HAMPSTEAD, Md., Oct. 28, 2008
How Obama And McCain Differ On Medicare
CBS Evening News: How The Candidates Propose To Fix The Ailing Program
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Obama, McCain On Medicare
The poorly funded Medicare program has faced massive deficits and is predicted to go bankrupt by the year 2019. Nancy Cordes finds out where the presidential candidates stand on this issue.
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Ruth Louise Schindle says she owes her health and life to Medicare, but the two other generations of her family aren't so convinced that it is a sound program. (CBS)
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John McCain
Some call him a hero, some a maverick. Will Americans call him Mr. President?
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Barack Obama
A look at the life and meteoric rise of the president-elect.
The eleventh installment of the series examines where each candidate stands on helping our ailing Medicare program.
- Believes private plans that contract with Medicare account for waste.
- Wants to authorize Medicare to negotiate with pharmaceutical companies to reduce prices.
- Believes in covering more preventive care - and that doing so could cut costs.
- Believes doctors and clinics should be paid lump sums for quality care rather than individual tests and treatments.
- Opposed Medicare Part D in 2003.
- Wants wealthier recipients to pay for more of their own prescription drugs.
In this installment, CBS News correspondent Nancy Cordes reports on how the proposed Medicare policies of Barack Obama and John McCain would affect you and your community.
The Issue
Ruth Louise Schindle owes her life to a government program she never thought she would even need.
"I am 88," she said. "I've had cancer, I have heart problems and I go to dialysis."
She takes 11 different drugs. Her monthly medical bills are in the thousands - paid for, mostly, by Medicare.
"Where would you be without Medicare?" Cordes asked.
Schindle said: "Only God knows that. I don't know."
She lost her private health insurance in 2003, after the once-mighty Bethlehem Steel, her late husband's lifelong employer, went belly-up.
"It's just like pulling the rug out from under ya," Schindle said.
But for her daughters, Medicare is a mixed bag.
Ruthie Schindle signed up two years ago, when she became eligible at 65.
"I thought Medicare was just gonna take care of everything," she said.
She was stunned by the 20 percent co-pays.
"Everybody that has worked, has paid into the system and the fat cats get fatter - where's all this money going to?" she asked.
Mostly, it's gone to pay the rising cost of health care.
Medicare spending has increased 40 percent in the past four years - from $309 billion in 2003 to $431 billion in 2007.
At this rate, the trust fund for Medicare "Part A," which covers hospitalizations and is funded by payroll taxes, is set to go broke by 2019.
That's right around the time Ruthie Schindle's 56-year-old sister, Donna, becomes eligible.
"It might not be there! You know, you just never know," she said.
What can you do to prepare for that possibility?
"Just do a lot of praying," Donna said.
Jump down a generation, and 38-year-old Debbie, who handles most of her grandmother's Medicare bills, is even more pessimistic.
"Medicare is obviously going to have a new face when I get there and I know that," Debbie said.
Debbie said she doesn't understand where Barack Obama and John McCain stand when it comes to Medicare.
Donna added: "No. They keep flippin', changing the subject."
The Candidates
Both Sens. Barack Obama and John McCain concede Medicare is in trouble.
"By 2019, there will be no money left!" McCain has said.
He blames bloated bureaucracy. Arguing doctors and clinics should get lump-sum payments for quality care, instead of being paid for individual tests and treatments.
"What about the idea of saying, 'OK,' to a healthcare provider. 'A heart transplant is going to be based on the overall outcome and care that you provide for that patient,'" he said.
Obama sees waste in the private plans that contract with Medicare to manage the treatment of a quarter of its recipients - about 10 million seniors. Studies show those plans cost the government roughly 13 percent more than traditional medicine.
"It doesn't help seniors get any better. It's not improving our health care system. It's just a give-away," Obama said.
A major area of contrast is prescription drug coverage, also known as Medicare Part D, which Congress passed in 2003. McCain opposed it then, saying "we didn't have a single way of paying for it."
Now he argues Medicare could save $2 billion a year by making wealthier recipients - say, those making more than $80,000, pay for a larger share of their own drugs.
"People like Bill Gates, Warren Buffett, don't need their prescriptions ... underwritten by taxpayers," McCain said.
Obama, on the other hand, wants to authorize Medicare to negotiate with pharmaceutical companies to bring down drug prices - like the Veterans Administration does. He also thinks Medicare could save in the long run by covering more preventative care up front.
