Tag Archives for Medicare

Some Favs… Looking Back at 2021

Published on January 3, 2022 in RINewsToday

As an ‘age beat’ journalist for over 40 years, I have penned more than 813 articles covering aging, health care and medical issues. These authored and coauthored pieces have appeared in national, state, and local trade and association publications, dailies, weeklies, and in this weekly column in RINewsToday.com. Some were even republished in my two books, Taking Charge: Collected Stories on Aging Boldly (2016) and Taking Charge: Volume 2  More Stories on Aging Boldly (2021).

I provide you with a few of my favorite publish weekly commentaries published in 2021 that you may have enjoyed reading. Many of these articles in their entirety and others can be viewed on my author archive  page at rinewstoday.com/herb-weiss/.

“Study Takes Look at Decision Making /in Getting a COVID-19 Vaccine,” published on Jan.  25, 2021 in RINewsToday.com. 

With colder weather keeping people indoors and holiday events drawing families together, Rhode Island like other states continue to see a growing transmission of the COVID-19 Delta, and now Omicron variants. The debate of mandating vaccines has expanded into requiring a booster, too. 

This article reported on research findings that suggested ways as to how to increase a person’s likelihood to get vaccinated. Even though researchers didn’t touch on requiring booster shots, the findings should still be relevant in the current debate, as science is showing the waning of the vaccine after many months.

The COVID-19 Vaccine Education and Equity Project Survey, a group whose mission is to increase public dialogue on vaccine education, released survey findings that showed the preferred locations to receive COVID-19 vaccines, and which leading information sources are two influences over a person’s decision to get vaccinated.

The study, commissioned by the Washington, DC based Alliance for Aging Research, one of the three nonprofit organizations leading the project, found the majority (51 percent) of respondents ranked their healthcare provider or pharmacist as one of the sources most likely to influence their decision to get a COVID-19 vaccine. Almost two-thirds (64 percent) of respondents said they would prefer to receive a COVID-19 vaccine in their healthcare provider’s office.

After healthcare providers and pharmacists, when asked to provide the top two additional sources of information about COVID-19 vaccines that would most influence their decision to get vaccinated, 32 percent of respondents cited nationally recognized health experts, and 30 percent named family and friends. However, older respondents were increasingly more likely (75 percent ages 65 and older) to trust their healthcare provider or pharmacist, followed by 43 percent (ages 65 and older) trusting nationally recognized health experts.

The majority (64 percent) of respondents indicated they would prefer COVID-19 vaccination in their healthcare provider’s office, while 29 percent prefer a pharmacy, 20 percent a drive-thru vaccine clinic, and only 13 percent would like to receive the vaccine at a grocery store or pharmacy.

Additional factors driving the location where respondents would like to receive the vaccine included the ability to get the vaccine quickly or not have to wait in line (45 percent) and a location close to home (41 percent), the study found.

“A Call for House Dems to Bring Back House Aging Committee,” published on Aug. 16, 2021 in RINewsToday.com.

Last Aug, Rhode Island Congressman David Cicilline, along with fellow lawmakers, Jan Schakowsky (D-IL), Doris Matsui (D-CA), who serve as co-chairs of the House Democratic Caucus Task Force on Aging and Families, introduced H. Res. 583 to amend the rules of the House to establish a House Permanent Select Committee on Aging. This is the Rhode Island lawmaker’s fourth attempt, and in the upcoming months he must push for passage by the House Rules Committee.  

H. Res. 583 would reestablish the House Aging Committee without having legislative jurisdiction; this being no different than when the permanent committee previously existed. It would be authorized to conduct a continuing comprehensive study and review of aging issues, such as protecting the Social Security and Medicare programs, income maintenance, poverty, housing, health (including medical research), welfare, employment, education, recreation, and long-term care. These efforts impacted legislation taken up by standing committees. It has been referred to the House Rules Committee for consideration.

