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Reports

Health Care’s Senior Moments

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Posted on Sep 3, 2009

By Ellen Goodman

When exactly did the Republicans start operating one of those marketing scams that target the elderly?

It was bad enough when Sarah Palin told a bald Facebook lie that there were “death panels” in the plans to reform health care. It was worse to see Iowa Sen. Charles Grassley flunk the “pants on fire” test as he seconded this myth. Republicans planted the fear that President Obama wants to “kill Granny.” Now they want Granny to kill health care reform.

I understand the marketing. Seniors were the only age group that Obama lost in last year’s election. He was change they didn’t believe in. Now polls suggest the folks covered by Medicare are the least likely to think health care reform will help them. In Gallup polls, almost 40 percent think it will worsen their care.

Then last week Republican Chairman Michael Steele began to sell a “Seniors’ Health Care Bill of Rights”—a pitch that contained no rights but an awful lot of frights. He targeted folks like the white-haired South Carolina man who furiously insisted at a town hall meeting: “Keep your government hands off my Medicare.” (Memo to the fact-checkers: Public Policy Polling reports that 62 percent of Republicans also think that government should keep out of that government-run program!)

Steele promised, among other things, to outlaw “any effort to ration health care based on age” and “prevent government from dictating the terms of end-of-life care.” I would stipulate that neither of these things is in any version of the bill, but that would just reduce my chance of being invited on Fox News from zero to none.

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He also promised to “protect Medicare”—presumably from the plan to save $500 billion out of a projected growth in its spending. He did not mention that the proposals would also close the “doughnut hole” in prescription drug coverage, provide subsidies to low-income seniors and give the Medicare trust fund five more years of life.

This is not just a robo-call to enlist senior citizens in making this Obama’s “Waterloo.” Republicans are basing the sales pitch on the idea that expensive care is the best care and that what elders really want is more. In health care, that translates into endless doctors visits, tests, procedures and maybe even more ventilators.

Could we put that on hold? First of all, “senior” is now a political demographic that encompasses a huge and varied life span. It includes someone who was fighting in World War II and someone who was born during World War II. What you might want at 65 you might not want at 85.

Second, with age and experience comes the knowledge that more is not always better. Nor are doctors the only people to assess what’s necessary. 

In the wake of Ted Kennedy’s death, there were questions delicately—and sometimes, I fear, indelicately—raised about his treatment for brain cancer. This aggressive, cutting-edge treatment gave him about the same survival time as standard care would have done. This was mostly good time. But other bereaved families are left asking whether they prolonged life or prolonged suffering.  They are left unsure whether doing “everything” for their elders was the right thing.

The fear-mongers are also selling the idea that there is something pernicious about a designated panel of experts studying and comparing the effectiveness of treatments. Such panels are not, as advertised, an automatic precursor to “rationing” but hopefully an aid to behaving rationally. Why would you not want to know what treatment was effective?

And if we may go back to the voluntary end-of-life conversations so deliberately framed as euthanasia, this may yet produce a gray backlash. Remember when conservatives thought that “rescuing” Terri Schiavo was a political winner? Seniors didn’t see it that way. There is a leap of illogic that turns a conversation into coercion. How many of the elderly politicians who took this item out of the Senate bill have themselves signed a living will? 

Finally, and forgive my optimism, I don’t think older Americans are dupes for generational conflict. The Medicare cohort is being told they can only protect what they have—a government-run plan called Medicare—by trashing a public option for their children. They’re being told to protect their Seniors’ Health Care Bill of Rights by denying rights for those who are younger and uninsured.

If someone comes selling that as your legacy, Granny, check your caller ID and block that con artist.

Ellen Goodman’s e-mail address is ellengoodman1(at)me.com.

© 2009, Washington Post Writers Group


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By annakarenina, September 7, 2009 at 3:37 pm Link to this comment
(Unregistered commenter)

I’m a Senior who doesn’t want to see my Senior Advantage eliminated. I’d like to
see ALL Seniors receive the benefits of the Senior Advantage program. I’d like to
see the Medicare age revised down to 55. Better still. Medicare/ Single Payer for
all!