"I mean we will decline to give reimbursements for you to go to a dietician to lose weight, but we'll pay the $30,000 for the foot amputation when you get diabetes," Obama said.
The Impact
So, what would all those changes mean for Ruth and her family?
Allowing Medicare to negotiate with the drug giants, as Obama proposes, would likely lower prices, and, in turn, Ruth's expenses. For example:
Medicare currently pays $82 a bottle for her heart drug, Diovan. That's nearly double the negotiated price the VA pays.
"What do you think about the fact that Medicare can't negotiate currently with the drug companies?" Cordes asked.
"I think it stinks! I think they should be able to," she said.
The McCain campaign says its proposal to charge wealthy Americans more for prescription drug coverage would only impact the richest 5 percent - not the Shindle family.
Welcome news to a woman whose premiums are rising - fast.
"In 2005, for example, she was paying $153 a month for her supplement for health care," Debbie said.
And in 2007, she was paying $176.50. Now this year the fee has gone up her premium has gone up to $184.25 a month.
When it comes to patient care the family worries that McCain's idea to pay for treatment with one lump sum, rather than per visit, would limit their treatment options.
And they like Obama's plan to pay for prevention.
"Get it before you're too sick to take care of it. So I would have to go with Obama on that," Donna said.
Whoever wins, experts say, the next president can't afford to wait until his second term to fix Medicare's finances.
Not with the first of 78 million baby boomers set to become eligible in the next two years.
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See all 76 CommentsMedicare has contracted with for-profit, outside contractors and bean counters who cross off millions of dollars worth of claims, and refuse to pay.
It would not surpise me if Blackwater wasn''t one of them.
Who suffers? Our people, and the healthcare organizations who help them with their pain and suffering. It''s the healthcare crisis in a nutshell. And our standard of care in this country contiues to spiral down while compared to other countries.
How bad off will it be when you need help?
http://www.breitbart.tv/?p=207473
In an interview with WSJ reporters on October 6th*, McCain economic advisor Doug Holtz-Eakin openly stated they intend to pay for their health insurance tax credits through $1.3 trillion in cuts in Medicare and Medicaid over 10 years. That would mean reductions in benefits for Medicare and Medicaid of nearly 30% each year for 10 years, starting in January.
You might ask: Why did McCain wait until October 6th to spring this surprise on retirees with fixed incomes? And why is this plan only to be found in the Wall Street Journal %u2013 why is McCain not talking to us about his plan in the debates, or in his campaign speeches? But the answer to that question is obvious: to prevent seniors, and people getting close to retirement, from learning the truth about his plan before the election next week!
These massive Medicare cuts, which McCain economic advisor Doug Holtz-Eakin openly said McCain will make the tax credits, will effectively destroy these programs! In other words, seniors on fixed incomes can literally say goodbye to their healthcare benefits under McCain/Palin. But McCain never liked Medicare anyway %u2013 he and his buddies have been trying to kill this program for years!
Even worse, McCain%u2019s plan will throw us out of group insurance rates, and instead force us all onto the market as lonely individuals, with no market power, facing the powerful, unregulated health-insurance industry giants. And anyone with a precondition will not get any insurance coverage at all!
Who will benefit from the McCain Plan, may I ask?
In fact, the only choice for people:
who now have employer-based health insurance, or
who want a comprehensive family health insurance policy they can afford, or
who want to have Medicare still around when they retire,
is to vote for Obama/Biden!
John McCain%u2019s plans will destroy all chances for middle class people to ever get decent family health insurance coverage!
The Democrats, with Obama/Biden, are the only ones who intend to make health insurance affordable for middle class people!
(* read the full WSJ article at: http://online.wsj.com/article/SB122315505846605217.html)
That would be the one step further that Ashley Todd, the white woman campaign operative who made up the story of being mugged and brutalized by a black Obama supporter just three news cycles ago, had also been willing to provoke. (Remember Ashley? PITTSBURGH, Oct. 24 - McCain Worker Made Up Attack Story - To Be Charged With Making False Report).
Rogue actors, sure!
But they have been shown the way, and incited to their actions, by the rhetoric of Sarah Palin and John McCain, - who%u2019s gutter campaign tactics have been bringing just this element to the surface at their rallies these past weeks.
And that is the point.
This McCain-style campaign from the gutter must not be rewarded with victory at the polls, but rather, must be soundly defeated on election day, Nov 4th, just 7 days from today!
