Showing posts with label Medicaid. Show all posts
Showing posts with label Medicaid. Show all posts

Tuesday, May 12, 2009

Pay Back The $900 Billion Borrowed!

Could this possibly explain why SSI and SSDI recipients will not receive a cost of living adjustment for the next two years? For me, at $65 per month, that is a loss of $1560.00! More denials at the first and second stages = increased homelessness! And, of course, who is going to be accused of mismanaging money...

Social Security and Medicare finances worsen

WASHINGTON (AP) -- Social Security and Medicare are fading even faster under the weight of the recession, heading for insolvency years sooner than previously expected, the government warned Tuesday.

Social Security will start paying out more in benefits than it collects in taxes in 2016, a year sooner than projected last year, and the giant trust fund will be depleted by 2037, four years sooner, trustees reported.

Medicare is in even worse shape. The trustees said the program for hospital expenses will pay out more in benefits than it collects this year, just as it did for the first time in 2008. The trustees project that the Medicare fund will be depleted by 2017, two years earlier than the date projected in last year's report.

The trust funds -- which exist in paper form in a filing cabinet in Parkersburg, W.Va. -- are bonds that are backed by the government's "full faith and credit" but not by any actual assets. That money has been spent over the years to fund other parts of government. To redeem the trust fund bonds, the government would have to borrow in public debt markets or raise taxes.

Treasury Secretary Timothy Geithner, the head of the trustees group, said the new reports were a reminder that "the longer we wait to address the long-term solvency of Medicare and Social Security, the sooner those challenges will be upon us and the harder the options will be."

Geithner said that President Barack Obama was committed to working with Congress to find ways to control runaway growth in both public and private health care expenditures, noting the promise Monday by major health care providers to trim costs by $2 trillion over the next decade.

However, Republicans pointed to the newly dire assessments as evidence the Obama administration has failed to come forward with actual entitlement reform to close the funding gaps.

"Instead of getting existing public programs in order right now, some are saying we should create a new government-run health insurance plan," Sen. Chuck Grassley, the top Republican on the Finance Committee, said in a reference to the administration's health care proposals. "When we can't afford the public health plan we have already, does it make sense to add more?"

House Republican leader John Boehner said the trustees report "confirms what we already knew: Our nation cannot afford to continue this reckless borrowing and spending spree."

The findings in the trustees report, the annual checkup given the two benefit programs, did not come as a surprise. Private economists had been predicting that the dates the programs would begin to pay out more than they take in and the dates the trust funds would be insolvent would occur sooner given the economic recession.

The deep recession, the worst the country has endured in decades, has resulted in a loss of 5.7 million jobs since it began in December 2007. The unemployment rate hit a 25-year high of 8.9 percent in April.

Fewer people working means less being paid into the trust funds for Social Security and Medicare.

The Congressional Budget Office recently projected that Social Security will collect just $3 billion more in 2010 than it will pay out in benefits. A year ago, the CBO had projected that Social Security would have a much higher $86 billion cash surplus for the 2010 budget year, which begins Oct. 1.

The trustees report projected that Social Security's annual surpluses would "fall sharply this year," then remain at a reduced level in 2010 and be lower in the following years than last year's projections. The report said that the Social Security annual surplus would be eliminated entirely in 2016, reflecting increased demands from the wave of 78 million baby boomers retiring.

That means Social Security will have to turn to its trust fund to make up the difference between Social Security taxes and the benefits being paid out beginning in 2016. The trustees projected the trust fund would be depleted in 2037, four years earlier than the 2041 date in last year's report.

At that point, the annual Social Security taxes collected would be enough to pay for three-fourths of current benefits through 2083. To tap the trust fund, the government would have to increase borrowing or raise taxes because Social Security bonds exist only as bookkeeping entries.

While the smaller surpluses that will begin this year will not have any impact on Social Security benefit payments, the government will need to borrow more at a time when the federal deficit is already exploding because of the recession and the billions of dollars being spent to prop up a shaky banking system.

