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Posts Tagged 'obamacare and medicare'

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GOP Obamacare Replacement Hurts Older Americans; Gives wealthy $600 Billion tax break

MSNBC’s Ali Velshi summed up the problem with the GOP’s Obamacare replacement plan succinctly:  The winners are the young, the wealthy, and insurance companies.  The losers are the elderly, poor, and sick.  That seems like the opposite of what would be morally just – and smart policy – for the wealthiest nation on earth.  Instead, the healthiest and wealthiest benefit while the sickest and most vulnerable suffer under this new plan.  Our nation’s seniors, in particular, will fare significantly worse if the American Health Care Act (as it’s benignly named) becomes law, because it weakens Medicare and radically restructures Medicaid – two of the most important federal programs for the elderly.  Meanwhile, the bill gives the wealthy a $600 billion tax cut over ten years.

Here are some of the most harmful facets of the GOP plan affecting seniors:

*Imposes “per capita” caps on Medicaid payments to the states after 2020, amounting to a $370 billion funding cut over 10 years.  This will likely compel states to cut benefits to seniors who rely on Medicaid to pay for skilled nursing and long-term care.  Standard & Poor’s estimates that 4-6 million beneficiaries will lose Medicaid coverage altogether.

*Rolls back insurance premium support for Americans in their 50s and 60s, putting their health and wellness at risk in the crucial years before they are eligible for Medicare.

*Allows insurance companies to charge older Americans up to five times more than younger enrollees, putting health coverage out of reach for millions of middle-aged Americans and younger seniors.

*Repeals a tax on wealthy Americans that was helping to keep Medicare solvent.  Eliminating those taxes on high earners will reduce the solvency of the Medicare Trust Fund by at least 4 years.

The Republican plan replaces Obamacare’s health insurance subsidies with tax credits that will barely make a dent in older Americans’ premiums.  Individuals between the ages of 50 to 59 would receive a tax credit of $3,500 per year; Anyone over 60 would receive a meager $4,000 per year.  What’s more, the tax credits are phased out for individuals earning over $75,000 annually or $150,000 jointly.  Given that healthcare premiums for a 64 year-old are projected to climb to $13,125 per year under the GOP plan, these tax credits will fall pathetically short.

Even with the tax credits, fresh analyses indicate that Americans’ out-of-pocket healthcare costs will rise under the GOP plan.  In its blog, The Big Idea, today Vox concludes:

"Once the differences in tax credits are accounted for, the bill would increase costs significantly.  [Higher] cost-sharing would greatly increase financial risk.  If you’re now paying 50 percent of your costs, instead of 75%, a big hospital bill could be devastating.”  - Vox’s The Big Idea

For all the Republicans’ griping about Obamacare premiums being too expensive, Vox estimates the average policyholders’ out-of-pocket costs will increase by $1,542 per year even if their premiums go down.

Returning to Ali Velshi’s summary of winners and losers, one can see a resemblance between the way the GOP plan health pits the young against the old, the wealthy against the less fortunate, and the healthy against the sick… and the tactics they employ in attempting to cut Social Security and Medicare.  The trouble is that eventually everyone will grow old, and at some point in our lives we all will be sick.  Everyone – young and old – needs affordable health care.  In replacing Obamacare with this newer, more miserly plan, millions of Americans will not be able to afford the healthcare they need. 

 

 

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Why Seniors Should Care About Obamacare Repeal

There’s a great piece in the current Money magazine by Elizabeth O’Brien about the impact of ACA repeal on seniors.  The title alone makes it worth the read:  “Think Changes to Obamacare Won’t Affect You?  Think Again.”   In this article, O’Brien lays bare the consequences of ACA repeal to seniors, who, as the title implies, may not be aware of the repercussions for Medicare.

"The Affordable Care Act contains about 165 provisions affecting Medicare, according to Medicare's trustees. These range from improving benefits for the 57 million current beneficiaries to shoring up the program’s long-term finances for future ones.

These provisions include free wellness visits and preventative screenings for cancer, diabetes, heart disease and a host of other medical conditions – with no out of pocket costs – all of which could disappear if the ACA is repealed.  Likewise with the prescription drug “donut hole,” which the ACA was closing, saving the average beneficiary $1,000 a year.  As O’Brien notes, before Obamacare came along:

"More than three million beneficiaries hit the donut hole before the law took effect, and some [seniors] were forced to skip doses, split pills, or not fill their prescriptions at all due to high costs.

Who wants to go back to seniors splitting pills or going without their medicines?  

O’Brien also points out that because of the savings the ACA provided to Medicare, repealing the healthcare law will cost Medicare $802 billion between now and 2025.  There’s also a strong refutation of the argument by House Speaker Paul Ryan and HHS Nominee Tom Price that Medicare is “going broke,” which they will use as a canard to cut benefits.

Most tellingly, the Republicans are gunning for tax provisions that help pay for the ACA which mainly affect the upper middle class and the wealthy.  O’Brien quotes Matthew Yglesias of Vox:

"Republicans’ desire to eliminate these taxes is a big driver of their push to repeal Obamacare. Subsidizing the health care costs of working-class people is expensive, and while Democrats want rich people to pay the freight for doing it, Republicans do not."

The bottom line:  seniors and millions of newly insured Americans will pay more for healthcare – or go without it entirely – so that high earners can get a tax break. 