Remember Republicans posting about "Berg vs. Obama, Civil Action No. 08-cv-4083", seeking a Declaratory Judgment and an Injunction that Obama does not meet the qualifications to be President of the United States?
Let me pass on to the readers of this blog the following info:
This lawsuit has been thrown out of court (i.e., dismissed) as "frivolous and not worthy of discussion", as of Oct. 25th.
If there are more of these bogus law suits floating around in other courts, this decision will become the precedent for tossing them out, too.
Too bad for McCain, but as the old saying goes, when something appears too good to be true, it''s not - same with McCain''s chances this would ever save him from his well-deserved election thrashing in just 7 days.
By the way, this frivilous, now dismissed law suit was based on the "Obama''s a muslim" garbage these right-wing extremists have been spewing all thru this election. I wish they''d decide how they want it! Obama is a muslim - bad Obama. Or: the Christian preacher Rev. Wright is bad, and Obama is also bad for getting married by him and being a member of his Christian church for 20 years.
So wackos, which will it be? Both? I thought so!
http://www.youtube.com/watch?v=nUB79WJ9ktQ
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Obama has a 100% ANT-GUN voting record
Obama has a 100% Pro-PORK spending record
Obama wants GOVERNMENT RUN HEALTH CARE
Obama thinks ''LIFE IS ABOVE HIS PAY GRADE''
Obama WILL TAKE FROM YOU
Obama WILL GIVE TO SOMEONE ELSE
Obama WILL INCREASE GOVERNMENT IN YOUR LIVES
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VOTE NO - Mr Government OBAMA - VOTE NO
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PRO GUN RIGHTS - "Believes gun laws do not reduce crime"
LOW TAXES FOR EVERYONE - "do not raise taxes on anyone"
PRO AMERICAN VALUES - supports the present Constitution. Does not believe it is ''flawed'' like Mr.Government does
PRACTICES SOUND GOVERNANCE - he has never asked for Earmarks (Pork) in 26 years.
PEOPLE DRIVEN HEALTH CARE - supports private health care not run by the Government
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VOTE YES - JOHN McCain & SARAH PALIN - VOTE YES
WHITE PICKET FENCES: It%u2019s noted that Sen. Obama plans to utilize the 700 billion dollar bailout to convert suburban homes recently acquired by the government (due to failed mortgages) to Section 8 low-income houses for inner-city families. Despite stereotypical fears of crime, school deterioration, and plummeting property values, arguably a low-income relocation program to suburbia enhances social equity for poor inner-city families, integrates the suburbs, and affirmatively spreads the wealth.
WHITE PICKET FENCES: It%u2019s noted that Sen. Obama plans to utilize the 700 billion dollar bailout to convert suburban homes recently acquired by the government (due to failed mortgages) to Section 8 low-income houses for inner-city families. Despite stereotypical fears of crime, school deterioration, and plummeting property values, arguably a low-income relocation program to suburbia enhances social equity for poor inner-city families, integrates the suburbs, and affirmatively spreads the wealth.
Um..
It just smells.
I love how uneducated, mis informed, dogmatic party types just go apetastic at the end of an election cycle that might be a pretty good mandate for a large change in the way our government does business.
It is enjoyable and entertaining.
I love this country so much! At least we don''t pick up guns to settle differences. And the resultant pandering and hyperbole is entertaining. We indeed all live in the best of the best countries, with the biggest of the biggest set of idiots.
Please seek HELP! You post the same tired old things time after time and NONE of it makes any sense!
So? Be SCARED of the INTELLIGENT BLACK MAN people... be VERY SCARED! Be so SCARED that you will BELIEVE the LIES and Distortions posted and IGNORE the AMERICAN CITIZENS, like me, who have LIVED with and KNOW Obama for decades! These are truly the WORST among us and they need to be pitted but NOT listened too.
LOL
What happened to $250,000?
LOL
What a DOLT
Question: When being swarn in as Prez., which part of the Constitution will he NOT be able to uphold?
Idiot! LOL
Where are the semi-smart GOP trolls tonight? - perhaps they have seen the light and converted to DEM - LOL...
All the GOP tards are here though - so i''ll bust them up for awhile...hehhe
...INCOMING....;)
So are you capapble of rationally putting forward a GOP viewpoint or - yawn - just another GOP ****?
So have you used the tax calculator readily available online to verify this fact?
Plus is or is not the recent bailout of Wall Street -also agreed to by McCain - another example of spreading the wealth around?
..lets se if I can craft something from scratch in response...
