
 |
|
February 13, 2012
Binyamin Rose: Back to the Bunker: How a life-risking act by a Christian family during the Holocaust saved a family and built a thriving community a world away
Menachem Wecker: Business Schools Teach Real Estate Despite Troubled Housing Market
February 10, 2012
Lisa M. Krieger: Man with defibrillator demands access to his own heart's information
David G. Savage: Why activists may not be in a hurry to have High Court rule on alternative marriage
February 9, 2012
Laura McMullen: 10 Least Expensive Public Schools for Out-of-State Students
Kimberly Palmer: How to actually enjoy -- relaxing, financially -- your vacation
February 8, 2012
Warren Richey: Why momentous Prop. 8 ruling might not satisfy gay-rights groups
Menachem Wecker: Though Controversial, LL.M.'s Can Lead to Specialized Legal Jobs
The Kosher Gourmet byDana Velden: Going to the bother of making soup? You know it better be good. This CREAM OF TOMATO SOUP certainly is! And it's a cinch to make, too (Includes techinques and serving secrets)
February 7, 2012
Frank J. Gaffney, Jr.: Caught off-guard? President's Super Bowl interview with Matt Lauer gives those who need a reason not to vote for him, a darn good one
Suzanne Bohan: Leaping lizards! Tiny reptiles advancing robot design
February 6, 2012
Jonathan Tobin: Iran Threatens Israel With Destruction, But the New York Times Doesn't Hear It
Jeffrey Fleishman: In newly democratic Egypt, tens of democracy activists jailed, to stand trial; their groups are 'threatening the stability of the homeland'
Julie Deardorff : Researchers say antioxidants may not be that effective and could do more harm than good
Mark Clayton: How did Anonymous hackers eavesdrop on FBI and Scotland Yard?
February 3, 2012
Edmund Sanders : Israeli official says Iran is creating missile that could reach East Coast of US
Victoria Kim: Immigrant-smuggling ring used black drivers to avoid racial profiling
February 2, 2012
Jim Carney: Wrong number call may have saved her life
Reza Kahlili : Ex-CIA spy in Iran's Revolutionary Guard: What Obama doesn't grasp about striking deals with Tehran
Tina Susman: For woodchuck rescuer, every day is Groundhog Day
February 1, 2012
Brian Bennett: US officials see increasing threat of domestic attack from Iran
Emily Brandon: How to Take Advantage of New 401(k) Fee Disclosures
January 31, 2012
January 30, 2012
Paul Richter and Ramin Mostaghim: Misreading Teheran's limits -- deadly and economically devastating as they may be -- is a risk administration, Europe seem willing to take
Suzanne Bohan: Warning: Nap-deprived tots missing more than sleep, study finds
Meg Handley: Banks Revamping Rewards Programs to Woo Customers
January 27, 2012
Caroline B. Glick: Obama: Of course I intend to prevent a nuclear holocaust . . . in a few months
Yochonon Donn: In liberal New York City, fervently-Orthodox Jews may soon be getting a district to call their own
Jeannine Stein: An inflated ego and thinking you're 'all that' doesn't just make others sick of you, it can make you ill
Katy Hopkins: New budget rules may affect how much money you get for college
January 26, 2012
Ed Koch: To the New York Times, calling for the murder of Jews by those capable of having their incitement taken seriously isn't news
Jeannine Stein: Mental illness struck one in five U.S. adults in 2010: Report
January 25, 2012
Richard Simon: House passes two bills endorsing the use of religious symbols at military memorials
Fred Weir: Putin: Multiethnic Russia cannot survive as a US-style 'melting pot'; must find its own way
Susan Johnston: 5 Sneaky Coupon Strategies Consumers Should Watch Out For
January 24, 2012
Carol Clark: The price of your soul: How your brain decides whether to 'sell out'
Caroline B. Glick: America lost most in 'Arab Spring'. Sadly, many voters still don't grasp the extent
Warren Richey: Drug criminal scores win in GPS ruling from conservative-leaning high court
Erika Bolstad: Black conservatives gather to talk about gaining strength
January 23, 2012
Melissa Dribben: Jewish voters to play a key role in Florida's Republican primary
Jordan Rau: In quest to grow, Catholic hospital system will announce this morning its break from church
Ali Safi: U.S. envoy gives Taliban terms for peace talks
January 19, 2012
January 18, 2012
January 17, 2012
Frank J. Gaffney Jr.: No-kidding red lines: U.S. response to an Iranian nuke may be bluster, but Israel's won't be
David G. Savage: They sued their principals after slandering them online --- now the cases are headed to the Supreme Court
David Francis: Where to Invest in 2012: With stocks expected to rebound, opportunity abounds for investors
