for Medicare Advocacy, Medicare Rights Center, and National Council on Aging (NCOA) to fight for a reversal of this outrageous Senate move to eliminate seniors’ access to desperately needed SHIP services.

We urge you to call your Senators and Representative and tell them:  Americans Need SHIP.

 

1-800-998-0180

Ryan Says Trump Will Promote House Agenda -- You Know What That Means for Medicare!

No one was really surprised when House Speaker Paul Ryan lined up behind the rest of the GOP party leadership to endorse Donald Trump.  It’s also not too surprising that Ryan is confident Trump will support the Ryan/House agenda, regardless of his pesky campaign promises to leave seniors’ programs alone:

“We’ve discussed how the House can be a driver of policy ideas. We’ve talked about how important these reforms are to saving our country. Through these conversations, I feel confident he would help us turn the ideas in this agenda into laws to help improve people’s lives. That’s why I’ll be voting for him this fall.”...Rep. Paul Ryan

Modern Healthcare says:

“Last month, I raised the question of whether Trump would follow the politically risky healthcare policy path Ryan has blazed on Medicare, Medicaid and other big issues.

The House speaker apparently has concluded that he would.

Ryan
 has spearheaded a series of partisan House budget outlines that would significantly restructure Medicare and Medicaid and sharply reduce federal spending on those two programs. The Wisconsin Republican wants to convert Medicare into a defined-contribution, voucher-style program and change Medicaid into a capped state block grant program. Some experts say the plan would impose significantly higher costs on seniors.”

Let’s not forget that it’s already been reported by sources in on the Ryan/Trump Capitol Hill meeting that cutting Social Security and Medicare was something Trump could “morally support”.  He just doesn’t think he can win if he says it.

“From a moral standpoint, I believe in it,” Trump told Ryan. “But you also have to get elected. And there’s no way a Republican is going to beat a Democrat when the Republican is saying, ‘We’re going to cut your Social Security’ and the Democrat is saying, ‘We’re going to keep it and give you more.’ ”

Which also fits with the message his campaign staff delivered to fiscal hawks at last month’s annual Pete Peterson “how to cut middle-class benefits” soiree:

“After the administration has been in place, then we will start to take a look at all of the programs, including entitlement programs like Social Security and Medicare. We’ll start taking a hard look at those to start seeing what we can do in a bipartisan way.”

 

“...I think that whoever [is] the next president is going to have a horrible time in dealing with this, because those entitlements will race to the front of all the economic issues we have in this country.”...Sam Clovis, Trump campaign chief policy advisor.

So, while Trump’s actual plans for Social Security, Medicare and Medicaid remain ever-elusive Paul Ryan’s plans for these programs – which he apparently believes President Trump will deliver on – are very clear

“The House GOP’s budget would privatize Medicare with a voucher plan, leaving seniors and the disabled – some of our most vulnerable Americans – hostage to the whims of private insurance companies.  Over time, this will end traditional Medicare and make it harder for seniors to choose their own doctor.  Vouchers will not keep up with the increasing cost of health insurance… that is why seniors will pay more.  Incredibly, the GOP budget also tries to have it both ways by counting the savings in Medicare since the passage of health care reform and then repealing the law that delivered those same savings. Seniors need to pay careful attention to this next fact: if the GOP isn’t stopped from repealing healthcare reform, Medicare beneficiaries would immediately lose billions in prescription drug savings, wellness visits and preventative services with no out-of-pocket costs, and years of solvency will be lost to the Medicare program.” ...Max Richtman, NCPSSM President/CEO.

Obama Joins the Boost Social Security Movement

President Obama’s speech in Indiana yesterday was seen by many as our first glimpse at his future role as campaigner-in-chief for 2016 Presidential and Congressional races.  He provided a detailed repudiation of GOP economic ideas generally and Donald Trump’s morphing plans specifically. The real surprise came when the President, for the first time ever, supported the growing grassroots movement to boost Social Security benefits:

“We have to tackle retirement security. That is something that keeps a lot of people up at night.  That is why we have taken action already to make it easier for more workers to stay with their jobs, to make sure that you – when you do save – it is not in Wall Street’s best interest but your best interest. Even if they have an account set up, American’s don’t have enough money at the end of the month to put into it. They are barely making the bills. That is why Social Security is more important than ever.

We cannot afford to weaken Social Security, we should be strengthening Social Security. Not only do we need to strengthen it, it is time we finally made Social Security more generous and increase the benefits so that today’s retirees and future generations get the dignified retirement that they have earned. We could start paying for it by asking the wealthiest Americans to contribute a little bit more. I can afford it.”...President Obama, Elkhart, Indiana June 2, 2016.

