Motivation; Standing up for what you believe in

On the news this morning, nationally, media outlets are reporting its official: the recession is over. Unfortunately, the jobless are and will continue to be the last to feel this impact. So what to do?

In between looking for jobs, I recommend using this time to get involved. There are lessons to be learned from Palin and the Tea Party advocates. They are vocal and organized in their efforts to keep the conservative premises alive and take down those who have worked hard to make needed change in this country like health care reform. Love it or hate it, it is needed. We should all have what the US Congress has for healthcare coverage. The question is: do you want what the Tea Party and GOP are advocating? Keep things the same; be obstructionist to progress; vote out those members of Congress who actually worked to make change?

We should learn from them to make an effort, as hard as it is emotionally, to keep those hard working representatives and Senators in Congress. Do you want what the GOP wants? Do you want to be part of a silent majority that lets the few over rule what is best for the majority and who uses fear tactics and lies to make it happen?

I think of Senator Reid who is a target of the Tea Party who did nothing wrong but work hard to compromise and bring change to the country. Health care is a liberty that each US citizen deserves. If you are looking to change places and people who do not do their jobs, I have some recommendations for you:

Veterans Administration: If you have ever dealt with them, this is the epitomy of turtle mentality....the slower the better; getting nothing accomplished in a timely manner; slough off to another employee who is overworked or just plain taking salaries for doing nothing. But this is a blog for a later time. That said, those of you who have ever dealt with the VA, know it needs change. Make it happen. Organize, Tweet, call and write everyone and anyone to make change. Write letters to the editor of your local newspaper; tell your stories of the inadequate follow through in this Federal Agency created to help Veterans and spouses.

Stop the Tea Party: get the facts and tell the facts to all those around you. Stamp out lies. Don't let a vocal majority ruin the democracy of this nation.

Congress: research your representatives and senators. Let them know your thoughts. If you really believe they have not done a good job, research the opponent and make the right choice for your vote.

For me, I would like to add the Maryland State Legislature and nominate them for the "doing the least for their salaries" ever in the history of this State or any state in the US.

More to come..................

Health Care Reform Law Effect on Medicare Part D Donut Hole

From Senator Reid's staff, information on Donut Hole under new healthcare reform bill. Please don't let Sarah Palin and the Tea Party and GOP destroy Senator Reid's exceptionally good career as the Senator from Nevada. If you do, it will be the start of a revolution that could destroy freedom (my opinion).

OVERVIEW

The much discussed ‘donut hole’ in the Medicare prescription drug program causes a significant amount of confusion and distress for seniors. When the Medicare prescription drug program (‘Part D’) was created in 2003, Congressional Republicans made a key decision to reduce the cost of the bill. Seniors are required to pay 100 percent of the cost of their prescription drugs, once they reach the initial coverage limit, and until they reach the point at which their spending hits what is known as the ‘catastrophic amount.’ This gap is referred to as the donut hole. The effect of this gap in coverage has been catastrophic for many seniors. According to one estimate, once seniors enter the donut hole, 15 percent stop taking their medication, and 57 percent of them remained off their medication. The health care reform law fixes this problem, providing seniors a $250 rebate check when they hit the donut hole this year, and starting in 2011, providing a 50 percent discount on brand-name drugs purchased while seniors are in the donut hole in that year, phasing to close the donut hole completely by 2020.


WHAT IS THE ‘DONUT HOLE’?

• Seniors are required to pay 100 percent of the cost of their prescription drugs once they reach the initial coverage limit, and until they reach the point at which their spending hits the catastrophic limit.[1]



• For 2010 the Part D benefit coverage limit is $2,830. After which beneficiaries are expected to pay 100 percent of their drug costs until their spending hits $6,440, a coverage gap of $3,610.[2]



• Without health reform, the coverage gap could have exceeded $6,000 by 2019.[3]



• Over 31 percent of beneficiaries hit the initial coverage limit of their drug plans in 2007, only one year after the program started.[4]





CONSEQUENCES, PRICE INCREASES AND PROFITS

• 15 percent of seniors entering the donut hole stop taking their medications. Five percent switch to an alternative drug in the same class.[5]



• 57 percent of beneficiaries that stopped taking their medications in the donut hole did not resume taking their prescriptions once exiting. Only 36 percent resumed taking their medications.[6]



• Overall drug prices increased by over 8 percent between 2007 and 2008. Prices rose by over 10 percent between 2008 and 2009. According to Express Scripts Inc., one of the country's largest pharmacy-benefits managers, drug prices rose by more than 10 to 15 percent between the first quarter of 2008 and first quarter of 2009.[7]



