|
Public Employee Press
The World of Work
Medicare drug law
Bad medicine for seniors
By GREGORY N. HEIRES
Conservatives have hated Medicare since before President Lyndon Johnson
signed it into law four decades ago. Although the popular plan has provided
health coverage for millions of elderly Americans who had none and has
eased the cost burden on millions more, the right-wingers call it creeping
socialism and bloated government.
In 1995 House Speaker Newt Gingrich demanded huge cutbacks and said he
wanted Medicare to wither on the vine.
Gingrich and his right-wing allies began to realize their destructive
dream on Dec. 8, when President Bush signed legislation that will create
a sharply limited prescription drug benefit for seniors as it opens the
door for the ruination of the entire Medicare program.
Gingrich, who now heads a consulting firm, worked with AARP chief executive
William Novelli to help ram the bill through Congress.
As the nations largest retiree organization, with 35 million members,
AARP provided crucial support for this poisoned pill. The group earns
$150 million annually on commissions for insurance, mutual funds and prescription
drugs sold to members. In fact, AARP has become as much a business as
an advocacy group, and the new law gives a big boost to insurance and
drug companies.
Higher drug profits
Of the $400 billion the prescription benefit will cost over the next 10
years, more than one-third (an estimated $139 billion) will go straight
into higher proceeds for the drug industry, already the worlds most
profitable business.
Retiree Arlene Tuff said she felt betrayed by AARP. A long-time
DC 37 activist, Ms. Tuff is a member of AARP, which once honored her for
her participation in the groups lobbying efforts.
While Mr. Bush and the Republican majority in Congress are touting the
drug benefit as a fulfillment of a campaign promise to provide coverage
for seniors and curb drug costs, the Medicare law is a Trojan horse that
may eventually gut the program.
Besides providing an inadequate benefit, the new law sets into motion
a process that could privatize Medicare, which will undermine the current
program and damage the quality of health-care coverage for seniors,
said Stuart Leibowitz, president of the Retirees Association of DC 37.
Social Security is next
Now that the extremists in control in Washington have undercut Medicare,
youd better believe theyre gearing up to privatize Social
Security, the crowning achievement of the New Deal, which conservatives
have sought to roll back for 70 years.
Another DC 37 retiree, Vito Locascio, said he feared that employers would
use the new law to cut off retirees from the far better prescription plans
they currently enjoy. AFSCME, DC 37s parent union, expects that
cities and states nationwide will try to drop their drug coverage. (DC
37 retirees are covered by a union drug benefit funded under their contract,
which the city cant change unilaterally.)
Incredibly, tens of millions of retirees will actually be worse
off under the bill than they are now, said AFL-CIO President John
Sweeney. He called Mr. Bushs signing ceremony a leave no lobbyist
behind event. Millions of retirees under Medicaid, the federal-state
health program for people with low-incomes, will lose that benefit and
be stuck with co-payments, he noted.
Mr. Sweeney said the new benefit provides scrimpy coverage.
The deductible rises from $250 when the program starts in 2006 to $445
in 2013. Catastrophic coverage kicks in only after a retiree pays out
$3,600 in one year.
The health-care and drug industry spent an estimated $200 million to shape
the legislation in their favor. Last year, about 80 percent of the industrys
$91 million in contributions went to Republicans, according to the watchdog
group Public Citizen.
Prescription drug companies convinced Congress to booby-trap the legislation
by prohibiting the importation of cheaper drugs from Canada and by banning
Medicare from using its mass purchasing power to negotiate lower drug
prices. Little wonder that drug firm stocks zoomed up when these provisions
became public.
Tilt toward insurance firms
Beginning in 2010, the law will force the traditional Medicare program
to compete with private insurance plans but not on a level playing
field. The private firms will get government subsidies and be able to
drop less profitable patients. Disgracefully, the law tries to force seniors
into the hands of the insurance companies by banning the Medigap
coverage that millions have used to fill gaps in Medicare.
The Bush administration and Congress have chosen profits over people,
said Edward F. Coyle, head of the AFL-CIOsAlliance for Retired Americans.
| |