Showing posts with label senior care. Show all posts
Showing posts with label senior care. Show all posts

Monday, October 29, 2012


There has been much skuddlebutt about who wants to do what to/for seniors...so where are the views of the 2 parties and the candidates? Glad you asked:
1. Maintain Medicare's free preventive services:
Because of the passage of the Patient Protection and Affordable Care Act, Medicare patients now receive many screenings and an annual "Wellness visit"(although you must use this terminology when making your appointment with your doctor). Seniors also receive cancer screenings and other disease prevention services with no copays.
Obama supports this, Romney wants to terminate this care
2. Continue closing the Medicare part D "donut hole".
First, for people who haven't dealt with this, this is how the donut hole worked prior to the ACA(Obamacare): Senior prescriptions were covered until they got up to $2750...then, even tho seniors were still paying the drug insurance premium, they were responsible for prescription costs up to $4500, then Part D would kick in again. This may not sound like much...except I know that one of my prescriptions, without my insurance, costs about $400, and I have 2 more that add up to $400...this is per month( I have insurance and I only pay a co-pay)...and these are for asthma, blood-pressure, not some rare disease. So it'd only take maybe 3 months for part D to throw me in the donut hole, not too much help.
In the ACA, the "donut hole" has already been cut in half and will be closed by 2020 and this affects over 4 million seniors!
Obama, obviously, supports this. Romney? Nope, let those seniors pay the high prices.Can't afford it, get a job.
3. Stop waste, fraud, abuse in Medicare:
The ACA puts laws in place that ends subsidies for insurance companies, tracking down fraudulent providers who either overcharge or try to swindle Medicare. Just this piece of the legislation is predicted to add about 10 years to Medicare Solvency! In one Fiscal Year alone, this act saved over $4 Billion in fraud and overcharges. 
And yes, again, Obama supports this, but Romney doesn't....
So is there anything that Romney supports? Oh, sure.....
4. Raise the Retirement age:
Romney, Ryan and many of the republicon congress support a requirement for all Americans to work to age 69 or 70 before being able to collect full Social Security earned benefits and not receive Medicare until 67. You betcha Romney supports this(and President Obama opposes).
This has been an ongoing march because, we all know that people are living longer! I mean our basic mortality is now in the 80's so we should be able to work longer! Another lie. 
Our life span has not been lengthen because all of us are getting old..remember, George Washington, Thomas Jefferson, Ben Franklin and many other of the fore-fathers lived well into their 70's and 80's. The difference is that infant, child, women of child-bearing age was much lower until the 1950's or so. In the 1930's our life expectancy was about 58, its now 77. BUT the difference in infant mortality? In 1935, the infant mortality rate was 56.7 per 1000 live births. In 2009? It was only 6.7 deaths per 1000 live births. Just that fact skewers the idea that Americans are living so much longer....no, its just that many more people are making it through childhood!
The other fact that is not included in this factoid is there is a big difference on who can work until old age. Look at the Supreme Court! I'm sure their average age is about 65! This works well for people who have worked in higher income workplaces. But for the working poor? Those people who serve you at diners, work fast food, retail(yes, I'm really thinking about mallwart here), middle class workers such as police, firefighters, trades--all of these people are at risk of shorter life spans.
Again, Romney is just fine with people working until they die. President Obama opposes this.
5. Medicare Coupons..or the Ryan plan of Medicare vouchers.
We already know who's plan this is....So Romney/Ryan/Republicons want to end Medicare and give Seniors a voucher of about $7000 to "shop" for health care insurance. Now, any senior that has to search through Part D plans or Medicare Advantage plans knows how difficult and aggravating that is. And the triple R's want you to do that with insurance companies...why not just farm it out to Groupon like a spa coupon? I can see the email:
"Hurry for your chance at this medicare groupon discount!!! Our program ensures you'll get some care...just don't be very ill cuz it doesn't cover cancer, transplants, heart disease...or anything else that may be considered too expensive for our partners to be able to make any money!"
Add to this, their idea of repealing the ACA and losing the savings that Medicare has seen since 2010 and that spells financial ruin for many middle class seniors.
This is one of the Romney/Ryan's great plan, Romney has called Ryan's budget, "Marvelous"...President Obama Opposes.
6. Block-Grant Medicaid and reduce funding.
Why should seniors worry about Medicaid? That's for poor people. Sorry, but one of the largest uses of Medicaid funds is for Nursing homes for middle class seniors. The House budget committee would cut funding by $800 Billion and allow states to spend the remaining funds any way they want.
Romney, of course, supports this. President Obama opposes.
Romney doesn't care about seniors who aren't as rich as he, and before you go to the polls, you need to know this. If you are a senior and vote for Romney and the other R Politicos, you are, in all probability, affecting your ability to live safely and securely with the knowledge that your health care is covered...and again....

Mr. Romney where are your TAX RECORDS!!!!!
WHAT ARE YOU HIDING!!!

