Monthly Archives for July 2001

AARP Rallies for Prescription Drug Benefit

Published in the Pawtucket Times on July 30, 2001

AARP gears up its grassroots advocacy machine to call for the expansion of Medicare at nationwide rallies, urging Congress to enact a prescription drug benefit in Medicare that is affordable, voluntary and available for all.

Using the 36th anniversary of the signing of Medicare as a backdrop, AARP Rhode Island has planned a rally today at 9:00 a.m. at the food court of the Warwick Mall to support the expansion of Medicare to cover the cost of prescription drugs. AARP officials expect hundreds of members and aging advocates at this gathering, hoping to raise the awareness of the Rhode Island congressional delegation about the importance of this policy issue.

“Advocacy and education” will be the goals of today’s event, stated AARP state Director Kathleen S. Connell. To raise the awareness of Medicare’s anniversary and the need for a prescription drug benefit, she stated that all seniors attending the rally will be give anniversary cake and coffee as well as prescription pill boxes with an informational brochure about the issue.

Connell notes that the Washington, D.C.-based advocacy group, which represents 34,000 million seniors, will use today’s Rhode Island rally to urge state lawmakers to act on adding a prescription drug package to Medicare. Costly drugs continue to hi seniors in the pocketbook, she says.

Later in the morning, AARP Rhode Island volunteers will present each of the state’s two senators and two congressman an anniversary cake with a missing piece, to symbolically represent the prescription drug benefit that is missing from the existing law, Connell said. “We will bring them a cake along with anniversary cards to remind them of Medicare’s anniversary and the high cost of prescription drugs.”

Opposing Medicare is considered to be political suicide by lawmakers, especially with the clout of senior voters. Everyone agrees that Medicare is an important federal program that helps 93 million seniors to stay healthy. Last year alone, more than 39 million Americans and their families relied on the nation’s largest health care program for their health care needs.

At present, there is no prescription drug benefit under Medicare because of a lack of political consensus as to how to pay for and implement the policy.

The final version of the Medicare Act was introduced by Rhode Island Congressman Aime J. Forand (D-RI). Connell told All About Seniors. According to Connell, during last year’s congressional elections every candidate had a favorable position on Medicare. “Here is Rhode Island Medicare’s promise has deeper roots in that our lawmakers were the prime movers of the original Medicare efforts. Our message to Rhode Island lawmakers is that we stated it here so let’s do what we need to complete it,” Connell added, noting that the final piece is a prescription drug package.

As with Congress, Rhode Island’s congressional delegation favors a prescription drug Medicare benefit and all are planning to attend today’s rally.

According to remarks that Sen. Jack Reed is expected to make, it is the right time for Congress to move on this issue. “Tremendous advancements in medical treatments, the explosive growth in the price of prescription drugs, and older Americans ever increasing reliance on medications, makes it essential that Congress enact a Medicare prescription drug benefit,” he says.

Taking his Congressional campaign pledge of making prescription drugs more affordable to older Rhode Islanders to Capito Hill, Rep. Jim Langevin also has penciled in the rally on his schedule. The state’s newest Congressman is expected to call for the passage of H.R. 1400, legislation that would drive down the cost of prescription drugs. The bill also provides protection to Medicare recipients from discriminatory pricing by drug companies. A study commissioned by the state’s congressman found that Rhode Island seniors pay on average, 78 percent more for most commonly used prescription drugs than those in five industrial countries.

Also, expect Rep. Patrick Kennedy to drop by the Warwick Mall to show his continued support for Medicare prescription drug coverage. He tells All About Seniors, “It is clear that we must bring Medicare into the 21st century with accessible and affordable insurance coverage of prescription drugs.” Over the years the Congressman has expressed concern not only for those who have no drug coverage at all but for those who pay high prices for private supplement policies or for managed care plans that include drug coverage.

Meanwhile, Republicans Sen. Lincoln Chafee will come to the rally to pitch S. 1135, a bipartisan, comprehensive bill, that would begin to overhaul Medicare and provide a universal prescription drug subsidy. The proposal also calls for different organizations to compete for Medicare’s prescription drug business. Sen. Chafee believes his approach of using a market-based competition will result in lower prices for prescriptions.

But the rising costs of prescription drugs will continue to make the prescription drug benefits a key advocacy issue for Rhode Island AARP and other senior advocacy groups at the national level. Congress must move away from legislative gridlock, away from the flowery words of support for a prescription drug package spoken at public events, to swiftly enact a viable bipartisan solution so this pressing public policy problem. Simply put, lawmakers must now realize that seniors at AARP rallies across the nation are telling you today to “walk your talk.”

AARP Pushes Busch to Pull Rude Commercial

Published in the Pawtucket Times on July 23, 2001

Everyone knows that sex and humor are used every day to effectively advertise products, ranging from blue jeans, CDs, perfumes and colognes, to America’s youth. Now an advertising firm is seeking new outrageous ways to pitch beer for their Fortune 500 client.