• Pharmaceuticals are the third-most profitable industry in the United States, with profits at 19 percent of revenues.[8]



• The 2008 gains of the top 21 drugmakers amounted to $51.5 billion.[9]





IMPORTANCE OF HEALTH CARE REFORM

• In 2020 the Health Reform law completely closes the donut hole.[10]



• The Health Reform law provides a $250 rebate check for Medicare beneficiaries who hit the donut hole in 2010.[11]



• Beginning in 2011, the law institutes a 50 percent discount on brand-name drugs in the donut hole.[12]



• Over 70 percent of respondents to a recent survey said it was either extremely important or very important for a health care reform law to close the donut hole.[13]





NUMBER OF PART D BENEFICIARIES HEALTH REFORM PROTECTS FROM THE DONUT HOLE



STATE NUMBER OF BENEFICIARIES[14]

Alabama 143,000

Alaska 10,600

Arizona 151,000

Arkansas 89,800

California 794,000

Colorado 102,000

Connecticut 97,100

Delaware 24,800

District of Columbia 13,300

Florida 565,000

Georgia 203,000

Hawaii 34,300

Idaho 37,700

Illinois 314,000

Indiana 170,000

Iowa 89,700

Kansas 73,900

Kentucky 129,000

Louisiana 116,000

Maine 44,800

Maryland 132,000

Massachusetts 180,000

Michigan 279,000

Minnesota 133,000

Mississippi 84,600

Missouri 171,000

Montana 28,400

Nebraska 48,000

Nevada 58,200

New Hampshire 36,200

New Jersey 227,000

New Mexico 51,900

New York 511,000

North Carolina 247,000

North Dakota 18,800

Ohio 325,000

Oklahoma 102,000

Oregon 103,000

Pennsylvania 393,000

Rhode Island 31,500

South Carolina 127,000

South Dakota 23,300

Tennessee 177,000

Texas 493,000

Utah 46,500

Vermont 18,600

Virginia 190,000

Washington 159,000

West Virginia 66,000

Wisconsin 155,000

Wyoming 13,500



[1] Kaiser Family Foundation, 2010 Primer

[2] Kaiser Family Foundation, 2010 Primer

[3] Kaiser Family Foundation, 11/2009

[4] CMS: Medicare Releases Part D Data For 2006 And 2007 At Medicare Prescription Drug Benefit Symposium

[5] Kaiser Family Foundation, 8/2008

[6] Kaiser Family Foundation, 8/2008

[7] Testimony by Gerard Anderson before Senate Special Aging Committee, 3/17/10; Wall Street Journal, 4/15/09

[8] Boston Globe, 11/21/09

[9] Boston Globe, 11/21/09

[10] HR 3590, signed into law 3/23/10

[11] HR 3590, signed into law 3/23/10

[12] HR 3590, signed into law 3/23/10

[13] Kaiser Family Foundation, 2/2010

[14]HealthReform.gov, accessed 3/23/10

Health Care Reform and Health Care for Seniors

This past year, I was fortunate to be one of 5 bloggers who got to communicate with Senator Reid's office staff on Healthcare Reform and health care coverage for seniors. Today I received the following videos which I hope helps all of us to understand more about the changes ahead.

Now that health care reform has passed, we just finalized a video that explains what the health care bill does for seniors:

 http://www.youtube.com/watch?v=mJJrBbZJ5vA

For any information you might need on the bill and it's provisions that affect seniors, please go here:

Section by Section Analysis of the HCR: http://dpc.senate.gov/healthreformbill/healthbill63.pdf

There is more coming on the Donut Hole for Seniors.

I heard today from the Huffington Post that the Republicans are using an old tactic in the Senate: leaving at 2 PM daily as their means of obstructing progress. Are they kidding? they did not have to leave at 2 to obstruct progress; they did that daily!

I hope everyone is aware of who voted no and why they did it. Most of these people need to leave the Senate permanently not just at 2 PM.  To read a brilliant blog on this and more,  please go to see "Listen to Me!"


http://www.birdsonawireblog.com

More to come

Health Reform as we wished for has been pronounced dead

According to the Huffington Post (http://www.huffingtonpost.com/2009/12/10/pelosi-backs-off-public-o_n_387197.html}, Pelosi has thrown in the towel, and no one is standing up for the public option. So almost 50 million US citizens, will now not have the hope of life with health care coverage. Personally, I cannot stand Pelosis or the other power monger, partisan, imbeciles in Congress. Senator Reid: where the heck are you in this?

