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Congress is making its end-of-year legislative sprint, with hot-button health care legislation stuck behind critical must-pass spending bills before a government shutdown. But lawmakers often push shutdowns off with temporary all-inclusive spending bills as they are likely to do this time, as they try to get out of town for the late December winter holidays. Even if the spending bills get approved individually or together in one big temporary bill, the must-do list leaves lawmakers roughly 40 days in which both chambers will be in session...
If you think America's college loan crisis – with more than $1.5 trillion worth of debt – is only a young person's problem, think again. The federal government is now garnishing the fixed-income Social Security benefits of seniors in its crackdown to get people to repay student loans. More than three million people over 60 are still paying off college loans. Many of these seniors took out loans to help their children, grandchildren or spouse pay off tuition and are still paying them off. Oth...
The old baseball star Satchel Paige is supposed to have said: Age is a question of mind over matter. If you don’t mind it does not matter. On Capitol Hill, old seems to be the new young. In the House of Representatives, the top three leaders are all seniors. House Speaker Nancy Pelosi, D-Calif., is 79 years old. Majority Leader Steny Hoyer, D-Md., is 80, and Rep. James Clyburn, D-S.C., is also 80. While you can actually start serving in the House at age 25 and age 30 in the Senate, the 2018 elections brought in a much younger group of l...
Congressional Democrats are pushing an ambitious plan to expand Social Security and put it on a sustained long-term footing in an effort to overturn 20 years of attempts by congressional Republicans to scale back entitlement programs like Medicare and Social Security. The New Deal social insurance program had been one of the primary targets of former House Republican Speaker Paul Ryan, R-Wis., since his arrival in Congress in 1999. Ryan always believed Social Security “is an undeserved entitlement,” and lawmakers have often suggested that it...
House Democrats, Senate Republicans and the Trump administration agree on one thing – that drug prices must be lowered. Both parties are working through the ideas to reduce prescription drug costs, but the problem is finding common ground and achieving consensus. No compromise is there yet and it may not emerge as some lawmakers could choose to use the issue for political advantage instead of working out a solution now. But an arms race of sorts is building as Democratic presidential contenders try to make the most noise on the drug pricing i...
When the next Congress begins its work in January, lawmakers from both parties will try to work with the Trump administration to pass vital health care legislation. But getting a political advantage and maneuvering for the 2020 elections will help determine just how much cooperation can be found. Democrats and Republicans have significantly different political agendas they want to advance. The easiest issue on the health care agenda should be making sure people with pre-existing conditions do...
The formidable pharmaceutical industry wants to recoup the $11.8 billion hit it took earlier this year in Congress’s 2018 budget deal. The drugmakers rarely lose, able to use clout and pressure in every House and Senate district to get what they want. Now they are flexing their muscles and you can expect a relentless push to get back that money which essentially comes out of pharmaceutical industry profits. When Congress approved that budget, the final deal required the drugmakers to shift billions of dollars in Medicare drug costs away from s...
Congress managed to pass well-intentioned legislation recently allowing people with life-threatening illnesses to bypass the Food and Drug Administration (FDA) to obtain experimental medications. Unfortunately, it won’t do much to help the people who need the unapproved therapies the most. The “right to try” legislation, pushed by Sen. Ron Johnson (R-Wis.) and Reps. Andy Biggs (R-Ariz.) and Brian Fitzpatrick, R-Pa., which Congress passed and President Donald J. Trump signed into law in May, gives terminally ill patients the right to seek drug...
Drug prices in the United States are too high – nearly everyone agrees. But political consensus stops at how to lower prices and fix the problem. If it were easy, a simple solution would be found. But paying for prescription drugs is a complicated web of prices, incentives, rebates and discounts among the drug companies, insurance companies and the pharmacy benefit managers (PBMs) who are the middlemen who negotiate with the drug companies on behalf of insurance companies. Think of solving the drug prices mess like a complex jigsaw puzzle. J...
Lawmakers defend the federal budget, passed by Congress and signed by President Donald Trump at the end of March, by repeating a quotation attributed to Otto von Bismarck: "If you like laws and sausages, you should never watch either one being made." In other words, the legislative process can be messy and extremely unappetizing, but it usually produces results. This budget bill to fund the government through Sept. 30, 2018, will be remembered as much for what's not in it as for what is. (An extensive list of wins and woes for seniors appears...
Recently I needed some medical records sent from my previous doctor to a new specialist. I was stunned when this thoroughly modern medical practice told me the only way they could send them quickly was with a fax machine. When was the last time you used a fax machine? 1990s technology in 2018? Efforts to develop a standardized electronic health record (EHR) system to make it easier for the sharing of your medical records between doctors have been planned since that fax machine was the latest technology invention, but only with limited success....
Your new Medicare ID card will be arriving the old-fashioned way, via the US Postal Service. If you barely glance at your mail before you throw it in the garbage because of a deluge of junk mail, be on the lookout for this one. Starting in April and continuing for a year, Medicare will be sending out new ID cards to its 55 million beneficiaries. This will be the first replacement of the cards since Medicare started in 1965. The cards have only one purpose – to help prevent identity fraud. The old cards will be valid for another year, but h...
The frenetic pandemonium of Donald Trump’s first year as president has overshadowed his administration’s efforts through executive orders and regulation changes to reshape American life. Stymied by his failure to win congressional approval for most of his big-ticket campaign promises like a border wall with Mexico or the total repeal of President Barack Obama’s signature healthcare reform, Trump has turned to administrative action for his successes. As he learned with the tax cuts, working with Congress on legislation often takes time. But a...