Anheuser-Busch, Inc., the maker of Budweiser beer, is known for its fun and humorous commercials to sell Bud beer by using computer-generated talking lizards and young men yelling “Whassup.” But the Washington, D.C.-based AARP and senior advocates across the country found Anheuser-Busch’s new radio commercial using elder abuse to pitch its beer to be unacceptable. The nation’s largest senior advocacy group, representing 33 million older Americans, called the radio ad portraying a young woman abusing and exploiting her elderly infirmed husband, “offensive” stating that it just goes so far.

In “She Married Steven Buck Simpson,” a young woman gleefully talks about how she is physical, emotionally and financially abusing her frail elderly husband. Here’s the text for the commercial spot describing the abuse intergenerational relationship:

“Last year I married oil tycoon Steven Buck Simpson. He was 93. I was 22. And it was true love, hmm, or so I led him to believe until the wedding. After that, I fired his lawyer and cardiologist. I let his house insurance lapse, alienated him from his children, and sent him out for a walk so I could get freaky with the pool boy. Umm, I deflated the tires on his wheelchair, soaked his dentures in turpentine, and hid his oxygen.”

“Let’s see. I replaced his blood pressure medication with Red Hots, fed him high fat, high cholesterol foods. And finally, liquidated 100 percent of his assets into a Swiss bank account, dropped his dog King off at the pound, and left the country in his private jet, where I promptly renewed my membership in the Mile High Club.”

At this point a m  a states, “Ooh, ooh man that’s cold!” With the sound of a cap being popped off a beer bottle, an announcer responds, “But not as cold as Bud Ice. Ice brewed for a smooth crisp, refreshing taste. Bud Ice, there ain’t nothing colder. Anheuser-Bush.” Quite a way to sell a brand of beer.

When the commercial, playing in several markets, caught the attention of AARP the group’s president Esther Canja, wrote to CEO August A. Busch III of Anheuser-Bush, informing him of her disappointment that the beer company would “make light” of the very serious aging issue of elder abuse.

“Elder abuse is not a joking and your message to the contrary is most inappropriate.” Canja bluntly told the CEO noting that the incidence of elder abuse is increasing at an alarming rate. She cited a National Elder Abuse Incidence Study that estimated that 450,000 older persons are abused or exploited each year.

“While humor has its place, your ad goes to far,” Canja said, urging Busch to withdraw the offensive ad from the marketplace. “You certainly would not sponsor a commercial that portrays a parent physically abusing a child or even mistreating a family pet,” she added.

In Rhode Island, senior advocates were also incensed about Anheuser-Busch’s radio commercial. “This ad, which is so corrosive to the well-being and dignity of our seniors, crosses the boundary from humor to just plain bad taste,” Kathleen S. Connell, AARP Rhode Island director, told the Times. “I join AARP President Esther Canja in calling the company to scrap this piece of junk,” she said.

Adds Rhode Island Ombudsman Roberta Hawkins, of the Alliance for Better Long-Term Care, the Anheuser-Busch commercial is unacceptable.” The well-known Rhode Island senior advocate stated that elder abuse, although not publicly acknowledged by the media, is a widespread and a tragic problem. “If you spent your days the way we do listening to horrible situations just like the ones you think are so funny, your opinion of this commercial would change,” she added.

An e-mail writing campaign initiated by Bill Benson, a former deputy assistant secretary for aging at the U.S. Department of Health and Human Services and president of the Maryland-based Benson Consulting Group, during his July 13 Washington Radio Report, has finally caught the attention of the St. Louis, Mo-based beer company.

Benson e-mailed his weekly radio report, “This Bud’s Not for You” to hundreds of his colleagues informing them about the offensive commercial. Word spread like wildfire across the Internet. After numerous attempts to contact Anheuser-Busch, the company finally responded with a written statement. Bill Etling, a spokesperson for the company stated, “It is never our intention offend anyone with our advertising. Anheuser-Busch has discontinued use of this ad and has no plans to use it in the future.”

As the dust settles after Anheuser-Busch’s recent public relations fiasco. Benson hopes that the beer company will reexamine who they choose to write their advertising. “I am sure that they are clueless about how people would react. I bet you this is the last time that Anheuser-Busch uses radio advertising to take jabs at vulnerable seniors,” he says.

“It is clear that the combination of senior advocates and the use of the Internet to spark an e-mail writing campaign nipped Bud in the Bud,” Benson said.

Seniors Held Their Ground During Legislative Session

Published in Pawtucket Times on July 16, 2001

As the dust settles with the aftermath of the 2001 General Assembly session, senior advocates and providers held their ground with the state legislature allocating small funding increases in some existing programs, but no major expansions or new programs were implemented.