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Powerful new Ads target Obamacare Repeal

The Alliance for Healthcare security, of which the National Committee is a member, has released the latest in a series of tv spots opposing repeal of the Affordable Care Act.  Watch the new ad here.  It's worth the 30 seconds of your time.  

This latest one is probably the most powerful of the series, which began airing in December.  The opening narration pulls no punches. "Congress has taken the first step to rip apart our healthcare with no plan to replace it," says the announcer.  The bulk of the ad features actual health care professionals in blue scrubs and white coats talking right into the camera about why repeal is such a bad idea.

"They don't have a plan to insure the 30 million people who will lose their healthcare," says Theresa, a registered nurse.  "No plan to cure existing conditions, like cancer," says Michelle, another RN, while a third nurse states simply, "It's gonna cause pain."

The tagline is:  "Tell Congress we need a plan that protects our care."

The ad is elegant, clean, and effective.  Pressure from advocacy groups and negative media coverage of the repeal efforts on Capitol Hill seem to be having an impact.  As the Associated Press reported today, some Congressional Republicans are starting to back away from repeal and talking more about what sounds like "repair," which is something even President Obama and Democrats had always said they would welcome. The Associated Press describes "a softer tone that comes as [the GOP's] march to fulfill a keystone campaign promise encounters disunity, drooping momentum and uneasy voters."

Last week, Congressional Republicans seemed like they were on a tear to repeal - ramrodding through a budget resolution that would defund Obamacare with the promise of a replacement bill soon after.  Not anymore, apparently.  

"Republicans triumphantly shoved a budget through Congress three weeks ago that gave committees until Jan. 27 to write bills dismantling the law and substituting a Republican plan. Everyone knew that deadline meant little, but now leaders are talking about moving initial legislation by early spring." - Associated Press

Seniors, especially, have a lot at stake in any repeal and replacement because of the Affordable Care Act's improvements to Medicare - including free preventative screenings and wellness exams, the closing of the Medicare Part D prescription drug "donut hole," and the extended solvency that the ACA provided to the Medicare Part A trust fund.  

Let's hope that this continued ad campaign by the Alliance for Healthcare Security, and the voices of organizations like ours along with pressure from the public will convince the GOP that outright repeal without a replacement that protects the healthcare of all Americans is a really unhealthy choice.  



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Obamacare Court Ruling Is Good News for Medicare Too

You could literally hear the collective sigh of relief today as millions of Americans whose healthcare was in jeopardy found out today they can keep their coverage through Obamacare.  Today’s Supreme Court decision upholding federal exchange subsidies is also good news for millions of seniors in Medicare who stand to lose billions in new benefits if healthcare reform is dismantled. 

As we have said for years now, seniors in Medicare need the Affordable Care Act.  Today’s Supreme Court ruling helps preserve this vital reform.

"Today’s Supreme Court decision impacts so many more Americans than just those in federal health exchanges created by Obamacare.  Thankfully, the Court’s ruling today preserves the many benefits and savings that Americans have received through the Affordable Care Act and avoids the damage that could have been done to our entire American health care system.

Seniors in Medicare have a stake in this debate as they will save, on average, about $5,000 over the next 10 years due to lower drug costs, preventive services with no out-of-pocket cost and reductions in the growth of health spending.  Since passage of Obamacare, more than 8.2 million people with Medicare saved over $11.5 billion on prescription drugs.  These are real people who will face real threats to their health security if the quest to dismantle Obamacare is ever successful.  No doubt the enemies of health care reform will continue their zealous mission to roll back Obamacare’s successes but today we have reason to celebrate. Tomorrow we’ll resume our fight to ensure seniors continue to benefit from the enormous savings Obamacare provides them and their families.”...Max Richtman, NCPSSM President/CEO


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Good News for Seniors in Medicare That You Won’t Hear About from Conservatives

In spite of years and years of doom-and-gloom predictions from conservatives that Obamacare will hurt Medicare, the facts just continue to tell another, very different story.  Earlier in the month the annual Medicare Trustees report showed how the ACA continues to extend the program’s solvency.  Now, the Congressional Budget Office has even more to say:

“You’re looking at the biggest story involving the federal budget and a crucial one for the future of the American economy. Every year for the last six years in a row, the Congressional Budget Office has reduced its estimate for how much the federal government will need to spend on Medicare in coming years. The latest reduction came in a report from the budget office on Wednesday morning.

The changes are big. The difference between the current estimate for Medicare’s 2019 budget and the estimate for the 2019 budget four years ago is about $95 billion. That sum is greater than the government is expected to spend that year on unemployment insurance, welfare and Amtrak — combined. It’s equal to about one-fifth of the expected Pentagon budget in 2019. Widely discussed policy changes, like raising the estate tax, would generate just a tiny fraction of the budget savings relative to the recent changes in Medicare’s spending estimates.”

Unfortunately, these fiscal facts will be ignored by those in Washington determined to cut Medicare benefits. Even though he’s on a nationwide book tour, Rep. Paul Ryan is doing everything possible to ignore talking about his plan which would turn Medicare into CouponCare while also repealing the ACA -- stealing years from Medicare’s solvency, eliminating free screenings for seniors, preserving massive subsidies for private insurers in Medicare Advantage and bringing back the costly prescription drug donut hole. 

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