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While the chances of action begin as slim at best, House Democrats recently reintroduced a Social Security reform bill designed to give lawmakers a few more years to figure out how to fix the long-term solvency of the Social Security Trust Funds, among other things. Right now, those trust funds – the Old-Age and Survivors Insurance Trust Fund (OASI), which pays retirement and survivor benefits, and the Disability Insurance (DI) Trust Fund, which pays disability benefits, are both scheduled to run out of money in just 13 years. At that time ...
Kaiser Health News editor Elisabeth Rosenthal, in a recent opinion column, argues that two of America’s toughest problems can be tempered with one solution. Older people, many isolated, are ill-equipped to meet people or even have their health monitored at their homes. Meanwhile, the U.S. Postal Service, has gone $160 billion into debt, in part, as digital communications have replaced old-school mail. Rosenthal suggests having letter carriers spend less time delivering mail, much of which these days involves fliers and unwanted s...
The Biden administration recently rolled out several steps toward getting more Americans vaccinated with two different new rules covering more than 100 million workers and specific guidelines for nursing homes and assisted living facilities. The first rule, issued by the Occupational Safety and Health Administration (OSHA) covers companies with 100 or more employees, applying to an estimated 84 million workers. It requires companies to ensure that their workers are either fully vaccinated...
Making omelets for a group of people is often a messy process, inevitably breaking a lot of eggshells. Ingredients can be changed hundreds of ways to experiment and adjust flavors. Ultimately, if it’s done well, the result is a delicious omelet concoction at the end of the kitchen adventure. Democratic lawmakers on Capitol Hill are attempting to make legislative omelets with numerous committees getting their hands in the mix – and lots of eggs are getting broken along the way as they work to pass the most ambitious domestic agenda in more tha...
Reversing Trump's limits on fines The Biden administration recently quietly reversed a controversial Trump administration policy that had limited the fines levied on facilities that endangered or injured residents at nursing homes. While the numbers of deaths have plummeted since the release of vaccines, inadequate staffing, protective equipment shortages and poor infection control remain significant concerns at most of the nation’s 14,000 skilled nursing facilities, advocates say. The Trump policy favoring lower penalties was adopted in 2...
If someone you love is suffering from Alzheimer’s, the most common form of dementia, wouldn’t you do everything possible to help them? What about if the medicine you give them has questionable usefulness or potentially dangerous side effects and costs a fortune? That’s a question millions of people may face soon. The Food and Drug Administration (FDA) recently approved Aduhelm, also called aducanumab, in June, in one of its most contentious decisions. This came eight months after a harsh rejection of the treatment by an FDA advisory commi...
ANALYSIS As the nation emerges from the coronavirus pandemic, telemedicine has transformed how millions of Americans, particularly seniors, see their doctors. Now the Biden administration and Congress must decide whether video and audio appointments with doctors should continue as a routine part of health care and should get federal reimbursement. Telemedicine, also called telehealth, has been the most significant health care shift caused by the pandemic. Before coronavirus, lawmakers had tightly restricted the kind of video and audio visits...
President Joe Biden has laid out a long list of policy priorities - some more politically plausible than others. But what he left out of his sweeping infrastructure and family relief proposals – drug pricing reform, among other things – is as important as what he included. Biden, who served in the U.S. Senate for 36 years and as vice president for eight more, understood the politics of coronavirus and was able to successfully shepherd his pandemic relief bill through Congress, with only Democrat...
The American Rescue Plan (ARP) coronavirus stimulus package, which President Joe Biden signed into law in March, was designed to defeat the virus, get vaccines in the arms of Americans, checks in the pockets of those who need it, and jump-start the U.S. economy back to health, including safely re-opening schools. This bill is so large in scale – $1.9 trillion – that Republicans in both chambers opposed the legislation unanimously, characterizing it as bloated, crammed with what House Republican leader Kevin McCarthy called a “liberal wish list....
Some significant changes affecting seniors on health care issues may have gotten lost in the tumultuous whirlwind changes between the end of the Trump administration and the start of the Biden administration. Amid the increasing intensity of the pandemic, the violent turbulence at the U.S. Capitol, and the slower than expected rollout of the first vaccines, Congress actually got some important things done affecting seniors that went unnoticed, buried in the massive spending package. Congress passed a $900 billion pandemic relief package and...
President-elect Joe Biden will not get a traditional honeymoon from Congressional lawmakers to start off his new administration in January. It will severely limit what he can accomplish on his ambitious health care agenda. With sharp divides in both houses of Congress, where a few votes one way or the other could determine success or failure, Biden may even have trouble getting his Cabinet nominations through. Without a doubt, Biden's two-prong agenda – to solve the coronavirus pandemic and patc...
So far, almost 40 percent of the nation's more than 240,000 COVID-19 deaths are from seniors living in nursing homes and long-term care facilities. As the coronavirus pushes into what incoming-President Joe Biden calls the "very dark winter," efforts are being made to prevent a repeat of this continued death spiral and apply lessons learned so far. So what lessons can be learned and what can be done to inspire a meaningful shift in how the country cares for – and spends on – its elderly peo...