“America’s seniors have spent a lifetime working hard and moving our country forward and they deserve the best in their retirement,” says Cicilline, in this article. “The pandemic has disproportionately impacted seniors and now with growing concerns about inflation, seniors on fixed incomes will bear the burden of the rising cost of prescription drugs, food, housing, and other essentials,” he says, noting there has never been a more urgent time for Congress to reauthorize the House Permanent Select Committee on Aging than right now,” he says. 

At press time, there are just 40 cosponsors of H. Res. 583. Bob Weiner, the former staff director of the House Permanent Select Committee on Aging under Chairman Claude Pepper (D-FL), warns that to get  the attention of House Speaker Nancy Pelosi (D-CA) and leadership of the caucus, there should be 100 cosponsors – an obtainable number.

“When Congress gets back from recess, the Rhode Island Congressman must now push for more cosponsors and meetings to get this resolution endorsed by the House Democratic Leadership and the House Rules Committee and then passed on the House Floor”, says Weiner, noting that a GOP takeover of the House after mid-term elections could ensure that this effort will be legislatively blocked unless it has overwhelming support to show a constituent price.  

“It’s now time to stamp out Antisemitism,’ published on Oct. 18, 2021 in RINewstoday.com.  

Throughout 2021, three of my weekly commentaries warned that Antisemitism is alive and well in the United States, Germany, and throughout the world, and called for Rhode Island lawmakers to condemn all acts of hate within Rhode Island’s borders.

The article reported on the alleged charges of Gil Ofarim, a popular German-Israeli singer who lives in Germany, about an alleged anti-Semitic remark made by an employee at the Westin Hotel in Leipzig.

Director of AJC Berlin said, “Marriott should take all necessary steps to ensure that something like this will never happen again. AJC stands ready to help with our expertise and knowledge.”

The article reported that the FBI’s annual Hate Crimes Statistics Act (HCSA) report, revealed that 2020 saw a six percent increase in reported hate crimes from the previous year and represented the highest total in 12 years. The latest FBI’s report, released Aug. 30th, is based on voluntary local law.

This article also reported on the top school administrator with the Carroll Independent School District in Southlake advised teachers that if they have a book about the Holocaust in their classroom, they should also provide students with a book from an “opposing” viewpoint, according to an audio recording obtained by NBC News.

“How do you oppose the Holocaust?” quipped one teacher in response to the school administrator, with the school district later apologizing. Last month, the School District approved a change to district policy that prohibits employees from secretly recording video of meetings or work sessions.

The survivors who witnessed the horrors of the Genocide and the Holocaust during World War II continue to dwindle in numbers and will soon no longer be here to share their tragic stories. Rhode Island’s Genocide and Holocaust Education Commission, recently created by the General Assembly, is organizing and gears up to keep this knowledge alive to millennials, Gen Z, and other generations. 

“It’s Time to End Suicide by Bridge in Rhode Island,” published on July 26, 2021, in RINewsToday.com.

Last legislative session, Rep. Joseph J. Solomon Jr.’s (D-Dist. 22), legislative proposal, H-5053, to require safety barriers or netting on the three bridges that connect Aquidneck and Conanicut Islands to the mainland of Rhode Island, never came out of the House Corporations committee.

“Too many people have committed suicide on those bridges in the last decade,” said Rep. Solomon in a statement released when the bill was introduced last January. “Due to technological advances, there are various types of barriers and netting available to increase safety without hindering access for routine inspection and maintenance of the bridges,” he said.

“It’s not only a serious problem, but an alarmingly frequent one,” said Solomon explaining why he introduced his bill, as reported in this article. “Last year alone, the Portsmouth Police responded to the Mount Hope Bridge 36 times. And the cost of suicide goes far beyond the individual. It affects friends, families, first responders, and health care professionals. Those who survive the fall all say the same thing: “they feel instant regret the moment their feet leave the railing,” he said.

This weekly commentary detailed the efforts of forty-year Samaritan volunteer Bryan Ganley and East Bay resident Melissa Cotta, who initiated a petition for safety/suicide prevention barriers to increase awareness of this issue and to show that residents of Rhode Island, as well as the surrounding areas that use our bridges all the time are in support of these barriers.