January 13, 2012
Ben Lynfield: Israeli lawmakers move to annex Jewish Judea, one museum at a time
Alexia Elejalde-Ruiz: Thriving through touch: Gentle massage helps older people with low mobility improve in mind and body
January 12, 2012
Warren Richey: Landmark Supreme Court ruling a 'resounding win' for religious groups
Warren Richey: Supreme Court says no to new rule on eyewitness testimony
John Fauber : Statins found to raise diabetes risk in postmenopausal women
Katy Hopkins : Consider This Before You Pay for an Online Degree
The Kosher Gourmet by Joseph Erdos: This mushroom and barley soup has an intense -- almost nutty -- flavor that mixes robust with Middle East. It has creaminess without cream
January 11, 2012
Shari Roan: Millions of atrial fibrillation sufferers at risk for devastating, but preventable, stroke
Tom Hussain: Pakistan -- recipient of more than $21 billion in civilian and military aid -- speeds pursuit of Iranian pipeline, defying US
David G. Savage: High court signals it won't be loosening TV's 'indecency' rules
Stephen Ceasar: Oklahoma's Islamic law amendment can't go into effect, court rules
January 10, 2012
Reza Kahlili: From an ex-CIA spy: US must exploit new split in Iran's Revolutionary Guard
Karen Kaplan: Study: Nicotine replacement products ineffective when used in real-life situations
January 9, 2012
Michael Doyle: Put through legal hell over dream home, couple fought back hard --- all the way to Supreme Court
|
| |
Jewish World Review
August 17, 2007
/ 3 Elul 5767
Medical freedom of medicare choice at risk
By
Drs. Michael A. Glueck & Robert J. Cihak
http://www.JewishWorldReview.com |
There is yet another relatively silent power grab by the government to limit
your freedom of medical choice in the Medicare program.
To retell an old anecdote, the bureaucrat was asked why the driver's
licensing offices couldn't be opened on Saturdays. He replied that they'd
tried it but had to abandon the idea when they discovered that too many
people were using them.
Apocryphal, perhaps. But something very similar is happening in Washington,
D.C., as the usual unholy coalition of penny pinchers (for you, not them),
ideologues, and bureaucrats try to curtail the growth of the most popular
aspects of Medicare:
As originally enacted in 1965, Medicare permits its enrollees to seek care
from any approved source that is willing to accept the government's payment
rates, put up with its paperwork and run the risk of going to jail for
honest errors.
When Medicare was established, everyone (including the bill's backers)
understood that their cost estimates were preposterously low. Every few
years since, the government has dickered with the program to try to make it
more "cost-effective" from their point of view even while expanding
benefits.
Herding people into HMOs has long been a favorite and dismally ineffective
tactic. But another attempt, originally conceived as a minor corrective, now
enrolls 20 percent of Medicare's 43 million-plus beneficiaries.
In 1993, Congress passed the Medicare Modernization Act, which established
Medicare Advantage as the successor to the problem-plagued Medicare + Choice
program. Under Medicare Advantage, private insurance companies contract with
Medicare for the right to sell policies to Medicare beneficiaries; in 2007,
there were 602 contracts between Medicare, insurers, and healthcare
providers.
Medicare beneficiaries who buy these policies then deal directly with their
insurers and providers, who then are paid by Medicare. Today, about 80
percent of Medicare Advantage beneficiaries are enrolled in HMO or PPO
plans.
But the fastest growing segment is the remaining 20 percent who opt for
unrestricted private fee-for-service coverage. No managed care, no quality
control, just the old-fashioned, "Thank you, I'll make my own decisions
consumer approach."
No one expects Medicare Advantage to grow less popular; by some estimates, a
third of all Medicare beneficiaries will be enrolled within a few years.
The program is especially popular in rural areas and among the less
affluent. It also appears that Medicare Advantage members are, as a group,
healthier.
And the Beltway doesn't like it one bit. And they've got their reasons:
- Cost. Advantage runs about 10 percent higher per year per person, which
adds up to about $54 billion over the next five years. Much of that money
goes to providing additional benefits and services. Still, the chatter is
that the drain on the "trust fund" is intolerable and that the money could
be "better spent elsewhere."