More than 2,500 bills were introduced during the 2001 General Assembly session, with lawmakers considering a small handful of proposals that specifically targeted senior programs and services.

Pawtucket Rep. Antonio J. Pires, who heads the House Finance Committee, gives his take to The Times on the session as it related to older Rhode Islanders.

During this year’s legislative session senior advocates called on the General Assembly to consider increased funding for Rhode Island Pharmaceutical Assistance to the Elderly Program (RIPAE).

Recognizing the high cost of prescription drugs and its adverse impact on the elderly, lawmakers ratcheted up the $10.3 million RIPAE program by $ 2 million. With the passage of the state’s Fiscal Year 2002 budget, the size of a large phone book, lawmakers appropriated a 20 percent increase to support the RIPAE program, stated Pires.

The General Assembly expanded the drug formulary lists of drugs to include prescription drugs to treat osteoporosis,” Rep. Pires noted. Additionally, he added that the state’s budget now provides 100 percent of covered drug costs incurred once the program’s poorest clients spend more than $ 1,500 in coo-payments in a year.

While senior advocates had pushed for more drugs to be covered by RIPAE drug formulary, Pires stated, “We can’t afford to pay for an o pen formulary program yet because of budgetary limitations.” In next year’s legislative session, when more state monies are available, coverage for gastrointestinal drugs will seriously be considered, he added.

“It’s a trade-off,” Pires said, in explaining why lawmakers choose not to add drugs to the RIPAE formulary list but rather to increase the eligibility income limits to allow an estimated 3,l50 seniors and disabled persons to participate in the state’s Medical Assistance Program. This program pays for nursing home care for low-income eligible seniors. The enacted state budget included $ 1.8 million from all sources of funds, including $ 857,485 in general revenues to increase the eligibility income for those who are 65 years old or disabled. Now individual income limits increased from $ 576 to $  686 per month, he said, noting that income limits for couples also increased from $ 889 to $ 921 per month.

According to Pires, the Fiscal 2002 State budget also includes $ 85,000 to continue funding the state’s elder guardianship program enacted last year. “The program brings volunteer guardians to assist frail elderly who are cognitively impaired and without families or friends in decision making,” he said. This year’s funding would allow a full-tie coordinator to be hired who will recruit and train the volunteer guardians. Ultimately, the funding would also allow the program to be phased in statewide over a three-year period, he said.

“We also continue to fund the state’s Elder Information Network Program,” Pires added, noting that the FY 2002 budget includes $ 425,000, a $ 12,300 increase over last year’s budget. Funding for this program provides grants to 15 community-based agencies to employe specialists to link information and services across the state.

This session Rhode Island lawmakers also moved to soften the blow of federal cutbacks to RIPTA by providing an additional $ 2.5 million to the state’s transportation agency. “RIPTA found itself in need of cutting routes to balance it’s budget,” Pires stated, noting that the General Assembly responded to the federal cuts by appropriating one-half cent of the state’s gasoline tax to help the agency keep its exiting bus routes.

“RIPTA may have to make some adjustments to their bus routs but not to the extent that they had fared,” Pires said. Ensuring that buses continue to run throughout the state are important because this mode of transportation provides older riders their mobility and independence, he said.

Finally, on the heel of calls by the nursing home industry and senior advocates, Pires noted that the General Assembly allocated $ 4.5 million with a $ 4.5 million federal match, to provide higher salaries for certified nursing assistants to keep them in their profession.

While nursing home providers did not get the $ 14.1 million, they requested, the 2002 state budget called for a funded study to develop a new plan on how nursing homes would be funded, Pires said. “We anticipate that the modern payment principles that will be developed will ensure continued quality of care for the elders in facilities,” he added.

But the funding allocated by the General Assembly to alleviate the direct care staff shortage and a study to develop a new payment methodology still leaves many nursing home providers and senior advocates seriously concerned about the direction of quality care with the inadequate paid to a shrinking work force.

Based on an independent study, providers found that last year health care worker turnover approached 92 percent in Rhode Island facilities due to low wages in relation to the work performed, stated Hugh Hall, chair of the  Direct Care Staffing Coalition and administrator of Cherry Hill Manor.

Hall noted that certified nursing assistants must complete 125 hours of training followed by a state licensing exam, both written and practical, to perform this type of work. These workers have found they can make as much or more working in local retail establishments than in nursing facilities, he says.

While nursing home providers appreciate the funding that the legislature has approved, it doesn’t go far enough, says Hugh, to address the inadequate wages that the state is funding for direct care workers. “The state continues to cut the same size of the pie for an ever-increasing aging population,” he noted.

In response to those seeking better funded programs this year, Pires stated, “We had limited resources to expend so there wasn’t a lot of new programming this year but quality of life and independence remains my top priority as chairman of the House Finance Committee.” The eight-term Democrat noted that this year’s focus was to ensure that the existing level of senior services would not be cut but maintained with some incremental expansion.