1. Party of the CEO.
2. Party of the CEO.
3. Oh wait...alomost stuck on stupid like some of these GOP tards...
4. Party of the right wing nuts
5. Party of the right wing nuts
6. drat I keep repeating myself...
7. Keating 5, Abrahamoff, Stevens....
8. Keating 5, Abrahamoff, Stevens....
9. ARGH - my mind is being pollute by GOP cutNpaste - must - fight -back
10. Trickle down / voodoo economics
11. Trickle down / voodoo economics
12...whirl...clump reboot applied....okaY!
13. Palin.
14. MCain.
15. Joe the whatever....
16...
17..
hehhehe
First, it gets rid of subsidies for private plans, which are more expensive than regular medicare. I might add, that the cost of those private plans will keep increasing until they cannibalize the entire system.
Second, it lowers the cost of prescription medicines by allowing Medicare to negotiate with pharmaceuticals.
Third, it emphasizes preventative care. That''s the big cost cutter. Incidentally, I should add that environmental protection, OSHA, and SCHIPS make a lot of cents (in terms of dollars and cents.) The more we reduce childhood illnesses, the more we reduce illnesses caused by pollution and bad workng conditions, the more money we save down the road. Obama understands this. McCain, like all Republicans, just doesn''t get it.
A really great way to save Medicare would be to allow anyone to enroll in Medicare at any age. Then Medicare would have a pool of younger, healthy clients, a pool that would reduce the cost for everyone.
People should ask themselves, "Will we be better of 4,8 or 12 years down the road?"
For that reason alone, we need to elect Obama and his Democratic allies.
BUT, then came WALL STREET...
Our "fearless leaders LED by a THREE PAGE DEMAND from King George DEMANDED American TAXPAYERS COUGH UP 700 BILLION PLUS and according to the current ESTIMATES that WALL STREET PONZI ROBBERY is REALLY going to cost somewhere between FIVE TO TEN TRILLION DOLLARS!!!!
AND NOW...King GEORGE has to PLEAD with the PIRATES TO STOP HOARDING the "BAILOUT" ROBBERY MONEY????
THE "BAILOUT BUNCH" is "HOARDING" the cash so THEY CAN CRASH the nation further with the IDEA that once the US is TOTALLY "BANKRUPT" from PAYING THE PIRATES they can then SWOOP IN and "RAID" the REST of whatever is left solvent!!!
They''re ALREADY announcing plans to "BUY UP" (at BARGAIN PRICES) the "solvent" banks and businesses that THE PIRATES are RUNNING INTO TROUBLE by manipulating (DENYING) the CASH FLOW to them!!!
FEUDALISM here we come!!!!
and the RESULT of the NEOCON Government TAKEOVER?
WELFARE "BAILOUT" PAYOUTS for the WEALTHY
FEUDAL SERFDOM for the growing number of POOR
EXTINCTION for the shrinking Middle Class
YEP, REAL BRILLIANT.... let the PIRATE CRONIES that LOBBIED for Financial CHAOS and CONNED this nation into PAYING for their ORGY OF GREED have MORE POWER to financially ROB, RAPE and PILLAGE our Nation!!!
Have you have enough of the cut N paste GOP rhetoric yet?
Do you know your mind can still be saved if you give it up now and you wont go blind.
thanks
Also hopefully Obama will curtail the worse excesses of the crooks on Wall Street.
So why would a moderate president with a large popular backing and a superbly organised set of economic plans want to disrupt the whole process by seeing Joe from main street out of work??
Also I assume from the length of your post that you are NOT a low information voter?
I''ve seen this Rush Limbaugh "REVENGE" scenario printed repeatedly by other people also.
Interesting that this OBVIOUSLY well-off PETULANT person USES STIFFING the person that SERVED this person to INCITE ANGER then BRAGS about it.
For wait staff, their PAY is often REDUCED ALREADY by MANAGEMENT because they ASSUME the TIPS will be part of it. (to management''s advantage)
So this bit of SELF-SERVING CRUELTY and the encouragement of OTHER PIRATES to use this EXCUSE is tantamount to PUNISHING the INNOCENT to INSTILL FEAR and FORCE COMPLIANCE with their AGENDA rather than what is FAIR.
Bet the WAITER "doesn''t take care" of olivia4441''s food and drink the NEXT time this SELFISH DOLT comes in! The SERVANTS this PIRATE abuses have "ways" of "fixing" abusive DOLTS.
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