Booman Tribune

Medicare D and the Reality of Computer Use

by Street Kid
Mon Jan 30th, 2006 at 10:48:31 PM EST

As stated in other diaries, rationale for the shift from Medicaid to Medicare D was that those who are eligible to receive Medicare D would be able to exercise their right to "choose" the plan that would cover their rx's.  In reality, the opportunity to chose has been made extremely confusing for many.  

As claimed here,
this was made impossible for many senior citizens and people with disabilities.  Those who did call (800) MEDICARE were told to go online to determine which of the plans that was/is offered covered all of their rx's.

Something very important regarding the populations that Medicare D was supposed to benefit was not adequately addressed, specifically,

many seniors dislike computers
and the fact that there is a large number of people who do not own/have immediate access to a computer.  (I was in the latter position during the enrollment period, as I did not have access to a computer and I had pneumonia.)

Also, many people with disabilities do not have immediate access to a computer, or the knowledge of how to use one, let alone surf the net. The cost of owning a computer, with the necessary software (open-source software is not always an option), and, the cost of an internet connection is out of reach for many.  

However, some may claim that the use of a public terminal, such as the library, is enough for a person  to decide which Medicare D plan to enroll in.  The following must be considered:  

The Web site produces some very helpful recommendations, but it will take the average person 45 minutes to two hours to get to them, said Jerry Maher, a Part D expert for the Minnesota Senior Federation.

"This is not sending your grandchild an e-mail," he said. "This is entering data and then doing analysis. ... If you're 88 years old and you have cataracts and arthritis, you aren't going to do it."

 

It is necessary now to point out that, having had to use a public terminal (at the library) there is now a one hour time limit before the internet connection is closed.  This can be extended in some cases, however, it is necessary to log in again, and return to the site that one was previously at, taking up more of the time alloted.

Again, the repeated insistence on the use of the internet to determine what policy would best cover medications was an obstacle that was never addressed.  Instead, it was assumed that everyone had full internet knowledge, while, in fact the opposite is true.  

Warren and Marilyn Gladitsch of Forest Lake. They are well educated -- Marilyn has a master's degree in public health. But they haven't needed the Web before, and they won't become silver surfers now.

"My husband doesn't even want to touch the computer," said Marilyn Gladitsch, 74.

Consider for a moment, those who are residents of nursing homes or long-term care facilities as they were dependent on a(n) (overworked) case manager to best determine their medical needs.  And, consider those who are physically incapable of using a computer.  Third, many who commented in the previous diaries that I have posted re:  Medicare D have mentioned the difficulties that they were having in determining a plan/obtaining information re:  Medicare D plans.  

A poll released...[in November]...by the Kaiser Family Foundation showed that only 6 percent of responding seniors have ever looked at www.medicare.gov and that only 24 percent have ever used the Internet.

(I would guess that the percentage of people with disabilities who had never looked at the medicare website or used a computer is probably higher.)

Reconsidering the lack of computer literacy in the popultions that Medicare D was to serve, is it any wonder that it has not worked for those it was supposed to?



Display:
I didn't really think about this one for awhile until earlier today...really think that chocolate ink and i lucked out.  

BTW, if anyone missed it, I got my rx's for next month!

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

by Street Kid on Mon Jan 30th, 2006 at 11:00:24 PM EST
Congratulations on getting your meds on time!  I spent all morning signing Mom up for Part D - what a farce.  We did it over the telephone and because of the electronic signature thing, they played a recording of all the boiler plate that's usually on contracts then came back and asked her if she heard & understood it.  Mom is 89, hard of hearing and probably in an early stage of Alzheimer's.  I finally got it across to her that I was listening on the extension and understood it (over half didn't apply) so "just say YES!"  I spent hours on the computer looking at plans and I'm still not sure that I made the right decision.  It's the plan that the government database spit out as the costing the least over a year given her meds. It has a higher premium but no deductible and no donut so her monthly expense will be the same every month.  That should at least help some because I won't have to go through explaining why she has to pay $180 one month and $500 the next when hitting the donut (the next best plan).  

One way or the other, this darkness has to give....
by Denim Blue on Tue Jan 31st, 2006 at 12:32:08 AM EST
[ Parent ]
Glad you got everything taken care of for your Mom.  This is such a nightmare for those who don't have anyone to assist them or are not computer literate.