Sunday, July 8, 2012

Presenting Willard "Mitt" Romney--the Human Windsock

First, where did "Mitt" come from? Is it a family nickname? Why Mitt? Its not a shortened version of his real name, not a nickname for some physical reason(i.e., I'm a redhead, I've been called "Red", not much cuz I hated it, but I have), can't see him playing baseball(baseball "mitt"--yes, I'm really stretching with that one)...strange..anyway enough random musings.....
Willard is not what you'd call...umm....stalwart. In fact, he changes his opinions/views more often than most people change their underwear(and I'm not talking about magic underwear either!). Need examples? I thought you'd never ask:

Immigration

  • 2006:  Willard supported a plan that would help undocumented workers legal status and, in some cases, a path to citizenship. 
  • 2007:  Nope, no citizenship, secure the border, employment verification(this was before the 2008 run)
  • 2012:  Make it so miserable that they "self deport"....

Bush's Tax Cuts

  • 2003:  he refused to take a position
  • 2007:  He supported them(again, this was before the 2008 run)

Reagan fan?

  • 1994:  when running against Ted Kennedy for Senate, he stated that he was an independent during the Reagan years, and he's, "not trying to return to Reagan-Bush" politics.
  • 2005:  "Ronald Reagan is one of my heroes"

Gun Control

  • 1994 -- He was for gun control and supported banning assault weapons and the Brady Bill.
  • 2007? He joined NRA and wanted their endorsement.

Does he own guns?

  • 1/10/07: "I have a gun of my own and I go hunting"
  • 1/14/07: When asked if he owned a gun, he said no, but his son Josh did and they would use his.
  • In 36 hours, Willard changed his mind about the "mandate" decision from...4 days and FLIP FLOP(aka-lying).

Climate Change

  • 2003: Williard believed that the scientists had it right, that we needed to do something so as to keep the earth "safe"(my word, not his)
  • 2007: Guess what? He said in 2007 that the "scientists hadn't completely resolved".

DADT

  • 1994: Agreed with the policy as being the first step to gays and lesbians to openly defend their country
  • 2007: Thought it was a "silly catch phrase", but the policy is fine the way it is and nothing has to be changed.

Gay Marriage

  • 2002: Did not support DOMA or a constitutional amendment 
  • 2008: Supported a gay marriage ban referendum in Massachusetts(even tho he also was the governor when MA legalized gay marriage).

Embryonic Stem cell research

  • 2002:  Supported stem cell research while running for governor
  • 2006:  Vowed to press for legislation to criminalize stem cell research.

Pro Choice? Anti Abortion? Depends on the year.

  • 1994:  Romney stated he was more pro choice than Ted Kennedy, due to a relative dying from an illegal abortion.
  • 1999:  When he went to Utah, this changed to "I refuse to accept either label" 
  • 2002:  SPLASH! Running for Governor, he's back to supporting a woman's right to choose again.
  • 2007:  SPLISH!  Now running for pres(1st time) and he's against abortion AGAIN.

Last but not even close to least-Obamney Care...AKA the state(MA) vs Federal Affordable Care Act(all in less the 2 days)

  • Its a tax, (when the decision came down and on the campaign trail)
  • It's not a tax, (when his communications director, Eric Fehrnstrom said it was a penalty on TV)
  • It is a tax, (when WSJ editorialized on Willard throwing the RNC under the bus), but it was a penalty when he did it, and...
  • Although he sides with the minority, he agrees with the majority of the court? Huh????

So, that's some of "cheek turning"...or whiplash of views/opinions that Willard has stated. Me? I'm just very dizzy just trying to type all of this! 
Happy weekend and remember, the reason we have weekends/days off is because of unions, not because of people like Willard "Mitt" Romney.


Tuesday, June 26, 2012

Illinois pols say they made bold tough decisions--AGAINST poor kids, the disabled and SENIOR CITIZENS

Well well well...the Illinois general assembly, along with the gov, say they made "bold, tough" decisions by attacking the disabled and senior citizens...ok, they don't say the attack part, but they'd be more honest.
In this last session, they've ended IllinoisCareRX, cut medicaid, attacked State retirees health insurance and are  aiming for my pension next. They would already have it, but the democrats and republicans got into a hissy match and stomped out of session before they could snatch away parts of our pension.
Now, the assembly is just so sorry about making gramma having to choose between electricity and medication, but decisions must be made for the GREATER good...psst...Mr. Cullerton? Madigan? Cross? Rodagno? When you say that? Please realize that I'm NOT THAT STUPID!!!
I guess I could think that all of you are that stupid...or that greedy...ok, greedy over stupid, but did you even pay attention to what you were doing? Do you know what the ramifications are of your actions?
First, Medicaid "reform" or middle class/senior destruction. The changes in Medicaid* which were touted as much needed include:


  • Ending the IllinoisCareRX program -- drops drug coverage for 180,000 senior citizens. Yes, ObamaCare does help some of these citizens since ObamaCare gets rid of the doughnut hole, but the doughnut hole isn't gone until 2020 and the people that used this program had already had an income of under $19,000 per year; saves $72,000
  • Family Care for Adults --  reduce eligibility to those adults with covered kids to 133% of poverty level and eliminates care for caretakers/adults. This affects about 26,000 citizens...this affects the working poor/lower middle class. We are taking away the ability of parents to get health insurance from the state...when their employer(and yes, I'm calling out mallwart, homedespot and other big box stores) doesn't offer affordable insurance without caveats; saves $50,000.
  • Eliminate adult dental, chiropractic, podiatry, group psychotherapy...there is "emergency" adult dental, but does that cover a tooth that needs a root canal and is painful?  I know I missed a couple of days because of that--and I was lucky, I had a union to back me; saves $56,000.
  • Limit adult optical(every other year), occupational/physical therapy to 20 visits per year--the optical is not my issue, but the PT? the OT? When I had my knee surgery, it took more than 20 visits before I was OK...now, think about someone who has a stroke? Only 20 visits? That's deplorable; saves $18,000. 
  • Adopt policy to not pay for other care services when citizen is in hospice...this one hit home. Last year my mother was sent from a nursing home to the hospital(due to an infection) to hospice and then, after less than a week, we were told she was to go back to the nursing home(and she's still alive)...if medicaid hadn't paid for her bed, we would have had to scramble to find another one; saves $3,000
  • *****Reduce home health services; saves $2,000 and how many people will have to go into nursing homes if they can't get home health care???? And how much more will that cost????
  • Limit medication to 4 perscriptions per month(need prior approval for more); saves $180,000...hmm...ok, I understand that some people shop doctors, shop 'scripts...BUT...on the other hand...a person has asthma--2 'scripts(an inhaler and a "stableizer") hypertension(one for blood pressure and usually one diauretic) and oh...lung issues, heart issues, HRT, anxiety, depression, other mental health issues, diabetes!!!! People on Medicaid don't go to the doctor until they absolutely have to, which usually means more care is needed, not less.
  • Cuts to Hospice support
  • Changing asset verification for spouses...I'd love to agree on this one, but I am sure that the only ones that will be caught in this net are the ones not rich enough to hire good attorneys...if you think I'm just blowing smoke, I know people in my area that brag about how they've already hid their parents assets...10 years before there's an issue!
  • Cuts to Nursing home Care, so...after the state cuts home health care(see **** bullet point), the state is cutting nursing home care?!?!?!?!?!
  • Reduce advance imaging, cardiac imaging, pain management, back surgery(some of it dealing with managed care/care coordination); saves approximately $20,000. Again, part of this I agree with...too many doctors will push up the bill by adding more tests, but on the other hand, Illinois has cut chiropractic care and now wants to limit back surgery???
  • Denying pediatric palliative care. For those who don't want to hit the link, Pediatric Palliative care is for children that are either terminal or chronically ill.
  • Reduce some provider rates by 2.7%; saves $240,000--this does not include doctors...but...it doesn't spell out, in laymen(citizen) terms, who this will affect.


But, other issues were not addressed, how about actual bold/brave decisions such as:
Make corporations pay their fair share! Two Thirds of Illinois corporations pay no state income tax! But the only thing I ever hear on the tv is how high Illinois' tax rate is and its running corporations out of the state! So, they're trying to find a state that will pay THEM????? Can we just say the truth-they're greedy bastards. One very good post by Curtis Black(Truth Out) brings up some very good points about how horrifically biased Illinois tax structure is towards wealthy/corporations. Although Illinois has a so-called flat tax which is regressive by nature, we've also grabbed a bunch of loopholes/deductions from the federal tax code that benefits the upper class more so than middle or lower.
Raise revenue by:


  • Getting rid of the Single Sales Factor There is a very good explanation of this procedure on page 4 & 5 of the Closing Corporate Loopholes,Bolstering Illinois Budget by the Good Jobs First organization 
  • Getting rid of certain deduction which allow for dividend paid by foreign corporations to US parent corporations located in Illinois(this costs about $400 million annually) and the reduces tax bills for Illinois corporations that produce in other states(about $200 million). 
  • Getting rid of Accelerated depreciation it does what it says. It allows businesses to take a higher percentage of depreciation on business machines/supplies. This would bring in $300 million annually.
  • Getting rid of the Retailer's Discount on Sales Tax. This would bring in over $100 million a year! As I've said in previous posts, computers are the norm in retail business...in fact most registers I've worked on keeps a running balance on cash/credit and tax for the day...its time to end this welfare to wall mart(kept $9M on this in FY11)...and home depot....and menards....and so on and so on. This would had up to a couple of hundred Million annually.
  • Oil Company subsidies...what? in Illinois???? Yep, oil companies get a $75 million tax break! 


OH LOOK, I've just brought in a couple of billion dollars without it being very painful for the Citizens of Illinois! 
So, to our General Assembly, Governor, and other governmental executives--this is bold and brave. What you did with the Medicaid bill? That was shameful. Sure, attack little kids, the disabled and old people; the first two categories don't vote and the last one will die off...hopefully quickly--and with the measures you just shoved through, in all probability will be their future...which is very sad, considering Illinois is one of the wealthiest states in the country.


* all monies saved in the smash Medicaid bill are in millions of dollars