Ganley and Cotta have submitted a request for funding to the General Assembly’s American Rescue Plan Act State Fiscal Recovery Fund Recommendation Portal. The Rhode Island Turnpike and Bridge Authority also has submitted a request to this portal requesting funding for an engineering study.

Six months ago, 2,630 people signed Cotta and Ganley’s petition. At press time, over 4,062 signatures have been collected calling for new barriers to Rhode Island’s unprotected bridges. To view and sign this petition, go to tinyurl.com/ribridgingthegap.

A Sacred Trust – moves to strengthen Social Security

Published on November 8, 2021 in RINewsToday

Almost two weeks ago, House Ways and Means Social Security Subcommittee Chairperson John B. Larson (D-Conn.) threw H.R. 5723, the Social Security 2100: A Sacred Trust, into the legislative hopper. During its unveiling in the historic committee room of the House Ways and Means Social Security subcommittee, the same room where Social Security and Medicare legislation was crafted in the 1930s and 1960, the Connecticut Congressman’s proposal comes on the heels of the Social Security Administration’s 2021 estimate that the trust funds that support the program will be depleted in just 13 years, averting an estimated 20 percent cut in benefits by 2034.

The Sacred Trust Act is the successor to Larson’s original Social Security 2100 Act, which he first introduced in 2014.The House Ways and Means Committee is planning to hold a hearing on the bill in Nov. followed by a markup.

At press time, 194 House Democratic Members are cosponsoring the 100-page House Democratic proposal with no Republican lawmakers crossing the aisle. Almost 40 advocacy groups are endorsing the House Democratic proposal.

At the Oct. 26 news conference unveiling Larson’s legislative proposal, the Connecticut congressman noted that Congress expanded Social Security during the past 50 years and it has been 38 years since lawmakers have taken any comprehensive action to strengthen the program.“ With 10,000 Baby Boomers a day becoming eligible, and with millennials needing Social Security more than any generation, the time for Congress to act is now,” he said.

Taking a Close look at H.R. 5723

According to the legislative fact sheet released at the news conference, H.R. 5723 gives a benefit bump for current and new Social Security beneficiaries. It provides an increase for all beneficiaries (receiving retirement, disability or dependent benefits) equivalent to an average of 2% of benefits to make up for inadequate Cost-of-Living Adjustments (COLA) since 1983.

Larson’s Social Security proposal also protects Social Security beneficiaries against inflation. It improves the annual COLA formula by adopting a Consumer Price Index for the Elderly (CPI-E), to better reflect the costs incurred by seniors who spend a greater portion of their income on health care and other necessities. Although the 2022 COLA 5.9%, the largest in years, the average for the past 10 years is roughly 1.5% and in 3 of the past 12 years, beneficiaries received no COLA at all.

It protects low-income works that provides a new minimum benefit stet at 25% above the poverty line and would be tied to wage levels to ensure that minimum benefits doe not fall behind. Currently, 5 million seniors live in poverty.

The Sacred Trust Act also contains other provisions that seniors and their advocates have sought for years, including:

  • Improving Social Security benefits for widows and widowers in two income households so they are  not penalized for having two incomes.
  • Ending five-month waiting period to receive disability benefits so those with ALS or other severe disabilities no longer have to wait.
  • Providing caregiver credits for Social Security wages to ensure that caregivers are not penalized in retirement for taking timeout of the workforce to care for children and other dependents.
  • Extending Social Security benefits for students to age 26 and for part-time students.
  • Increasing access to Social Security dependents for children who live with grandparents or other relatives.
  • Requiring Social Security Administration (SSA) to mail annual statements to all workers detailing the FICA contributions they make and projects of their benefits in the future. 
  • Preventing unwarranted closures of SSA offices to improve customer serve
  • Improving access to legal representation for people seeking long-term disability benefits.