Almost 70% of the US citizens want a public option. The good news is that Medicare will have an option for 55+ now. Gee,.....duh...some of us have been saying just do Medicare for all to share the risk and lower health care costs and get it done quickly. But some of us actually work in health care. What makes us think we know what we are doing? We have people in Congress who know how to use anatomical parts of their bodies and take oodles of money from managed care companies....but are soooo clueless when it comes to actually providing legislation to protect, perserve the citizens of the United States. And they get their health care coverage paid for by you and me....that's good because I bet some of these congressional geniuses couldn't write a check for payment...but they know how to deposit those checks don't they......

So sick of this. Wish there was an election tomorrow to get rid of all of Congress and start over. Mr. President, I voted for you and am disappointed you did not stand up for this public option. Senator Ted Kennedy must be turning over in his grave.

Don't Make More of it, than it is: what's "it"

Ah, much ado about nothing or something, depending on your perspective. Example: the Yankees won the World Series, congrats but most of the news on the Internet is about the recent 2 state governor's loss to Republicans and the so-called impact on Obama and pending legislation. BS! Local politics is local not national yet the media seem constantly to be searching for garbage to promote...negativism, who needs this? not me.

When Hillary Clinton was running against Barack Obama for President during primaries and Md Governor O'Malley endorsed her, that was the kiss of death for her in MD. Marylanders are not enthralled with Governor O'Malley, and I believe if the former Republican Governor, Bob Ehrlich were to run against O'Malley today, Ehrlich would win. Does his mean we don't endorse health care reform? No, in fact MD Is ahead of the game with low cost and free health care in state and certain counties. Does this mean, people in MD hate Obama? Not. Yet on most of TV Talk and media outlets the pontification of the impact of 2 Republicans taking over formerly Democratic Governorships is the talk. And it occurred on the anniversary of Obama's election. Spare me. Local is local. Period end.

Obama took over with a lot of issues. He started working before he became President. Is it perfect? No. Do I think he is doing a good job? Yes. Look at him. He is grayer and skinnier than before. He has a lot on his plate. Do I wish he would be more emphatic in his pushing on health care reform and public option? you bet. But given what predeeded him, I think Obama is doing very well. The media picks on everything. And the ponitificating is getting so intense that I only watch the Today Show and no news on TV. I get the news from the Internet and read several different articles to try and get one non-biased, factual story.

Thank goodness for reality shows that are non taxing, non ponticating, non life/death (though I cannot figure out why Top Chef had the reunion show in the middle of their hotly contested series). The good news is Project Runway is on tonight. Life is good.

But I can't close without my asking you to call your congress representative to make your voice heard on health care refom and your senators. Tell them you want this vote before the end of this year. Senator Reid now says vote won't occur before 2010. Not acceptable...45000 more people will die from no health insurance...a fact. And our Congress seems to always make more of something; make things more complicated than they have to be....when Medicare came into being, it took only 10 months not 3 years as Congress is proposing for health care reform. Can you live with this? I cannot. So here is the number once again to call either the House or Senate: 202 225-3121

Health care is a freedom and liberty. We don't have to make it complicated. If every other country can provide BETTER health care to all their citizens at no or low cost, certainly we, the USA can do it.  But then, that might just leave some politicians not getting millions of dollars to decide on how to vote. BS. Just do it.

Baucus still leads in moneys from insurers and more, a must read

If you do nothing else today, you must read Time Goes By today: http://www.timegoesby.net/weblog/2009/10/the-nonpublic-option.html to see the list of Senators taking money from pharma and insurance lobbyists. These are the same people who we elect to protect us. Hahahahaha.

If you do not read this blog today, at least go here to find out who in Congress is getting moneys from the insurers and pharma to control what kind of health insurance you and I get. Make note of those names. We can control this by not voting them in again if we do not get health insurance for all that is affordable. My own state of Maryland: Senator Mikulski accepted over $90,000 from healthcare and pharmaceutical product industry...not huge but why even bother? Senator Cardin accepted over $300,000 from health professionals, no insurers/pharma companies listed.

Stall tactics that is what Congress is best at. Only Senator Reid is free from receiving moneys. In my book, he has been elevated to Sainthood. And he is listening to the public option. I found out from Ronni's blog listed above that President Obama took out the possibility of a public option coming under Medicare. So I ask President Obama why? Was is too simple to use an infrastructure that is already in place to provide health coverage? Medicare is not perfect but it works. And if we took the age factor out, it would work better. It seems so logical to spread risk in health insurance over 100 million people, rather then put 40 million in a separate pool. The risk factor would decrease; costs would decrease. And it's already in place. It could actually work. What a concept! Making something work simply, easily and at less cost. Who knew? Certainly not our Congress.  And sadly, not even President Obama. And that saddens me even more.