Medicare's condition is more precarious, reflecting the pressures from soaring health care costs as well as the drop in tax collections.

The options available to deal with the Social Security shortfall include raising the payroll tax that funds Social Security, such as removing the cap on income subject to the tax, or cutting benefits in some fashion such as raising the retirement age.

The administration is pushing Congress to pass legislation this year to extend health care coverage to some 50 million uninsured Americans, preferring to tackle health care before Social Security.

The trustees report is likely to set off renewed debate over Social Security and Medicare. Critics have charged that the Obama administration has failed to tackle the most serious problems in the budget -- soaring entitlement spending.

The administration on Monday revised its federal deficit forecasts upward to project an imbalance this year of $1.84 trillion, four times last year's record, and said the deficits will remain above $500 billion every year over the next decade.






Saturday, May 9, 2009

What's UP (with) CHUCK?

You forgot to mention in your e-newsletter...
Every so often I get an e-mail from my Congressman Charlie Wilson of Ohio's 6th Congressional District. He usually gives a brief synopsis of a few statistics and then outlines what a good boy he has been in working for the constituents of our district.

I haven't patted Chuck on the head yet but I have written to him and did get a response that he disagreed with me. It took several months to get that response - former 6th District Congressman Wayne L. Hayes would have responded in SEVEN DAYS.

What did the Chuckster disagree with? My suggestion that, instead of bailing out the Big 3 automakers, issue to all Americans in need of a vehicle a voucher for $20,000 for the purchase of a new or late model used vehicle. This in turn would move inventory presently on the lots plus the vehicles would need maintenance and parts which would support those manufacturers and suppliers. Now wouldn't this have cost less than the billions of dollars given?

Anyhoo, in the latest e-newsletter from Chuckles and he points out that "The Recovery Act" provides a $250 payment to Social Security recipients (he noted exclusively seniors).

Well, I receive a monthly SSDI payment and found that the U.S. Treasury has deposited my $250 Economic Recovery Payment. But there are TWO POINTS that Charlie neglected to mention...
  1. The $250 is a one time only payment; not a monthly cost of living raise.
  2. There will be NO COST OF LIVING RAISE in 2010 and 2011 - (mine was $65 per month).
Click on each image to read.

Also, please notice that I do not have a link to Charlie Wilson in the column to the right.

My have provided a link to my former congressman of 10 years from Ohio's 10th Congressional District.
His name is Dennis Kucinich.


Monday, March 30, 2009

More bureaucratic red tape

It's driving me mad; making me crazy!

I'm grabbing at my head about to pull my hair out and am close to losing my freaking mind over crap.
http://www.humorconnect.com/jokes/274/angry_woman_pulling_out_hair_lg_wht.gif
No, let me just call a spade a spade; it's not crap, it's BULLSHIT! I'm up to my lower lip in it.

I'm being clothes-lined by bureaucratic red tape. It's strangling me!

Am I PISSED OFF? Sure I am and I think rightfully so! Read on...


I'm dealing with Medicare and am not sure if I have coverage; but I have been paying into it for a year to the tune of approximately $96.00 a month automatically deducted from my monthly Social Security Disability payment. That's $1152.00 and I might not be covered. Or am I? Gary found out that the State of Ohio is also paying my monthly payment of $96.00 - a surprise to him and me and to Rita, our caseworker at Job and Family Services in Steubenville.

So let's do the math - a TOTAL OF $2304.00 is being paid into Medicare FOR ME and BY ME!

So there is some sort of double-dipping here and I can't go to a doctor and get the medical care I require due to all the uncertainty. I haven't been to a regular medical doctor, a rheumatologist, or pulmonary doctor for one year.

Before my Social Security Disability was approved I was receiving Medicaid which paid for everything medical that I needed - doctors, physical therapy, procedures (MRI, mammograms, colonoscopy, ER, hospitalizations, pulmonary care, sleep studies, etc. and prescriptions). You name it, it was paid for and there were no co-pays, no spend-downs, no deductibles - no worries!