Of course, none of this is news to millions of retirees, people with disabilities, survivors and their families who depend on the Social Security benefits they’ve earned. Vast majorities of Americans, both Republicans and Democrats, agree on ways to strengthen Social Security — without cutting benefits. Fully 74% of Republicans and 88% of Democrats agree that “it is critical to preserve Social Security even if it means increasing Social Security taxes paid by working Americans.

“The American people have known for a long time that the disconnect between Congress’ economic goals and what the average family actually needs has grown into a gaping political chasm.  President Obama’s support of boosting Social Security benefits marks an important shift away from the billion dollar campaign -- led by the anti-Social Security lobby and their Congressional supporters -- to cut middle-class benefits which has dominated Washington’s political debate for years. 

Americans know first-hand that the average $1,300 monthly Social Security retirement benefit isn’t too generous.  They know that this year’s zero cost of living allowance isn’t too generous.  They see a growing amount of their Social Security check going to pay for rising healthcare costs and skyrocketing drug prices. These are the cold economic realities that have spurred the Boost Social Security movement and will not be ignored.  I challenge Congressional leaders and candidates alike to follow the President’s lead and offer their support for any of the important boost Social Security bills currently introduced in Congress.”...Max Richtman, NCPSSM President/CEO

The National Committee has been working closely with Congressional allies on Social Security for decades and we support numerous pieces of legislation which would boost benefits for American workers who’ve contributed over a lifetime to build the program. We owe a true debt of gratitude to Congressional Members who’ve actually listened to what average Americans tell them about the importance of Social Security and led the movement shifting Washington’s conversation about Social Security away from a decades-long political strategy of cutting benefits to boosting benefits. Among them: Senators Sanders, Warren, and retired Senator Tom Harkin plus the House Seniors Task Force  and Progressive Caucus.

But the true challenge is to turn campaign rhetoric into action. We’d like to hear all candidates who promise to “save” Social Security provide their detailed strategy for Social Security expansion and long-term solvency solutions. 

Empty promises simply aren’t enough.

Now’s the time to join the Boost Social Security movement and help us keep the momentum going and the pressure on!

The Retirement Challenge Threatening Our Mothers

Money posed an interesting question today in advance of Mother’s Day weekend...

 What's better than flowers for mom?  A fatter 401(k).

While you’re not likely to go out and set up a 401K for mom today you should be aware of the inherent and serious challenges our mothers are facing in retirement.  NCPSSM’s President/CEO, Max Richtman, describes it this way:

“Women earn less than men even when doing the same jobs, they more often work part-time or in jobs that do not offer retirement savings plans, and they tend to spend more time out of the workforce as a consequence of their caregiving responsibilities. Women could lose $430,480 in earnings over the course of a 40-year career due to the wage gap alone.  For Latinas the career losses mount to $1,007,080, and for African American women the losses are $877,480. Lower career earnings also translate to fewer savings for many women in retirement. At the same time, their longer lifespan and higher chances of disability means that they will have higher retirement costs, both for everyday expenses and necessary medical care.” 

Is it any surprise that the thought of running out of money in retirement keeps 57% of women awake at night?  Finding ways to eliminate this retirement inequity is at the heart of our Eleanor’s Hope initiative. Named in honor of First Lady Eleanor Roosevelt, this campaign raises awareness, recruits and trains new activists and bolsters Congressional leaders who are making a difference on women’s health and retirement security issues.  We are also advocating for legislation that addresses the inequities threatening millions of retired women and working to elect lawmakers who share our vision of retirement equity for women. 

There are a number of proposals which, if adopted, could significantly level the playing field for women and reduce the threat of poverty in their old age: 

Gender Pay Equity. Eliminating the wage gap that limits women’s earnings is essential to helping our daughters and granddaughters save for their own retirement. Congress should strengthen and reform the “Equal Pay Act” by putting an end to pay secrecy, strengthening workers’ ability to challenge discrimination and bringing equal pay law into line with other civil rights laws.  

Caregiver Credit. Compute the Social Security benefit by giving an annual caregiver credit for each year of caregiving so that total earnings for the year would equal 50 percent of that year’s average annual wage. Caregiving service years would be those in which an individual provides care to children under the age of six or to elderly or disabled family members. Up to five family service years could be granted to any worker.

Improve Survivor Benefits. Increase the benefit paid to a surviving spouse to an amount that is equal to 75 percent of the total combined benefits that were paid to the couple prior to the spouse’s death, capped at the benefit level of a lifelong average earner.

Consumer Price Index for the Elderly. Adopt the Consumer Price Index for The Elderly (CPI-E) for the purpose of determining the amount of the cost-of living adjustment (COLA) adjustment for Social Security benefits. This is especially important for women who tend to receive benefits longer because they live longer.

By all means, please go ahead and buy those flowers for mom this weekend.  Also consider getting involved with our Eleanor’s Hope campaign to ensure generations of American mothers can enjoy a retirement free of worry and poverty. 

 

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