With the tax bill signed into law, House Speaker Paul Ryan, R-Wis., has set his sights on reforming Medicare, Medicaid, Social Security and welfare in 2018. But he will have to overcome several big barriers to be successful, including reversing President Donald Trump’s repeated campaign pledge not to touch those specific federal entitlement programs for the elderly. Senate Majority Leader Mitch McConnell, R-Ky., and Ryan are also at odds over whether to tackle entitlement reform in a mid-term election year, which traditionally favors the p...
In the nation’s capital, where politicians are always wearing partisan political jerseys, the nomination of Alex Azar to be the new Health and Human Services Secretary may offer the hope of a fresh start on health care issues. President Trump’s recent nominee to run HHS, the largest agency in the federal government, has steadfastly opposed President Obama’s Affordable Care Act (ACA), which Azar often describes as “circling the drain.” So the 50-year-old Indiana native is not likely to get many Democrats on his side when the Senate votes on...
The Trump administration is planning to end another Obama-era regulation involving nursing homes, which was designed to shield the elderly from unscrupulous, abusive or bad nursing home practices. At the end of the Obama administration, the Centers for Medicare and Medicaid Services (CMS) proposed rules that would’ve made it easier for nursing home residents or their families to take facilities to court over alleged abuse, neglect or sexual assault. Now, Trump is proposing to replace that rule with one that could make it almost impossible for n...
More than 25 percent of possible sexual and physical abuse cases against nursing home patients were not reported to police, warns a new government audit. The Health and Human Services inspector general’s office issued an unusual “early alert” recently, based on preliminary findings from a large sampling of cases in 33 states. The IG’s report blamed Medicare for failing to enforce federal law, which requires that nursing homes immediately notify the police in abuse cases. Investigators issued the early warning because they found that the res...
If you thought the bitter partisan fight over the “repeal and replace” of President Obama’s health care law was ugly, ratchet up the intensity – the next fight over Trump’s budget, including sweeping changes to Medicare, is about to start, just as Congress faces a fiscal crisis. These Medicare changes would raise the eligibility age and convert the program to a voucher program affecting all 55.5 million seniors currently using the program and millions more about to become Medicare eligible. President Donald Trump wants Congress’s next move t...
Every day, 10,000 people turn 65 and the eldest baby boomers will begin to turn 80 in 2026, so the demand for long term care services is about to explode in the near future. Already 1.4 million seniors live in nursing home facilities in the U.S. But states are only making lukewarm progress helping millions of seniors on Medicaid avoid costly nursing home care by arranging home or community services for them instead, a new AARP report finds. Overall, AARP says states have made “incremental improvements” since its 2014 Scorecard, but calls the...
Warning: This story may raise your blood pressure. For sure, it raises troubling questions about the U.S. government’s ability to manage a medical bureaucracy. Medicare, the government insurance program that provides health care to 55 million elderly and disabled Americans, continues to provide a steady income stream for criminals who are regularly finding innovative ways to steal a good sized chunk of the half-trillion dollars that are paid out annually by the program. This comes despite strong efforts by health investigators and Justice D...
The Trump administration has proposed slashing the National Institutes of Health (NIH) budget, saying it is bloated with unnecessary expenses resulting in waste and abuse. It has also proposed to eliminate the independent status of the Agency for Healthcare Research and Quality (AHRQ) and absorb it into the NIH. AHRQ is a little-known agency that focuses on improving health care quality and applying it to patient safety. It is one of the true unsung heroes of the federal government, providing vital scientific research that has helped reduce...
In the fall of 2015, Martin Shkreli, the founder and former chief executive of Turing Pharmaceuticals, ignited a firestorm when his company raised the price of a little-known drug to treat toxoplasmosis to $750 a tablet from $13.50. Earlier that year, Valeant Pharmaceuticals bought the rights to a pair of life-saving heart drugs, Nitopress and Isuprel. The same day as the purchase, the company jacked up their list prices by 525 percent and 212 percent respectively. Last year, Mylan, supplier of roughly 95 percent of the nation’s EpiPens, an e...
Pat Howard, living with multiple sclerosis for decades, gets around in a powered wheelchair since she can no longer put any weight on her legs. Last summer, her daughter Cindy was driving her 74-year-old mom back from an adult day care facility 30 minutes from her Santa Clarita, California, home when the car overheated and broke down. “We were stuck,” Cindy recalled in a recent phone call. “I was freaked out about driving the overheated car and worried about our safety. Our only vehicle was now sitting by the side of the road.” They called for...
The federal government is trying to stop nursing homes from forcing people into using private arbitration instead of lawsuits when people bring cases of elder abuse, wrongful death and sexual harassment. The private arbitration issue is actually much larger than just a problem for seniors. Over the last 10 years, thousands of businesses across the country – from big corporations to storefront shops – have used arbitration to create an alternate system of justice. You probably haven’t noticed or paid attention to the notices buried in writt...
Rep. Diane Black, a Tennessee Republican congresswoman, and Earl Blumenauer, a Democratic congressman from Oregon, don’t agree on very much about health care. Both sit on the powerful House Ways and Means Health Subcommittee and both tend to vote on the opposite side of most health care issues. Black, a nurse by training, has called President Barack Obama’s Affordable Care Act an “abject failure,” which she argues was “built on a grand deception.” Black’s dislike of liberal health care policies is well known. She’s best known on Capitol Hill...
