Monday, September 15, 2014

Issue 418 Fuse Medicare B and D September 15, 2014

Well here I am going to talk from my job experience in the pharmacy.  After Obama Care (Affordable Healthcare Act) got passed it caused part B of Medicare to be more restrictive.  As some of you know, part B is designed for outpatient care, which handles things you need once you get out of the Hospital.  Prior to Obama Care, part B would just about cover anything.  But now with Obama Care, seniors need some form of health coverage for drugs.  That is where part D comes in to help.  But, that requires a monthly premium which many seniors were not expecting to be forced to get and pay for.  So here is my idea, combine the two.

The Idea:  Part B covers outpatient care and the medicines associated with it.  It is budgeted based on how much the Congress gives it yearly to perform this task.  Part D (the only part of Medicare below budget and stable) is also budgeted and subsidizes senior’s premiums toward private healthcare insurers thus making individual healthcare more affordable.  So by combining part B which is over budget and a drain on the system with part D which already performs a similar task you simplify the system and bring an expensive part of Medicare down to a manageable level by teaming up with a private company.  You are saying "wait a minute" as now seniors will be forced to pay a monthly premium in exchange for having to deal with a more successful and expanded portion of Medicare (part D).  That is true, but whether thankfully or unfortunately, many seniors are already forced into part D already due to Obama Care causing a loss of drug coverage from part B becoming more restrictive.  Also, those who are still somehow covered by part B can be immune from this situation by ensuring that subsidies to them are catered to their income.  I’ll explain.

How this works:  For those already enrolled in part D, the only change is that they now have everything covered that would have been also covered under part B.  In addition, new enrollees into the Medicare program would automatically be enrolled in part D rather than part B as B would be phased out.  For those who still have part B (those over 65) and cannot afford the premiums, it will be indexed toward their income so that the poorest will not have to worry about premiums, and make it so that it can be subsidized further by State run Medicaid.  Thus no senior goes broke due to health care as it is defined based on how much money they make after retiring.


Conclusion:  This idea of mine is designed to ensure the health care of our seniors with respect to drug coverage and outpatient treatment is the most affordable possible while reducing costs on the system and individuals.  We cannot go backwards with Obama Care as its tentacles have already destroyed the status quo of the old system.  So we must move forward with ideas to simplify and reduce spending while protecting our senior citizens health.  Thus by eliminating part B and giving all that B did to part D so that no coverage or benefits are lost, we save money at the federal level and the taxpayers save money as now richer seniors will pay more into their health, while poorer seniors will have to essentially pay less for equal or greater healthcare coverage they would have received under parts B or D alone.

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