Booman Tribune

Medicare D: Implementation and After-effects

by Street Kid
Sat Jan 28th, 2006 at 03:36:03 AM EST

All from the WaPo:

First, Michael Leavitt, Secretary, Department of Health and Human Services

The measure of the drug benefit's success is not whether the program is perfect on its first day but whether we solve the problems quickly. We are doing so, and the system is improving every day.

Oh really?  Is that why so many people are having difficulty getting their rx's?

 Sacramento resident Randi Sanford, 50, who has cystic fibrosis, had to go without the antibiotic infusions she needed to fight an infection because the new Medicare prescription drug benefit would not cover the procedure when administered at home.

  John Slack, 66, went to Kaiser Permanente's hospital in San Rafael earlier this month to pick up nine prescriptions, including medications to fight rejection from a liver transplant. But the pharmacist told him he couldn't get his drugs because he had been switched to a different health plan.

  Patricia Franks, 69, of Gerber in Tehama County had to borrow blood pressure medication from a brother-in-law after her pharmacist refused to fill her prescriptions.

  San Francisco's Johnny Wilson, 49, who is HIV-positive, had his medication only because he had laid in a three-month supply before the new program started. By the time he got his Medicare drug card, he was down to his last few pills.

Or, aren't you aware   of them?

According to Senator Charles Schumer,

"He (Leavitt) seemed incredulous when I told him, but said he wasn't really aware of the problems...I was surprised by that."

Or, did you think that everything was under control?

Robert Hayes, president of the Medicare Rights Center, states that he had a discussion with Mark McClellan, (Administrator of the federal Centers for Medicare and Medicaid Services) EARLY LAST YEAR:

"I was sitting in McClellan's office and I said, 'Look, even if you get this transition 99 percent right for the people losing Medicaid coverage, you're still going to have 64,000 people without drug coverage come Jan. 1.' And [McClellan] said 'No, we have everything under control.'

And, have you READ the other two editorials (below)?

Here's one from Leonard L. Edloe, a pharmacist and a pastor:

As a pharmacist, I want to say that we were dealt a lemon with this program. It is confusing for those who are to benefit, and it was turned over to companies that have tried to run it on the cheap...

...this program was poorly implemented from the beginning. The Bush administration talks about "faith-based initiatives," but churches were not even contacted. As a pastor, I told my congregation what to expect...

The plan is costing patients and the states more, too.

The blame should be placed where it really belongs: on insurance companies and their partners who can manipulate drug prices.

And from Brian Haile, elegibility chief at DC Medicaid:

...more than 16,000 D.C. seniors and people with disabilities have gone without their prescriptions. Medicare Part D...has failed at every turn.

Haile also states that those w/AIDS have been denied their rx's, causing an interruption in their treatment, those needing heart rx's or insulin have gone days w/o, the lack of response when calling (800)MEDICARE or their rx plans, and the problems (at the federal level) w/the implementation  of Medicare D leaves people w/o care they need.  

And closes w/the following:

In three weeks, the Centers for Medicare and Medicare Services, part of the federal Department of Health and Human Services, has erased much of the progress that the District made in improving access to and continuity of care during the past five years.


Display:
Was just going to call it a nite, but, then I found these and couldn't resist!  x=posted at mlw and dkos.

On that note, G'nite!

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi

by Street Kid on Sat Jan 28th, 2006 at 03:41:43 AM EST
Street Kid

After reading more I came to a realization.  I don't know why I didn't see it and I feel stupid for not noticing it before.

To the government Medicare D is like a war.  

They see there is going to be a number of acceptable losses.  They don't have to see torn and mangled bodies the news might show, because the news isn't showing someone without their medicine who is dying slowly.  

They accept the fact there will be collateral damage. Some people will do without for a while, but...

The measure of the drug benefit's success is not whether the program is perfect on its first day but whether we solve the problems quickly. We are doing so, and the system is improving every day.

It appears to me to be the same rhetoric on Iraq.  All is well, just stick with us and we'll all pull through.  It ain't happening in Iraq and it ain't happening with Medicare D.  I wonder how much collateral damage is done to people who have to wait 30 - 60 - 90 days to get much needed medicine.

The machine is being greased and the rhetoric is being spread out on the field, but the war goes on.


Mundane Doesn't Describe It

by Family Man (FamilyMan1atbellsouthdotnet) on Sat Jan 28th, 2006 at 07:50:43 AM EST
[ Parent ]
Don't feel stupid, I didn't catch it earlier--you are the first person who did!  And I am stunned after reading your post...Actually thought DF may have had a part of the reasoning in some of her comments to earlier diaries...now, I beginning to think that both of you are both right!

To the government Medicare D is like a war.
As you said, same rhetoric that is used re:  invasion of Iraq...

The measure of the drug benefit's success is not whether the program is perfect on its first day but whether we solve the problems quickly. We are doing so, and the system is improving every day.

Yeah, I see...this is dehumanized/broken down into numbers and an emphasis is placed on the problem-solving aspect/things and the attempt to preserve a broken system/which, if one remembers the ray-gun rhetoric, caters to those who have nothing better to do than rip off the system...

They don't have to see torn and mangled bodies the news might show, because the news isn't showing someone without their medicine who is dying slowly.

God-knows-how-many diaries/comments stated/implied the censorship/media control by MSM/RWCM, unlike the Vietnam era (I'm in my 40's) when every night, we could actually see what was going on in Southeast Asia .  And, if memory serves, Sy Hersh got a Pulitzer for his reporting of the Mai Lai massacre...Everyone in the country could see wtf was really going on then!!!  And now they CAN"T!

They accept the fact there will be collateral damage.
And, they have partially suceeded in brainwashing the public.  When I first began this series re:  Medicare D, info was much easier to get.  Now, I have to really dig for it.  To read some online newspapers (I haven't looked at any in actual print for a long time), a person would not know there was a problem w/Medicare D.  (I do not watch tv, so I am completely unware if anything is being reported.)  Also, the tone of some of the articles that I do find has changed.  Subtle, but it is noticeable--again, emphasis on preserving the system and the numbers.  

just stick with us and we'll all pull through.  It ain't happening in Iraq and it ain't happening with Medicare D.  I wonder how much collateral damage is done to people who have to wait 30 - 60 - 90 days to get much needed medicine.

Some people don't have 30-90 days!!!

Holy shit!!!


"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi

by Street Kid on Sat Jan 28th, 2006 at 03:32:29 PM EST
[ Parent ]
I'm beginning to think that it's a plan to actually eliminate the elderly poor so as to save money on Social Security, Medicare & Medicaid.  I've become cynical enough that I wouldn't put it past this administration.

One way or the other, this darkness has to give....
by Denim Blue on Sat Jan 28th, 2006 at 05:10:48 PM EST
[ Parent ]
it's a plan to actually eliminate the elderly poor so as to save money on Social Security, Medicare & Medicaid

The more that I think about it, the more I think that you (and DuctapeFatwa who said something to that effect days ago) are right!

But I sure as hell  am not going quietly!!!!!!!

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi

by Street Kid on Sat Jan 28th, 2006 at 06:47:19 PM EST
[ Parent ]


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