Eliminating the Medicare [Part-D]onut Hole & Other Fixes
Posted by on November 14, 2006 at 02:41 PM
There is a lot on the agenda plate for the new Democratic-controlled Congress to tackle. Years of the Republican Congress rubber-stamping the Bush Administration and selling out to corporate special interests have produced legislation that serves big business instead of the broader electorate. But Democrats want to change that. Soon-to-be Speaker Pelosi has outlined her vision for the first 100 hours of a Democratic Congress, which includes passing the 9/11 commission recommendations and raising the minimum wage, as well as instituting ethics reform to "drain the swamp" of the Culture of Corruption that has plagued the Capitol under Republican rule.
On that agenda is also a desire to fix the disastrous Medicare bill passed by the Republicans which prevents the federal government from negotiating lower drug prices for seniors.
Today, the NYT Editorial looks at the problem and offers up some insight:
Michael Leavitt, the secretary of health and human services, says he does not want the power to negotiate drug prices for Medicare beneficiaries, but Democrats should give it to him anyway.
The Democrats have pledged to move on the issue as soon as they take control of Congress. If they succeed, it would allow an important test of the hypothesis that government negotiators can wring lower prices from the manufacturers than those obtained by the private drug plans and pharmaceutical benefit managers that currently negotiate on behalf of Medicare beneficiaries.
The 2003 Medicare drug law — written by a Republican-dominated Congress in thrall to big drug company contributors — explicitly prohibits the federal government from negotiating drug prices or establishing a list of preferred drugs.
The Democrats are only beginning to explore what they want the government to do.
Read the whole thing....
Comments - 6 »
Comments - 6 «
I love that last thread thanking Dr. Dean!
I'm disturbed at something I heard on airamericaradio today. Nancy Pelosi may be making some big mistakes. Melanie Sloan, the ethics expert, indicated that there are significant ethics problems with Murtha (whom Pelosi is backing). Family-related nepotism problems, as well as the fact that he voted against investigating corruption in Iraq.
Also there is bad blood for some reason between Pelosi and Jane Harmon, so instead of giving a committee chair to Harmon, Pelosi may prefer giving it to somebody named Hastings (sp?) who in the past has been indicted for extortion and bribery....
This would be a worst possible first step for us, I fear.
Posted by Shelley on November 14, 2006 at 03:36 PM
Posted by sunny on November 14, 2006 at 03:44 PM
Sorry you don't have an email address, so I hope you don't mind asking who Tracy Russo is. Do you work for the DNC?
Thanks much,
Eric Klein
Posted by SenseiKlein on November 14, 2006 at 07:05 PM
SenseiKlein,
Yes Tracy works for the dnc, her email address is: russot at dnc.org
Posted by momoaizo on November 14, 2006 at 09:50 PM
A few more things to fix on Medi D:
Besides negotiating a better deal with big Pharma, how about better regulations of insurance plans. And why are there so many? Fix the problems with seniors going thru this 'shop & compare' BS every year. Also, once you pick a plan, you only have till March 15th (i think) to change plans, but the pharm co can change their plan any time they want. Why the donut hole anyway? This plan was suppose to help seniors, but now they are required to pick and pay for a plan even if they aren't on any meds or they will be penalized in the future. Why not give healthy seniors a break instead of penalizing them. When they hit the donut hole, they not only have to pay full price on "preferred" brands, but continue to pay the insurance company who is now providing nothing.
Each company can choose if they want to require "prior authorization" where the Dr. must explain to the insurance company why he prescribed the drug, the diagnosis related, the duration of the therapy and the alternatives if any. Then there is "quantity limits" which limits the supply given to a patient supposedly to limit the problem of overuse. Last is "step therapy" which is the practice of beginning the drug therapy with the cheapest (but safe) drug progressing to the most costly and risky. Instead of Doctors explaining their prognosis to insurance companies, put regulations in place that are consistant across the board.
The whole thing needs to be dumped and a real plan to help seniors should be enacted!
Big Pharma liked this plan so much that they even rewarded the lawmakers that voted FOR it by paying for campaign ads.
Posted by momoaizo on November 14, 2006 at 10:30 PM
Undoing can be more difficult than doing and it needs to be done.Our senior citizens and young people have been disenfrancised by congress & the administration.It could be very difficult to accomplish if the president uses his veto power!Either way the Democrats will show where their heart is and further demonstrate how the repubs use wedge issues.We need to get back to that we are all connected on this planet!Rich people will be rich anyway.Personally,I feel reaching out to such greed appalling.We need to find balance in the process.Let`s get America back to being the land of growth and opportunity!
Posted by virgo on November 15, 2006 at 08:23 AM
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