- Lack of the Draconian detailed supervision and oversight found in
traditional Medicare and complaints that care is not properly managed.
Again, the only people who seem not to be complaining about this are the
customers.
- Complaints of real and alleged marketing abuses by private insurers,
especially after a New York Times article strung together a lot of
allegations regarding high-pressure and misleading sales tactics, including
one company that offered its sales people trips to Las Vegas as a
particularly sinister incentive.
So what is the government doing to rein in this popular program?
In May, the Centers for Medicare and Medicaid Services (CMS) proposed
strengthening its negotiating and regulatory powers over Medicare Advantage.
In June, CMS suspended the seven largest providers of Advantage plans (who
account for the vast majority of policies) from active marketing until they
could correct real, alleged and purely fictive abuses and irregularities.
Allegedly, the providers have already corrected these deficiencies.
Meanwhile, the House of Representatives passed legislation (The CHAMP Act)
that would fund expansion of children's care by deep cuts in Medicare,
including Advantage. In no way are we against better childhood healthcare
but it seems senseless to rob Grandma and Grandpa to pay for their
granddaughters and grandsons.
President Bush has threatened to veto this legislation; results won't be
known until the bill goes through conference with the Senate and achieves
final passage.
In the meantime we suggest that those currently on Medicare Advantage, those
who soon will be and those who ultimately will be, speak out now to your
congressional representatives or give up one of the last advantages you have
-- your freedom of medical choice.
EDITOR's NOTE: Michael Arnold Glueck, M.D. pitched this week's column
Every weekday JewishWorldReview.com publishes what many in in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here.
Michael Arnold Glueck, M.D., is a multiple award winning writer who comments
on medical-legal issues. Robert J. Cihak, M.D., is a Discovery Institute
Senior Fellow and a past president of the Association of American Physicians
and Surgeons. Both JWR contributors are Harvard trained diagnostic radiologists.
Comment by clicking here.
Archives
© 2007,
|
|

Arnold Ahlert
Mitch Albom
Jay Ambrose
Michael Barone
Barrywood
Tony Blankley
Lori Borgman
Stratfor Briefing
Mona Charen
Linda Chavez
Richard Z. Chesnoff
Ann Coulter
Greg Crosby
Alan Douglas
Larry Elder
Suzanne Fields
Frank J. Gaffney
Bernie Goldberg
Jonah Goldberg
Julia Gorin
Jonathan Gurwitz
Paul Greenberg
Argus Hamilton
Victor Davis Hanson
Betsy Hart
Ron Hart
Nat Hentoff
Marybeth Hicks
David Horowitz
Jeff Jacoby
Renee James
Paul Johnson
Jack Kelly
Ed Koch
Ch. Krauthammer
Michael Ledeen
John Leo
David Limbaugh
Kathryn Lopez
Rich Lowry
Michelle Malkin
Jackie Mason
Ann McFeatters
Dale McFeatters
Dana Milbank
Jeanne Moos
Dick Morris
Jim Mullen
Deroy Murdock
Judge A. Napolitano
Bill O'Reilly
Kathleen Parker
Star Parker
Dennis Prager
Wesley Pruden
Tom Purcell
Sharon Randall
Robert Robb
Cokie & Steve Roberts
Heather Robinson
Pat Sajak
Debra J. Saunders
Martin Schram
Culture Shlock
David Shribman
Roger Simon
Michael Smerconish
Thomas Sowell
Ben Stein
Mark Steyn
John Stossel
Cal Thomas
Dan Thomasson
Bob Tyrrell
Ben Wattenberg
Diana West
Dave Weinbaum
George Will
Walter Williams
Byron York
ZeitGeist
Mort Zuckerman

Robert Arial
Chuck Asay
Baloo
Chip Bok
Dry Bones
Lisa Benson
John Branch
John Cole
J. D. Crowe
John Deering
Brian Duffy
Everything's Relative
Mallard Fillmore
Glenn Foden
Jake Fuller
Bob Gorrel
Joe Heller
David Hitch
Jerry Holbert
Lee Judge
Steve Kelley
Jeff Koterba
Dick Locher
Jimmy Margulies
Rick McKee
Michael Ramirez
Kevin Siers
Jeff Stahler
Ed Stein
Danna Summers
John Trever
Gary Varvel
Kirk Walters

Mr. Know-It-All
Dr. Peter Gott
GET A JOB! by Marty Nemko
Richard Lederer
Frugal Living
Tech Maven
On Nutrition
Bookmark These
Bruce Williams
|