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  • The Advisor Volume 16 No 6e August 2011 Part 2 Feed

    For instance, sedatives such a fentanyl and propofol, which are administered to people placed on ventilators to help them breathe, are made with core ingredients from China. Medicines to treat shock, such as epinephrine and dopamine, are also made with chemical components from China. Antibiotics to treat sepsis, a life-threatening bloodstream infection, are made with raw materials supplied by China. .The Senior Citizens League strongly supports legislation in both the House and the Senate that would address this issue. H.R.576 Seniors Have Eyes, Ears, and Teeth Act introduced by Rep. Lucille Roybal-Allard (CA) in the House would expand Medicare to provide routine dental care. In the Senate, S.22 Medicare Dental Benefit Act, introduced by Senator Ben Cardin (MD) would also provide coverage for dental care. .Medicaid already uses this strategy to lower drug costs, and pays much lower prices than Medicare for the same drug. In June we reported that Medicare spending on the highest price category of prescription drugs, called "specialty drugs," increased from .7 billion in 2010 to .8 billion in 201Spending on the same drugs under Medicaid, the program that provides healthcare for low-income Americans, grew much more slowly over the same period, rising from .8 billion to .9 billion. … Continued

  • Insurers Use Misleading Marketing Tactics

    The following does not necessarily reflect the views of The Senior Citizens League. .Regarding Social Security, TSCL was pleased to see that the President's proposal did not include the "chained" CPI, as it did last year. Many in Congress were also relieved by its absence. Shortly after the blueprint was released, Sen. Bernie Sanders (VT) – founder of the Defending Social Security Caucus – said, "I am especially proud that the President did not renew his proposal to cut Social Security benefits. With … more people living in poverty than ever before, we cannot afford to make life even more difficult for seniors." .Rather than working on bipartisan legislation to solve the rural healthcare crisis, many of my colleagues have instead chosen the fantasy of "free" healthcare for all. In reality, "Medicare-for-all," as they call it – would put more than 1,000 rural U.S. hospitals in 46 states "at high risk of closure" among other devastating consequences, according to experts. … Continued

Big bills for uncovered charges are surprising some seniors after some hospital stays that aren't considered inpatient services by Medicare. The problem occurs when the hospital classifies your stay as "observation" which is billed as outpatient care under Part B, rather than inpatient care which is billed under Part A. Your physician may order your admission as an inpatient, but in some cases the hospital later reverses the status retroactively. Whether you are an inpatient or an outpatient is extremely important, though, because it will determine how much you pay out-of-pocket, especially if you later need nursing home care. .The proposal calls for switching to a more slowly-growing consumer price index (CPI), known as the "chained" CPI, to calculate annual COLAs. Chaining is an apt name for it because that's what it would do to benefits — chain them down. .Emergency 3% COLA, Social Security And Medicare Issues Land on the Congressional Priority List .Can Home Health Agencies Provide Rebates? .But, again to be fair, the situation was the same when the Democrats were the majority in the Senate. So perhaps the issue is not which party is in control. Maybe it's the within the institution of the Senate itself. Or maybe it's the fact that voters keep sending Senators to Washington who are afraid to compromise on issues because the voters are so divided about what they done. .TSCL believes much more stringent measures are needed to protect Social Security and SSI programs from document fraud. TSCL supports legislation that would ban the use of unauthorized earnings for determining entitlement to Social Security benefits. In addition, TSCL supports stronger penalties for the use of fraudulent documents for obtaining federal benefits, including SSI. .Despite increased efforts by SSA, Mr. Bagdoyan emphasized the need for better program evaluation. He said: "SSA has taken some steps to establish an organizational culture and structure conducive to fraud risk management in its disability programs … But it has yet to comprehensively assess these risks or develop a strategic approach to ensure its anti-fraud activities effectively mitigate these risks." .How Does TSCL Project the Social Security COLA? . Zero premiums are also likely to end very soon. If Congress should cut reimbursements to plans as has happened in the past, some plans may respond by no longer offering coverage at all. Should Paula enroll in a Medicare Advantage plan and her plan ceases to offer coverage in the future, Paula could have problems finding something comparable that she could afford.