MEDICAID IS UNIVERSAL HEALTH CARE reserved for the poor and primarily for those who have no or very little monthly income and, in my case, waiting for Social Security Disability. Medicaid wasn't easy for me to get. Caseworkers are unwilling to divulge that it and many other benefits are available - that's just too much paperwork.

Many of the homeless who are waiting for their disability benefits are not aware they are eligible for disability cash assistance ($115.00 per month in Ohio), food stamps ($162.00 maximum benefit per person per month in Ohio) and Medicaid insurance. Many homeless do not have proper identification to get the benefits they deserve.

Many are misinformed by their caseworkers, as I was, but I fought - it was the third caseworker (in Cleveland) who put forth the effort in getting me my benefits
. She got me back benefits too! By listening to me and putting forth an effort she found my original appointment information in the system. That appointment was from before I became homeless. I was unable to get back because the location where I applied was in a different part of town - I was without money for bus fare. End result was back payments totaling close to $700.00.

One thing this caseworker told me was that there are plenty of benefits available for the poor and homeless but, unless the applicant requests help from a specific program, caseworkers are not permitted to divulge information to the client.

The smokescreen in trying to get benefits is thick. Many of the poor and homeless accept "no you are not eligible" and give up; don't put up a fight. Many are sick and getting sicker; no energy to fight the system while health is failing.

Homelessness
affects one's health - it ages a person cutting years off a person's life. I see how badly I look every time I look in the mirror - I look awful and I feel worse every day. The stress is killing me!

NEWSFLASH
: 11:30 a. m. Monday - Rita from the Steubenville office of Jefferson County Department of Job and Family Services just called. She took the time to delve further into my file and found out that the State of Ohio is not paying my Medicare premium as previously reported. Oh, what should I believe anymore?

I do appreciate Rita though; she is kind and wishes she could do more to help but her hands are tied too. Benefits are determined by income and she has to go by the guidelines imposed by government.


I just opened my mail
from Job and Family Services. Now it's in writing that I was denied for State of Ohio paid "QUALIFIED MEDICARE BENEFICIARY (QMB)" Reason: INCOME REPORTED EXCEEDS THE PROGRAM ELIGIBILITY STANDARDS. We based this action on OHIO ADMINISTRATIVE CODE, Rule 07431."

Okay, it's in writing and HELL I KNEW THIS SO WHY ALL THE CONFUSION?


Poverty is by design; it's control over the masses, the gigantic thumb pushing forcefully down on the poor holding them there, making people sick-keeping them sick. It's a vicious cycle; the dog chases its tail and will never get hold of it.

In May, Social Security Disability and SSI recipients will get a one time payment of $250.00 in addition to the monthly benefit check. Food stamp recipients will receive an additional 13% in allotment per month (which boils down to an additional box of Kraft Macaroni and Cheese in the shopping cart). WOW, HOW GENEROUS!

Brian Davis, Executive Director of the Northeast Ohio Coalition for the Homeless, feels that "The Obama Administration championed the extra $250 that everyone on disability will be receiving in the next month. Some might think that this is a positive, but I view it more as an insult and results in a lowering of their grade. I mean, these individuals have to figure out how to live on a small amount of money, and now the government is sending them a few coins to go out and spend. How about an increase in the disability check every month so that these Americans are not doomed to poverty for the rest of their lives?"

I am in total agreement with Mr. Davis!

Sure Gary and I are both eligible for that extra $250.00 and are looking forward to that measly one time payment. But we both have a major fight on our hands and that is to see to it that we have more than adequate health care coverage, to be able to get medical treatment and our prescriptions with out having doctors offices calling us and canceling our appointments because we are not in the system.

I have some phone calls to make and will be on the phone for hours trying to get this Medicare issue resolved. My prescription coverage was dropped because I signed up for a PPO rather than an HMO so the state won't pay for my prescription coverage.

When that extra $250.00 comes I might have to give my neighbor a few bucks of it so she can pick up a case of industrial strength butt lube with aloe for me at Cosco.

The fight continues for Gary and me as our health is dramatically failing!


And yes - I'm rather punchy at the moment!