Tag Archives for Medicare

AARP Works to Get the Vote Out

Published in the Pawtucket Times on October  21, 2002

AARP is flexing its political muscle.

While it’s not endorsing political candidates from either the Republican and Democratic ranks, one of the nation’s largest membership groups is moving swiftly to educate its members on key aging issues and directing  resources to get the vote out on Election Day.

AARP CEO Bill Novelli has begun the mobilization of his 35 million-plus members to hold all political candidates accountable in the upcoming elections. With the bipartisan gridlock that keeps a law from being enacted to lower skyrocketing drug costs and to provide drug coverage in Medicare, Novelli and his aging rank and file are just plan tired of promises. I can just imagine hearing him shout from AARP headquarters in Washington, D.C. “We are not going to take it anymore!”

This month, AARP begins to take steps to prod the political candidates to become more responsive to aging issues before Nov. 5 elections.

Over the next two weeks, AARP will begin a first-ever national voter education campaign on television. Aimed at voters age 50 and over, the advertising campaign’s get-out-the-vote message calls for the need of a Medicare drug benefit and the importance of Social Security to seniors.

On the issue of Social Security, the message says: “After all you’ve done to earn a paycheck, make sure some of it will be there when you retire. Know where the candidates stand on the future of Social Security and vote.”

Meanwhile, 50 candidate forums, like the one recently held in Warwick by AARP Rhode Island have already been held to enable older votes to directly question local candidates. AARP plans to hold an additional 20 events before Nov 5.

Here’s the rationale for AARP hosting the forums – seniors want detailed information and no longer want to learn about a candidate’s position and priorities in a 30-second sound bite or in a paragraph on a glossy campaign brochure.

Additionally, all congressional candidates will be asked to sign a new Medicare prescription pledge, promising that if they are elected, they will enact a benefit that is voluntary, stable and affordable in 2003.

A warning to the incoming politicians – keep your word. The names of candidates who do – and don’t- agree to sign this Medicare drug pledge will be made public, too.

More that 8.5 million AARP voter guides will be printed, detailing up-to-date information where candidates stand on senior issues. Localized election information on state and national races nationwide will also be made available on a comprehensive website  at http:/www.aarp.org/elections2002.

AARP will even fund Election Day polling, where voters in selected districts will be asked about the defining issues that influenced their votes. The results of this polling will signal to those  elected to Congress what priorities they will face when they begin their new terms in January 2003.

Finally, phone banks where an estimated 500,000 telephone calls will be made will assist AARP’s efforts to get out the vote on Election Day.

If AARP is successful in getting its political savvy and educated membership to the polls, political candidates had better listen to their concerns.

“Older voters participate in elections at a higher rate than any age group,” said AARP Director of Grassroots and Elections Kevin Donnellan, noting that the mid-term elections, where overall voter numbers are low, the percentage senior voting is higher.

Furthermore, Donnellan said in the 1998 mid-term elections, more than 60 percent of the voters were 45 and older. More than 70 percent of AARP members typically vote, he added.

AARP grassroots efforts might even become a factor in tight races, specifically deciding who goes to Washington and who stays at home, Donnellan says.

“Now that we are down to the wire to Election Day, AARP Rhode Island joins AARP nationally to urge Rhode Island seniors to demonstrate once again that they are the most dependable and consistent group of voters,” says Kathleen S. Connell, state director of AARP Rhode Island told All About Seniors.

“It is important that seniors exercise the power of the ballot box to convey the message that the time for action is now,” adds Connell.

The political fate of gubernatorial, congressional and state-wide candidates may well rest in the hands of AARP Rhode Island, which is now mobilizing its 125,000 members to get out and vote next month.

Combine the successful Senior Agenda/Election 2002 Project, recently spearheaded by the Gray Panthers of Rhode Island, working in collaboration with the Rhode Island Minority Elder Task Force, and hundreds of thousands of Ocean State seniors have become a knowledgeable and educated voter block.

