Friday Alert  8/19/05
Alliance for Retired Americans
888 16th Street, N.W. -  Washington DC, 20006 - (202) 974-8222 - www.retiredamericans.org

Despite Polls GOP Optimistic about Autumn Push for Private Accounts
The Republican-controlled Congress rushed through a flurry of legislation before leaving for its August recess. Now they claim that momentum will ride them through the fall in time to take up an overhaul of Social Security. But read the polls and it’s clear that public opposition to private accounts has grown and hardened. A recent CNN/Gallup/USA Today poll found a measly 29% approved of President Bush’s handling of Social Security with 69% disapproving. Polls also find the president’s overall job performance ratings are the worst of his presidency.

“The Alliance’s fight against privatizing Social Security has resonated throughout the country and made an important contribution to the public debate about the dangers of privatization,” said George J. Kourpias, president of the Alliance for Retired Americans. “But we can’t rest on our laurels yet. All of us who want our children and grandchildren to benefit from the guarantees of Social Security must work until we defeat all privatization proposals.”

Ardent supporters of privatization are determined to forge ahead with a plan to privatize Social Security. Just what form that plan will take is still unknown. The president has proposed private accounts diverted from payroll taxes, which worsens Social Security’s finances and requires massive debt, while cutting guaranteed benefits. Congressional Republicans have introduced legislation that would use Social Security’s surplus to fund private accounts, a plan that does nothing to restore solvency and would add to the nation’s deficits. The House will likely be the first to move on any Social Security legislation. Ways and Means Chair Bill Thomas (R-CA) is working on a broad retirement bill that may include the surplus proposal.

Drug Costs for Elderly Rise at Twice Rate of Inflation
As health care costs continue to soar, wholesale prices for the brand-name prescription drugs most commonly used by older Americans rose at more than twice the rate of inflation, according to a report released by the University of Minnesota and AARP. In the year that ended March 31, manufacturers increased drug prices by 6.6% for a sample of 195 drugs.  The general inflation rate rose 3 percent, as measured by the Consumer Price Index.  Generic drug prices rose at a much lower rate, with a 0.7% increase calculated from a sample of 75 generic prescription drugs. The results are especially disturbing given the fact that seniors consume more prescription drugs when compared to the overall population, and many live on fixed incomes that rise at or below inflation.

The drug price increases translate to an extra $144.15 per year in drug costs for the typical senior taking three prescription drugs daily, assuming they use brand name products. If the full price increase is passed along to the consumer, these critical drugs will become unaffordable to seniors already struggling with record high prescription drug costs. Although Medicare will begin providing drug coverage in January 2006, the health program is prohibited from using its purchasing power to negotiate lower prices.

Racial Health Disparities Persist in Medicare

From 1992 to 2001, African-American seniors received significantly fewer surgeries that help older patients live better and longer lives when compared with white seniors, according to a major study published in the New England Journal of Medicine. Despite years of trying to erase racial health disparities, this research proves it remains pervasive and persistent. The study was one of three conducted and is the first to examine major surgeries, ranging from total hip replacement to heart bypass, performed on black and white Medicare beneficiaries (reliable data on other minorities was not available). White patients had much higher rates for each of the surgical procedures. While researchers had expected to see a reduction of disparities over time, they found just the opposite. In 2001, the gap had increased sharply among five of the nine surgeries studied. Researchers did find, however, that gaps improved as a result of government pressure to ensure that health plans and doctors were meeting minimum requirements. “Health care is a fundamental right that should be assured to all Americans regardless of race or class,” said Ruben Burks, secretary-treasurer of the Alliance. “This study proves that America still has a long way to go in ensuring that for all her citizens.”
 

Private Companies Spend Millions Marketing Medicare
As Medicare prepares for its biggest expansion—a prescription drug benefit administered by private health insurers—it’s not just the government but private companies that are doing the “educating.” Health insurers, drug companies and drugstore chains are spending millions to build name recognition and gain a foothold into the lucrative Medicare market by providing general information on the upcoming drug benefit. Thanks to the 2003 Medicare law, corporate interests stand to gain huge subsidies and potential profits from the Medicare drug benefit.
 

In the next several months, seniors can expect a barrage of promotional materials designed to enroll them in their choice of hundreds of drug plans. Companies may promote their specific drug plans on October 1, enrollment begins November 15 and the drug benefit begins January 1, 2006. But advocates warn seniors and their families not to mistake marketing material for objective research. Premiums and drugs covered will vary depending on the health plan and most beneficiaries, with the exception of eligible low-income recipients, may find Medicare is not necessarily the best drug plan. For more information on Medicare and prescription drugs visit the Alliance website at www.retiredamericans.org and click on “Rx Drugs and Medicare.”


Americans Bear Larger Burdens with Medical Debt

Lack of adequate health insurance coverage and high health care costs are becoming even more burdensome for Americans of all ages.  Analysis of the latest Commonwealth Fund Biennial Health Insurance Survey found that nearly 2 of 5 adults (37%) have medical bill problems or medical debt.  The survey also showed that those with health insurance coverage are not immune to medical money woes.  Three of five (62%) adults were insured at the time their medical bill or debt problem occurred.  Sixty-six of those with bill problems or debt pay 10% or more of their income to annual health insurance premiums.

“These disturbingly high numbers should send a wake up call to legislators that action needs to be taken toward lowering health care costs,” said Edward F. Coyle, executive director of the Alliance.  The growing numbers of uninsured Americans have been in the limelight, but this survey highlights that the insured are also struggling.  Sixty-three percent of those who reported medical bill problems or debt went without needed care because of the high cost.


Respect and Protect Retirement Security! Come to Washington, DC September 7-9 and Lobby Congress at the Alliance for Retired Americans Legislative Conference -  Register at www.retiredamericans.org/legconf or call Joni Jones at 1-888-373-6497


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