H.R. 5723 would pay for strengthening the Social Security Trust Fund by having millionaires and billionaires pay the same rate as everyone else.Currently, payroll taxes are not collected on an individual wages over $142,800.The legislative proposal would apply payroll taxes to wages above $400,00.This provision would only impact the top 0.04% of wage earners.

Larson’s proposal would also extend the solvency of Social Security by making a significant contribution to the programs solvency, making up more than half of the shortfall in the Social Security Trust Funds.

Finally, H.R. 5723 would combine the Old-Age and Survivors Insurance with Disability Insurance into one Social Security Trust Fund, to ensure all benefits will be paid.

It’s Now Time to Fix Social Security 

Larson’s Social Security proposal would “take historic steps to expand Social Security — delivering for retirees, people with disabilities, and their families the first real boost in benefits in 50 years.  The Sacred Trust Act also would bring new revenue into Social Security amid projections that the trust fund will run dry in 2034 if Congress doesn’t take action,” says Max Richtman, President and CEO of the Washington, DC-based National Committee to Preserve Social Security and Medicare.

“To those who claim that no one in Washington has the courage to address Social Security’s challenges, or that the only solution is to cut benefits for future generations, Congressman Larson’s bill is a stunning refutation,” states Richtman, noting that he understands that beneficiaries need an increase in monthly checks to meet skyrocketing living expenses. “He knows that the fairest way to strengthen Social Security’s finances is for the wealthy to begin paying their fair share of payroll contributions.  For years, seniors and their advocates have demanded these improvements,” adds Richtman.   

“There is good news for everyone in this bill, which is only fitting, since Social Security touches almost every American’s life.  Beneficiaries have waited long enough for these vital improvements.  Congressman Larson now has nearly 200 cosponsorsin the House.  After seven long years, seniors and their advocates can finally see the finish line, says Richtman.  

With the Democrats controlling the White House, seniors have a good chance of seeing the expansion and strengthening of Social Security.  The proposal has many of President Biden’s promises made during his campaign.  But, like Larson’s previous Social Security Bill, the latest version has no Republican cosigners.

Over the years, poll after poll has shown that the American public strongly supports Social Security, across party and demographic lines.  Larson’s legislative proposal has the support in the House, but will it pass in the upper chamber with Senate Democrats holding a slim majority?  Will voter support influence Republican lawmakers to work across the aisle with Democrats to hammer out an acceptable bipartisan  proposal, as the 2022 mid-term elections get closer?  We’ll just have to wait and see.

Fixing rising pharmaceutical drug costs once and for all

Published in RI News Today on September 27, 2021

Just days ago, WBUR.org, Boston’s NPR News Station, featuring NPR News and Programs, aired a 45.37 minute program, “Steps to Fix America’s Broken Prescription Drug System,”  clearly illustrating the need to fix America’s ailing prescription drug program.  While Americans are traveling to Mexico in search of affordable prescription drugs, referred to as “Pharmaceutical Tourism,” the NPR program added a new twist. Now some state insurance companies are sending their beneficiaries to Mexico to purchase cheaper their pharmaceuticals manufactured in the United States at a lower price, on their tab.  

For instance, let’s take a look at Ann Lovell, of  Salt Lake City, Utah. The NPR Program, aired on Sept. 24, 2021, introduced us to the hearing-impaired former teacher who worked at an early-intervention program for deaf students that’s part of the Utah Schools for the Deaf and Blind, who traveled from Utah to Mexico five times to purchase Enbrel, to treat rheumatoid arthritis, with travel costs and a $500 cash incentive paid by her insurer, the Public Employees Health Program (PEHP). 

Lovell’s Utah physician writes her a prescription, and each tie she travels to Mexico she sees a physician at the Tijuana-based hospital as well.  She updates the physician on her medical condition, gets her prescription, and takes it to the pharmacist, who gives her the medication. 