Understanding the immediate and future needs of Rhode Island seniors may well become the ticket to statewide or national office inside the Capitol Beltway, when the dust settles after the  Nov. 5 election.

Bill Seeks to Soften Impact of Medicare Cuts

Published in Pawtucket Times on September 23, 2002

One week to go before the new federal Medicare cuts go into effect – cuts that will slash $1.7 billion in 2003 funding for the developmentally disabled and frail seniors in nursing facilities.

According to the American Health Care Association (AHCA), over the next two year’s cumulative Medicare cuts, called the “Medicare Cliff,” will total a whopping $5.2 billion.

Meanwhile, AHCA, representing 12,000 nonprofit long-term care providers, has been lobbying Congress for federal relief from the draconian reductions.

A new ad appearing in the Capitol Hill newspaper, Roll Call, reminds lawmakers that the upcoming cuts could lead to reduced nurse staffing and puts residents at risk.

In the upcoming November elections, voters might just get riled up too, over Medicare being cut by 10 percent, says AHCA.

The Roll Call ad notes a recent national survey of 800 persons found that 84.6 percent of the respondents opposed cutting Medicare funding for nursing facility care by 10 percent.

Additionally, 64.1 percent were less likely to vote for a candidate running for Congress if they knew that the candidate “voted to cut Medicare funding for nursing facility for nursing facility care by billions.”

Charles H. Roadman, II, M.D., AHCA’s president and CEO noted that a recent study by the University of North Carolina School of Public Health confirms the devastating impact of the impending Medicare cuts.

The study says that cuts could lead to reduced numbers of staff caring for seniors in nursing facilities, thus jeopardizing quality of care.

“At a time when the Centers for Medicaid and Medicare Services (CMS) and nursing care providers are actively pursuing efforts to improve the quality of care in nursing facilities throughout the nation, new federal cuts to Medicare are inconsistent with achieving this important goal,” says Dr. Roadman.

Roberta Hawkins, executive director of the Alliance for Nursing Home Care and state ombudsman agree with Roadman’s assessment.

“Huge Medicare cuts pull the carpet from under the federal quality initiatives that take effect across the country in October,” she tells All About Seniors. “The right hand of the federal government does not seem to know what the left hand is doing.”

According to Hawkins, the staffing shortage in Rhode Island is having a drastic impact on the quality of care delivered to more than 10,000 residentes.

“The upcoming Medicare cuts combined with an outdated Medicaid payment system will only further compromise patient care in the Ocean State,” she says.

U.S. Rep. James Langevin and House colleagues today announced a legislative fix that would delay scheduled cuts for nursing facilities and assisted living facilities in Rhode Island.

Langevin is co-sponsoring the Medicare Skilled Nursing Beneficiary Protection Act, sponsored by Congressman Tom Allen (D-ME), that would extend Medicare reimbursement add-ons for three years, through 2005, to allow the Bush administration more time to implement an adequate reimbursement formula for skill nursing facilities.

Langevin and the other bill sponsors hope this new timetable will obviate the need for further cuts in Medicare reimbursement rates, which would place severe financial burdens on nursing facilities.

Langevin stated that unless Congress acts this year, Medicare funding for skilled nursing care will be cut by 10 percent in 2003 and 19 percent in 2004 – translating to cuts of nearly $ 35 per patient per day in 2003 and $68 in 2004.

The Rhode Island congressman believes that in the Ocean State, the Medicare cuts will be even greater than the national average totaling $ 38.81 in 2003 and $ 76.90 in 2004.

“Difficult decisions were made in 1997 with passage of the Balanced Budget Act, and some of the changes were not implemented as Congress intended,” Langevin said. “The Medicare Skilled Nursing Beneficiary Protection Act will postpone further cuts and ensure that critical funding remains available for thousands of Rhode Islanders who rely on skilled nursing services.”

