Archive for the 'Medicare' Category

President Obama’s Healthcare Speech Real Time Updates

Get ready, come 8 o’clock Eastern Time, live updates will be rolling through the wires covering President Obama’s Address To Congress.  You’re not gonna want to miss this.  8pm- First Lady Obama enters into the House    8:11- The President Finally Arrives to warm applause   8:16– Speaker of The House Pelosi Announces The President of the United States   8:18 Describes that a recovery is many months away, declares he will not let up until those seeking jobs will find them  8:18 1/2 “Pulled this economy back from the brink,” only Democrats rise in applause  8:19 Issue of Healthcare, Determined to be the last President to take up Healthcare, again Democrats only stand  8:20 A History Lesson on Healthcare by Obama    8:21-8:22 PersonalAmerican stories of Healthcare’s Lapses, “This is wrong.”  Every seat applauses.  8:23-4 We must do something to control costs, “Our Healthcare Problem is Our Deficit Problem” 8:25 Left: Single Payer System (Public Plan) Right: Individualized Healthcare  8:26 4 out of 5 commitees have finished there tasks and there is an 80% agreement 8:27-8 We have also seen scare tactics that have not helped the debate, “The time for bickering is over.”  8:29 Three goals More security to those with insurance, provide those that don’t have it, slow the Healthcare costs for our country 8:30-2 If you have Healthcare, nothing will require you to change.  Against the law for insurance companies to deny you coverage if you have a preexisting condition, cannot drop coverage when you get sick, no arbitrary cap, place a limit on out of pocket expenses. If you don’t have Insurance you will have quality affordable coverage.  New Insurance exchange (shop for insurance at competitive prices).  Every seat rises in applause 8:33 This exchange will happen in 4 years.  But right now if you get sick you will be covered.  8:34-7 You are required to have Basic Health Care. (It is clear that Obama has looked at the Massachusetts system and how small businesses have many times been left out.)  8:38 Time to put down some rumors: States rumors of “Death Squads” is a complete lie 8:39 Illegal immigrants will not be covered, no abortions will be funded by the gov’t 8:40 “Consumers do better when there’s choice and competition.” 8:41 “I want to hold Insurance Companies accountable” 8:43 “Republicans and Democrats need to work together” 8:44 “If you get affordable coverage then we will give you a choice” Only democrats stand up 8:45 How to pay for this plan, “not a single dime will be added to our deficits.” 8:46 We can find savings within the Healthcare system already 8:47 Medicare “Must be passed down from one generation to the next”8:52 Reforming Medical malpractice laws, Republicans stand up in applause.  8:53 900 Billion dollars over ten years Expect commentary early tomorrow morning

The Future of Medicare and Other News

Back to the debate that was discussed in the blog post entitled “A Generational Battle Awaits.”  While Obama says he is cutting funding to Medicare to get rid of waste and the excesses of private insurance companies, it seems many seniors and Dem. Rep. Betsey Markey in her address to a Colorado town hall believe that as she stated: “There’s going to be some people who are going to have to give up some things, honestly for this to work.”  Who those people are the Representative did not say, but we can pretty much tell it will be those benefiting from Medicare. Yet, to counter these viewpoints, the secretary of Health and Human Services stated in an address: “Health Insurance reform will protect the coverage seniors depend on, improve the quality of care and help make Medicare strong.”  What can be seen from these opposing views is that the Obama administration wants to ensure that Medicare stays around, but Medicare will need to be changed, in some cases for the worse, to continue to benefit all of those who are a part of it.In a slight side note, there is a great PBS Frontline website and video entitled “Can You Afford to Retire.”  It paints a bleak picture of retirement right now, but shows the truths that need to be addressed.

Addendum to A Generational Battle

And now to add to yesterday’s blog, as a recent businesswire article, “Americans Dramatically Underestimate Health Care Costs in Retirement, First Command Reports” states that retirees need to show some foresight and put extra money for the rising costs of healthcare and clear deficit in Medicare and Social Security spending.  So ensure you and your financial advisor discuss and plan on having enough money for rising healthcare expenses and the rising taxes required to fund the government stimulus packages.  

A Generational Battle Awaits

The baby boomers and their kids are involved in serious debate over Social Security, Medicare and their respective futures.  The Social Security program is clearly running out of money, according to the Social Security Trustees report, if we do nothing, negative cash flow will commence in 2017, and all the money will be gone by 2040.  At this point in time, the boomers and their children are both supplying social security but come 2011, there will begin to be a turnaround as more and more boomers, eventually 76 million come 2029, become benefactors of the program. 

  Add to this problem the fact that life expectancy at birth is about 76 years old and life expectancy at 65 is now 17 years and there is something economically uneasy about the situation. As boomers are living longer, their medical expenses are increasing, so where are all the workers to cover these increasing costs? Well we don’t have enough workers to cover these expenses, so serious debate, as is happening now, must take place as to the next steps.  Someone, or rather a particular demographic, is going to have to cover the cost, so what is the best way to settle this without causing a generational debate. It seems boomers’ children are going to have to carry the weight of their parents but as Garver states in his article “Social Security Sets the Stage for Generational Warfare,” “Because boomers’ kids neither created the Social Security problem not let it fester more than 40 years, the problem is potentially one of generational warfare.  And boomers’ kids would hold the moral high ground by reminding their boomer parents about being taught to take responsibility for one’s own mistakes.

  There are many plans in the works about ensuring the future of Social Security and Medicare, and in a recent New York Times article, “A Basis is Seen for Some Health Plan Fears Among the Elderly” the boomers have some reason to fear about the future of Medicare as they have known it under the Obama administration.  In a Kaiser Family Foundation poll this month, only 23 percent of respondents over the age of 65 felt they would be better off if health reform passed. Younger respondents were more optimistic To many boomers Obama’s cutting of healthcare costs, and combined emphasis on effectiveness of certain programs has lead them to see that he wants to curb some of Medicare’s services.  Many are even going so far as to say that Obama is implementing so called “death squads” that will decide people’s medical fates in the last parts of their lives.  While these death squads are one extreme viewpoint and takeaway from a lengthy and constantly expanding (1,017 pages) reform bill, it still reflects as one Gallup poll released last month shows that by a 3-to-1 margin, seniors believe that reform will reduce their access to healthcare.  But as one article in the “Christian Science Monitor” points out Why GOP sees Seniors as Crucial to Health Reform Battle” seniors are the ones with the time to attend town meetings, and they pay close attention to the details of their benefits. 

  Its going to be interesting to see if we will be able to find a common ground, where maybe if you are a senior who has enough money for private insurance you can wave benefits knowing that you will be benefiting from your children’s hard work.  As it seems right now, both sides are taking the extremes of the debate, but hopefully we find a middle ground because if we don’t it’s surely going to be an uphill battle.

Social Security and Medicare problems in context

The government reported that the financial condition of Social Security and Medicare deteriorated markedly due to the recession.

Using their assumptions Social Security will run out of money in 2037 and Medicare in 2017.

Robert Reich has a good take on the relative problems.   I agree that Social Security is a much smaller problem (about 1/4 the level of projected underfunding) which can be addressed with tax tuning or pushing out the retirement age.  Medicare is a much bigger problem – which the country will have to deal with ASAP – it’s primarily a function of health care cost growth (which is unsustainable) and the increasing length of lifespans (people are around to consume even more health care).




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