NPR’s program noted that the Utah initiative was created under a 2018 state law, “Right to Buy,” by Republican Congressman Norm Thurston.  PEHP offers it only for people who use a drug on a list of about a dozen medications were the state can see significant savings.  Of the 150,000 state and local public employees covered by the insurer, fewer than 400 are eligible to participate.

Responding to a tweet promoting the offer, Levell quickly enrolled for as they say an offer she could not refuse.  She and a companion would travel on an all-expenses paid trip from Utah to Tijuana, Mexico to pick buy her pharmaceuticals at a steep discount paid for by the state of Utah’s public insurer to slash the high cost of prescription drugs. PEHP would only have to pay half of the cost of Embrel versus if Levell got it in the United States, saving tens of thousands of dollars. The annual U.S. list price for the drug, Enbrel, is over $62,000 per patient. 

It was one long, exhausting travel day.  At 5:00 a.m., Lovell and her friend flew from Salt Lake City to San Diego.  There, an escort picked them up and took them across the boarder to a Tijuana hospital, where she got a refill on her prescription.  After that, they were shuttled back to the airport and arrived back home by midnight. 

Lovell said she initially began paying $50 a month for her pharmaceutical, increasing to $450 in co-pays.  It would have increased up to $2,500 if she hadn’t started traveling to Mexico.  Without the program, she would not be able to afford the medicine she needed

With the COVID-19 pandemic closing the borders, PEHP’s “Pharmaceutical Tourism” initiative came to an end with the borders closing.   Lovell’s insurer came up with a new option of getting Enbrel at lower cost.  That’s when Lovell was told about the drug manufacturer’s coo-pay program where she would only have to pay five dollars a month.  

Calls for Medicare Negotiating the Cost of Pharmaceuticals 

Although traveling to Mexico or Canada to purchase more affordable pharmaceuticals is a temporary fix, the Washington, DC-based AARP calls for a permanent solution.  The national AARP advocacy group has launched a $4 million ad buy calling Medicare to step in to lowering the spiraling costs of pharmaceuticals.  

The Washington, DC-AARP noted that a recent AARP survey of voters found that 80% agreed or strongly agreed that drug prices could be lowered without harming innovation of new medicines. Strong majorities of voters, regardless of political affiliation, want Congress to act on the issue this year, with 70% saying it is very important. The survey also found that 87% of voters support allowing Medicare to negotiate prescription drug prices. 

AARP’s full-scale ad campaign blitz, including a $4 million ad buy, pushing back on false claims from the pharmaceutical industry that reforms would limit Americans’ access to medicines. AARP has called for fair drug prices for years and is urging Congress to pass legislation that would allow Medicare to negotiate drug prices, put a cap on out-of-pocket costs that older adults pay for their prescription drugs and impose penalties on drug companies that raise prices faster than the rate of inflation.

AARP’s new national ad campaign points out that Americans’ tax dollars subsidize new drug development even as Big Pharma charges Americans dramatically higher drug prices. The ad goes on to urge Congress to “stop the Big Pharma scam. Let Medicare negotiate drug prices.” Beginning tomorrow, it will air nationally on MSNBC and CNN; and in the DC metro area on the Sunday political shows and local radio stations, as well as on digital platforms including the New York Times, Washington Post, CNN, and Politico. In addition to paid advertising, AARP members began taking part in grassroots action beginning September 20. A social media campaign calling for older adults to #ShowYourReceipts has led thousands to share their monthly medication costs with AARP, with their monthly “bills” now running over $11 million.

“Americans are fed up with paying the highest prices in the world for prescription drugs,” said Nancy LeaMond, AARP Executive Vice President and Chief Advocacy & Engagement Officer in a Sept. 17, 2021 statement announcing this advertising campaign. “Our 38 million members are watching and they are counting on their members of Congress to do what’s right and vote to let Medicare negotiate for lower drug prices.”

Now, Congress Must Act…

Congress is currently debating measures to rein in the cost of prescription drugs, and the House Ways & Means Committee advanced legislation this week that includes many of AARP’s priorities on fair drug prices.