According to Langevin in mid-1998, the new Medicare prospective payment system (PPS) was implemented for skilled nursing care, as mandated in the 1997 Balanced Budget Act (BBA).

He noted that the new system resulted in cuts far deeper than intended by Congress.

In 1999 and 2000, Congress temporarily restored some of the unintended cuts as part of the Balanced Budget Refinement Act (BBRA) and the Benefits Improvement and Protection Act (BIPA).

These temporary add-ons helped restore beneficiary access to care, but overall Medicare funding levels for skilled nursing facilities continue to be below BBA projections, Langevin said.

“I am wholly committed to making the restorations of 1999 and 2000 permanent,” he said.

“We cannot turn our backs on a generation who built and defended the very foundation of this nation. They answered the call of our nation -now we must answer theirs.”

Seniors Must Educate Themselves to Push for Political Policy Reforms   

Published in the Pawtucket Times on July 22, 2002

Did you go to the Bristol 4th of July parade?

Or perhaps were you one of hundreds of people who gathered at Slater Mill Historic Site to hear U.S. Rep. Patrick Kennedy’s announce his bid for re-election.

If you attended one of these events or one of the hundreds of others scattered throughout the Ocean State, you probably ended up meeting gubernatorial, legislative, statewide or congressional candidates who were seeking high visibility with voters and potential votes from old friends and new acquaintances.

The clock is ticking.

With about seven weeks before the Sept. 10 primary, Rhode Island political candidates are scrambling to fill up their calendars with the dates of hundreds of “must-attend” events.

Political wisdom tells us that these candidates are more responsive to attending coffees, festivals and events that will attract older voters. This is because seniors as a group tend to get to the polls more often than other younger demographic groups. Years of research on voting trends bear this out.

According to the Bureau of the Census, in the 1996 presidential election, voter turnout among Americans 65 and older was 67 percent, only 10 percent lower than their registration rate of 77 percent. In that presidential election cycle, voter registration and turnout for Americans 50 and over was about the same as for Americans over age 65 (64.4 percent). Yet only 31 percent of voters between the ages of 18 and 20 cast a vote in the presidential election of 1996.

Can this trend take hold for the 2002 Rhode Island elections? You bet.

The question is – are federal and state policy makers prepared to confront the changes that will occur with an aging America?

In the next Congress, both Republican and Democratic leadership must work closely together to develop sound aging policy initiatives.

Federal lawmakers must quickly come to grips with how to assist seniors to pay for costly long-term care while ensuring quality services are provided.  They must continue their efforts to hammer out a bipartisan law to make pharmaceutical drugs more affordable and to keep both Medicare and Socially Security financially solvent.

At the state level, the Gray Panthers of Rhode Island working in collaboration with the Rhode Island Forum on Aging and the Rhode Island Minority Elder Task Force, move to educate senior voters about state and federal aging issues. Funded by the Rhode Island Foundation, the Senior Agenda/Election 2002 project will identify priority state and federal aging issues, solicit candidate positions through a questionnaire and hold four regional forums to further discuss positions.

Become an educated voter. Learn more about the aging issues of important to you by carefully reading the political candidate’s positions in the written materials to be made available to you by the Senior Agenda/Election 2002 project.

At coffees, festivals and political events that you attend before the September primary and up to the November election, tell any gubernatorial, statewide or legislative candidates you meet to make further reforms net year to the state’s pharmaceutical program (RIPAE). Tell them about the need for assisted living facilities for moderate and low-income seniors and affordable housing options for frail and low-income seniors.

With the backdrop of the November election, Rhode Island lawmakers and Congress must continue their efforts to develop and implement programs and services especially geared to an aging society.

Aging as a policy and political issue will ultimately have an impact on every generation from today’s seniors, their aging baby boomers children, and finally to their young grandchildren and great-grandchildren.

Being an educated voter, especially one who consistently votes, is likely to gain points with a political candidate and with those who ultimately are elected to office.