If you do not make your voice known, you will have no say in the health care destiny of you or members of your family. If you do not make your voice known to Congress to tell them how you feel about their taking money from industries who control the US health care system, then we all reap the consequences. I am not willing to sit back and do nothing. I hope you feel the same.

So here is the link to find out the phone/email of your Rep and Senators in Congress and even the President. The rest is up to you.

more to come..............

Who Does Congress Really Represent?

While I heard some encouraging news from a conference call several bloggers and myself had on Friday with Senator Reid's staff, I am still left wondering: who does Congress really represent?

The good news? Staffers reported that Congress really is taking note of what their constituents are saying (let's hope they actually confirm a healthcare reform bill based on what their constituents want). So, that part is up to you and while I am sure you are sick of reading that here...if you truly care about the future of healthcare and how coverage plays out, you MUST make your voice heard. Here is link to contact information: http://www.senate.gov/general/contact_information/senators_cfm.cfm

The Baucus Bill has no public option even though recent polls showed over 67% of the US voters want it. This week and ongoing, the Congress will try to reconcile the Baucus bill with other bills that do have a Public Option. Ronni Bennett of Time Goes By does a much better job of describing this on her blog:http://www.timegoesby.net/weblog/

What Ronni reminded me of last week was that it only took 11 months for Medicare to be implemented. And while not perfect, Medicare works. If it were revised and streamlined, its infrastucture could be used for the Public Option. More then that, this merging could finally remove the age factor in health care. Health coverage is a freedom...a liberty. We are the only large nation that does not have a public option for its citizens and our health care is viewed as one of the worst in the world. The Baucus Bill does not go into effect until 2012 or later. Really? More people will die...thousands...I find that appalling but then I find a family wanting publicity and willing to have their children lie..also appalliing (balloon boy)...what are we coming too? Did they learn that publicity is more about negatives, fear, possible death and negative outcomes? then doing good? I have my own thoughts on that and won't bore you with those.

The truth is, we cannot count on the Media to help push a public option through even though that is based on need and facts; we cannot count on the Senate to push a public option through based on current history; we could CHANGE outcomes if we believe and take 5 minutes out of our day to contact CONGRESS NOW and let your voice be heard. CLICK HERE

I could go on and on about the money factor: the greed and perceived buying of votes based on profits and huge salaries, rather then need (and it's more then my opinion). Frankly, it is exhausting to repeat this crap again. Right wing Democrats and Republicans have tried, and often succeeded, to rule the lives of all Americans. This country was based on the freedom for all principle; not just the few.

So my question to you today is do you want your health care coverage decided by a few? based on profits? or based on need?

more to come

Grey Day...Grey Me, Pun Intended

I have a full time job looking for a job. I have learned a lot in this process. It's a game....I hate games. I hate playing the game to get someone's attention but I do it because there is no other option.

Now you have to have "keywords" in your resume as most employer HR departments use technology to scan the over 100-200 resumes they get for each advertised job. I would be happy to review resumes for any company looking to fill a position. But I guess I would cost more then technology.

I have a different resume for each job applied for. Next week I am going to a job placement agency that offers retraining. Who knew? But it's all good.

I started signing up for online surveys. Mostly with Greenfield and Nielsen, two companies I trust that do not charge and do alot of online surveys. The surveys take from 3-20minutes. Sometimes you get paid a whopping $2 and sometimes you get your name placed in a sweepstakes to win up to $1000. I have never won anything so am not counting on this. But I did "make" $6 so far this week. And I also got rejected from about 100 surveys because of age or profession. Wow, a symbolic reflection of my life now?

I refuse to make more of this then it is but today is rainy and grey so rejection fits my mood and the color of my hair. But, like Scarlett O'Hara, there is always tomorrow...when I am getting my hair colored just in case....and tonight will play the Mega Millions....there is good news: Senator Reid's office is doing another conference call with some bloggers (me included) to discuss the outcome of the Senate Finance Committee's passing of a health reform bill. They may regret my participation as I am NOT happy about no public option inclusion in this bill.

And my Twittering has gotten me some contacts with media and more...and my grandkids give me more joy than anything else...so onward and upward..

more to come....................

