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Archive for the ‘Medicare’ Category

Can Doctors Bring Down the Cost of Health Care?

U.S. health care spending last year totaled $2.68 trillion.  That’s 10 times what health care cost in 1980 and  two-and-a-half times per capita more than most developed nations in the world.  Speaking to the American College of Physicians, Ezekiel Emanuel, M.D., well-known health care policy consultant, blamed the fee-for-service payment system for the high cost […]

2013: Changes Ahead in Health Care

After 3 years of rumbling court fights, legislative threats and golden promises, the Affordable Care Act (ACA) moves into first gear and begins 2013 with new taxes and a few changes to our health care system.  But the speed picks up sharply October 1 when people will begin test driving the new health insurance exchanges, […]

Health Care This Year Comes with New Taxes

Under the Affordable Care Act (ACA), Medicaid, the health program for the poor,  will be expanded, enabling 32 million more people to have health insurance.  The law will also subsidize the cost of medical coverage for families of four earning up to 4 times the Federal Poverty Level.  This means that families with incomes up […]

Is there a Doc-Fix for IPAB?

Congress has delayed a scheduled cut to doctors’ Medicare reimbursements for another year as part of the Fiscal Cliff Agreement.  Fearing the consequences if payments to doctors for Medicare services were cut by almost 27%,  Congress put off, for the 10th year in a row, the implementation of the Sustainable Growth Rate (SGR).  This annual […]

All You Need to Know About Medicare Part D

Medicare Part D is complicated.  There’s no getting around it.  It’s complicated because many conflicting interests have to be served to make it possible: drug manufacturers, drug retailers,  insurance companies,  drug regulatory agencies, and politics.  It’s  also complicated because every drug insurance plan offered is unique.  They differ,  most significantly,  in what drugs they cover […]

Seniors Pay Too Much for Medicare Part D

Seniors with Medicare part D coverage will soon face an important deadline.  They have until Dec 7 to choose a new 2013 drug coverage plan.  If they do nothing they will be automatically enrolled in their current plan.  Many don’t realize that their current plans can change significantly from year to year and that other […]

Medicare Must Change

Medicare’s growing costs make it a major component of our country’s current debt crisis.  It must change quickly and maybe drastically to avoid certain economic ruin and preserve some form of a elder health care system for our children.  Two factors stand in the way of change despite widespread recognition of our financial situation. The […]

Concierge Medicine: A Moral Issue?

Concierge doctors restrict the number of patients they see, accepting 80-90% fewer patients than their primary care counterparts.  Their patients pay an extra $1500 – $2000 annually, over and above their regular health insurance, to become one of their exclusive patients.   The number of primary care physicians turning to a concierge practice has become cause […]

Still More Reasons it’s Unconstitutional

Ruling by courts on the Affordable Care Act’s Constitutionality centered on the individual mandate and states’ rights but many other issues in the bill run contrary to our understanding of the Constitution.  Consider this:  Can a bill of  2700 pages, contradictory commands, vague directions and an unheard of number of to-be-determined-in-the-future items  be considered valid […]

More Reasons it’s Unconstitutional

Our Declaration of Independence  was based on a government’s over-bearing intrusion in our lives.  That’s why the part of the Patient Protection and Affordable Care Act (ACA)  that people find most objectionable is the mandate that requires everyone to buy what the government determines is adequate health insurance.  It’s simply un-American.  In actuality, however, the […]


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