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Tue Jan 31st, 2006 at 01:34:26 AM EST
[ Parent ]

Anyone who knows many elders knows that relatively few of us are big users of either computers of the internet.

And as you point out, poor elders are even less likely to do so, and the infirm are unlikely to be able to get to the library even if they know how to surf the net and the library allows them unlimited time to find and browse the website.

It is a cruel maze, those few who are lucky enough to solve the Rubik's cube may succeed in obtaining their medications. Presumably those will be the ones considered most likely to have a profit producing potential.

Many elders barely know what the internet is.

one man's conspiracy is another man's business plan
Blog updated as needed

by DuctapeFatwa (DuctapeFatwa@yahoo.com) on Mon Jan 30th, 2006 at 11:12:25 PM EST
Know something?  When I was in grad school (mid-90's), I never used a computer--wrote all of my papers on a word processor.  First went online in '01.  Surfed the net for the first time in '01, and didn't really think much of it.  Got back into the 'net a couple years later, and, am now I know how and probably know a lot more about computers than I realize.

But, back to what you were saying:  about most senoiort citizens not being able to use the net--you could be correct as it is my understanding that elders who are more affluent are more likely to own computers, IMO.  I also remember when I was at a BIA conference in Sept. '05--Many other tbi survivors that I met/knew were amazed that I know how to surf the net.  

And I am not as good as some--such as my best friend, another friend of mine, and chocolate ink, and God-knows-how-many others.  

You could very well be correct re:  profit earning potential, I don't know.  But, I would also like to point out that it is the opinion of one of my pharmacists that Medicare D was deliberately made to be as complex as it is.

So, remembering our earlier discussions re:  the actual v. the stated purpose of Medicare D, you could very well be correct!  

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

by Street Kid on Mon Jan 30th, 2006 at 11:30:21 PM EST
[ Parent ]
Glad you got your meds!  

It's interesting you wrote about this because I was thinking about this in another context a few weeks ago.  In the city where I live if you want to contact the FBI and you look it up in the phone book there is no phone number listed ... only a web site.  This means that only people wealthy enough to have access to a computer can easily contact the FBI.  That's just weird. It got me thinking about how computers fit into ordinary people's lives and how difficult it is to live without one.

by maryb2004 on Tue Jan 31st, 2006 at 01:52:41 AM EST
Library computers are a joke.  It's not really their fault--I mean--without more facilities they have to ration what they have, and that means you get a half-hour or an hour as the case may be, and then get kicked off to await your next turn at the back of the line.  

Aside from jotting quick replies to e-mail messages, or reading the weather forecast off the local weather site, it is impossible to get anything done.  

Also, it is an attack on seniors, generally.  Navigating badly designed websites is a new and difficult skill that does not come readily to the old.  Most user-friendly applications are anything but.  

I think they are just looking for ways to attrit the old folk.  

The Fates are kind.

by Gaianne on Tue Jan 31st, 2006 at 05:49:09 AM EST
A year ago, at the library in town, there was NO time limit re:  internet use.  Think it was in either September or October, that the time limits went into effect and everyone hates it.  (I got to know the library internet gang.)  And, as a result of the time limits, most no longer go online at the libary--myself included (for now).

Wondering.....?

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

by Street Kid on Tue Jan 31st, 2006 at 04:48:05 PM EST
[ Parent ]
I've been lurking here lately and not commenting, but I've been following all your writings.  If my Mom had to rely on a computer it wouldn't get done.  She has never used one.  The closest she has come to a computer is reading diaries and articles I've printed out for her.  

I am so happy you are sticking with this, because the only answers I've really found have come from you and Chocolate Ink.

Thank you and please keep up the fight.


Mundane Doesn't Describe It

by Family Man (FamilyMan1atbellsouthdotnet) on Tue Jan 31st, 2006 at 09:09:07 AM EST
Glad you managed to solve things for your mom, but, I am sticking w/this....definitely not over yet, IMO!

"First, they ignore you. Then they laugh at you. Then they fight you. Then you win." Mahatma Gandhi
by Street Kid on Tue Jan 31st, 2006 at 04:49:16 PM EST
[ Parent ]


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