Life, Liberty, the pursuit of Happiness, Part 5 I think

First, update on healthcare refom: Senate finance committee passed bill with No public options; taxing of those who do not get health insurance, etc. Not perfect, not even good frankly. We need public option. Am part of conference call (with several bloggers) with Senator Reid staff tomorrow. Will let you all know.

But it is very important that ALL human beings have the freedom of health care coverage. Please, please let your voice be heard and contact your Congressional reps and tell them you want PUBLIC OPTION.

Ok, moving on.....to the flight from reality to reality shows and more. Top Chef was great last night, as usual. Can't wait to see Project Runway tonight as Nina Garcia is BACK!!! Sorry Drop Dead Diva is finished for their season. Really enjoyed the show.

Noticed Today Show today (pun intended) has some feel good stories. One inspiring story about a kid with one leg who is a sports player with no use of prosthesis.
See this:



And they did some other feel good stories. Hurray for Today! I actually feel pumped after this. I think I will promote the good stuff that I see. We all need some great stuff to inspire us to move on in life and do good for others. When you give, you get.

Heard any feel good stories? Feel free to post them here. Oh, and did you visit Emma Wallace on youtube yet? See post I did on her recently.

More to come.................

Conference Call with Senator Reid Team; Health Care Reform

Ronni Bennett of TimeGoesBy blog organized a bloggers outreach on Health Care Reform that motivated me to blog, ad nauseum to some, about my thoughts on this very important matter. As a result of that, Ronni  spoke with Senator Reid's team yesterday and then today 4 other bloggers, myself included, we invited to speak this morning with a team from Senator Reid's office, health policy people and staff, related to Senator Baucas plan. Ronni will be blogging on more specifics on the Medicare aspects of reform; the actual process involved in getting this bill through, and more tomorrow at http://www.timegoesby.net/. My post is my view point on the general topic of getting health care reform bill passed. Some facts, a lot of opinion, and pure emotion.

I spent most of last night and this morning reading Senator Baucas plan that the team graciously supplied to all of us on the call. I am now officially brain dead. This bill is, in my opinion, awful. There is NO public option plan. It is a lesson in how politicians keep their jobs and give buraucracy a lousy name.

What I learned from the call that is positive:

Medicare will cover prevention testing free to subscribers

Medicare will cover free annual check ups(instead of just ONE when you sign up)

If you are in the donut hole on Medicare, you will get a 50% reduction discount on brand name drugs but get credit of 100% toward coming out of the donut hole

There will be a .5% increase in reimbursement to doctors and NOT the 21% reduction. This will keep doctors on the roll of providing medical care for seniors.

What is negative:

no public option plan

574 ammendments submitted as of yesterday

still no coverage of bone density scans as prevention for osteoporosis which has increased health care costs related to this disease to a whopping $19 billion!

No agreement between Repubs and Dems on bills and ammendments

What is hopeful:

House bill does have public option plan

HELP has public option plan (HELP is the anacronym for the Senate's Committee on Health, Education, Labor and Finance)

The call: the staff were very nice, helpful and listened to our concerns and explained the process.  For me, someone who has been in health care in one way or another for more years than I care to count, I do not understand why Congress continues to make something so simple, so difficult.

My question: Medicare is in place. It is not perfect but provides good health care coverage for over 40 million seniors. You do pay a premium for Medicare that is managable to most. If you cannot afford it, and are eligible for Medicaid, Medicaid will pay for Medicare. This is called dual eligibility.

Medicare has an infrastucture in place. True it has some bureacracy but what health insurer doesn't? So, very simply, why  not make Medicare the PUBLIC OPTION plan for the uninsured? tada! Simple. Easy, Fast.

Frustrating...some of congressional staff/members actually suggested this but its not going anywhere. Don't ask me why.

The good: Congress is getting calls, emails, phone calls on Health care reform. So if you have a view point, make it known. Or suffer the consequences of non action.

I know the President's bill and others make certain conditions a necessity in changing the managed care insurers but they forgot to eliminate the term MCO love: Medical necessity which is used to deny coverage for "anything" the plan deems too expensive.

I loved the staff today who were very helpful and honest. More than that, they were willing to listen. Tell everyone you know to call, email, blog about health care reform. Congress is listening. And that is the best news I can offer.

Frankly, I am drained from frustration related to what I perceive as the mind boggling reticence on the part of Congress to make a simple, easy to use health care system possible. Health care coverage is a liberty. I thought liberty for all was part of our US Consitution. Remember when Patrick Henry  said: "give me liberty or give me death"? It is evident today that he was also including health care coverage.....pun intended.

More to come.....