Enormous drug company profits are the primary driver of soaring prescription drug prices in America, according to an investigation that Democrats on the House Oversight Committee released recently. The report, based on an 18-month investigation which produced more than a million documents, was started by former committee chairperson Rep. Elijah Cummings, D-Md.., who died last year. But it was largely overlooked, with the nation focused on COVID-19 and the presidential elections – despite a congressional hearing with verbal fireworks i...
The misleading ads and distorted facts have not quite hit the level of the 2011 classic “granny off the cliff” political ad where an elderly woman was being foisted from her wheelchair over the edge of a cliff, which then-House Speaker Paul Ryan himself credited for sinking his budget proposal targeting Medicare. But the increasing confusion of information over the future of Social Security (SS) and Medicare has reached fever pitch in the current political environment. Both candidates for president are playing games with the facts. Dem...
Major-party presidential candidates Trump and Biden have dramatically different visions for the future on health care issues. So in assessing their policy positions, it's also important to look at actions versus talk. Trump has been president for almost four years; Biden had eight years as vice president under Barack Obama, and before that 36 years in the U.S. Senate. So both have actual records with which we can look at what they've tried to do, versus what they say they plan to do. Here's a...
Amid the sharp political divides over its handling of the coronavirus pandemic and ongoing racial protests, the Trump administration continues its push to invalidate the Affordable Care Act (ACA) through the courts – a move that could prove to be one of the riskiest decisions in President Donald Trump’s reelection efforts and could also severely complicate who controls Congress. The decision to file its brief to undo the ACA at the U.S. Supreme Court before it hears the case for the third time in the fall, reveals a sharp dividing line in the...
As the nation moves into whatever "reopening" the next phase of the COVID-19 challenge means, the pandemic's mark on American health will be a permanent one in good ways and unfortunate ones too. The nation is nowhere close to a vaccine or a cure despite president Donald Trump's hyper-ambitious "plan" to develop, manufacture and distribute a vaccine by the end of 2020. Most scientists suggested that the most "optimistic" potential for a vaccine would be at the end of 2021 and more likely it...
Getting older in America will never be the same, after the astonishing death toll in nursing homes and senior housing facilities has revealed just how flawed the nation’s system of care is. The fallout could completely collapse the nursing home and assisted living industries. No doubt, though, it will certainly change them and how we take care of our elders. The COVID-19 pandemic has revealed a defective system of caring for seniors, including severe understaffing at nearly all facilities, inconsistent regulations, economic challenges p...
With social distancing, depression, isolation and loneliness hitting the nation’s seniors particularly hard as a result of the coronavirus pandemic, the federal government has made big changes to Medicare to help doctors reach patients easier without visiting offices or hospitals. But while it appears well-intentioned, these policy changes also are going to have to be more carefully thought out over time. The COVID-19 pandemic has prompted Medicare to open access to telehealth, connecting patients to health care providers through videoconferenc...
Despite a genuine consensus that something must be done, Congressional efforts to rein in drug prices remain stalled and more than likely dead until after the November elections. Even with rhetoric rising on how important controlling drug prices is and added pressure due to the coronavirus (COVID-19), nothing is likely to get done as lawmakers are split on fundamental issues of how to solve the problem. Even President Donald Trump’s support for bipartisan Senate drug-pricing legislation doesn’t appear to be motivating Senate Majority Lea...
President Donald Trump recently has been making a striking claim – insisting he has ensured that people with preexisting medical conditions continue to have health insurance coverage. In tweets, at campaign rallies and even at his recent State of the Union speech, Trump says: "I was the person who saved pre-existing conditions in your healthcare." He wasn't. This comes at the very same time that his own Justice Department pushes to eliminate the Affordable Care Act (ACA) altogether, including pre-existing conditions for millions of A...
Congressional lawmakers find themselves caught between the unlikely and the impossible as they try and work through complicated issues like drug price controls. With the sharp partisan divide, the ongoing impeachment of President Trump, the upcoming presidential campaign and their own re-election fights on everyone's minds, difficult choices with disappointing results are the most likely scenario for prescription drug and most other major health care legislation affecting seniors – just like i...
While President Trump has not had much success on the drug price reform front, his administration is making modest progress on a different front – announcing two regulatory changes that Trump hopes will provide more easy-to-read price information to patients. The first effort targets hospitals, finalizing a rule that requires them to reveal and display their secret, negotiated rates to patients, beginning in January 2021. This proposal has been resisted for months by a large portion of the health care industry. It would require hospitals for th...
The Trump administration has proposed to overhaul decades-old Medicare rules that were originally meant to counter self-dealing and financial kickbacks among medical providers such as hospitals, clinics and doctors. But the administration says these anti-kickback rules are now serving as a roadblock to coordinating better care for patients. The Centers for Medicare & Medicaid Services (CMS) wants to encourage primary care physicians and other clinicians to spend more time coordinating care for their patients including social issues, patients...
The numbers are simply staggering. People 85 and older – who usually have multiple chronic illnesses or have difficulty performing some daily tasks – will mushroom to 14.6 million in 2040, up from about 6 million now. So who is going to take care of these seniors? Right now, since Medicare does not pay for long-term care services or non-medical services in the home, there are 3.3 million paid personal care and home health aides and more than 34 million unpaid family caregivers doing that job. Already, around the U.S., many caregivers, sen...