Why is it that when funding the cost of a new Health Care program is considered
no one mentions the possibility of ending two costly and foolish wars, costing
taxpayers trillions, as a means of paying for Universal Healthcare for all?

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By mybagwell, September 6, 2009 at 3:53 pm Link to this comment

By altara, September 5 at 11:39 am

Well said altara.  That is as clear an explanation as I have ever heard.  Anyone who does not understand this
has been brainwashed by the right.

By Nighthawk, September 4 at 9:37 pm

It is good to hear that your parents are being well taken care of. I am glad they have a pension but I am sure you know that many have never had the good fortune to work for a company that provides one.  We have saved for many years and also lived very frugally and our house has been paid off for years but without generous company benefits we still need our Social Security checks and Medicare.  We would also like to see our granddaughter who works but does not receive benefits be able to afford health care.

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By dihey, September 6, 2009 at 7:35 am Link to this comment

It is pretty clear what caused the concerns of most “Medicare” insured. During the early stages of the Health Care debate President Obama had to address the issue of financing his plans. He suggested that some 500 billion dollars (over ten years) might come from “streamlining Medicare”. Ms. Goodman, there is no need to search for hidden motives.

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By altara, September 5, 2009 at 7:39 am Link to this comment
(Unregistered commenter)

HEALTH CARE CONCLUSIONS

The other day, a former neighbor came by to visit. At one point she complained that, having just signed up for Medicare, she feared the Medicare changes in health care reform plans.  Well, the reform does not threaten Medicare. Medicare changes are not the thrust of these reforms.  Medicare’s funding problems have to be addressed separate from current reform plans.

Putting aside drummed up fears like “death panels”. what’s not to like about health care reform? Certainly, there is the cost of insuring the uninsured, but most Americans are in favor of righting this wrong. (and we’re paying a lot for their health care as it is).  President Obama wants to eliminate pre-existing conditions limitations, prevent denials when illness occurs, help preserve insurance when jobs are lost, and reduce costs for the benefit of businesses and individuals.  It’s all good stuff.

Then there is the public option. This is not government take over or socialism; it is a public insurance option, to operate like Medicare.  At the outset, this option is necessary because we will have to subsidize some of the currently uninsured; and so we want a lower cost alternative. Longer term this government insurance operation will help keep private insurers competitive and can better negotiate with providers to reduce the overall cost of health care.

Everyone agrees that our health care system is broken and presents an unsustainable burden on our society. Now is the time for President Obama and the Democrats to bring the change voted for last November.

homer http://www.altara.blogspot.com

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By Nighthawk, September 4, 2009 at 5:37 pm Link to this comment

By Hulk2008, September 4 at 11:32 am #

You are quite correct.

By mybagwell, September 4 at 11:57 am #

Well, I’m spending some time taking care of my folks.  Nothing serious (full time), yet. Funny thing is, they don’t need their SS.  The old man has a decent pension and medicare covers what isn’t already covered.  It’s not that they’re well to do.  They’ve been saving forever, lived well below their means, in a house that’s been paid off for decades. 

They are children of the Depression. 

Sorry Purple, The elderly are not all selfish baby boomers.

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Purple Girl's avatar

By Purple Girl, September 4, 2009 at 2:09 pm Link to this comment

They are talking to the same ‘Me’ demographic they have always spoken to- except now they are newbie medicare recipients. Let’s not forget the last few decades have been between Tax cuts and ‘entitlement’ program funding.
These are the ‘screw everyone else, Cut my Taxes’ generation which has dominated the poltiical realm for the last few decades- it’s the Boomers.
They Tried to slice & dice Medicare, kill medicaid and put social Security on the casino floor.
Proof of Which chohort group of ‘seniors’ are against healthcare- Listen to what they are NOT asking about. Long Term care coverage. Home health coverage.Interim for new Appliance coverage (hearing aid, dentures,glasses). Reducing incidence of Abuse and neglect in Long term care….These are not their questions or concerns because they are New to being a senior. Their only ‘senior’ issues are covered Doc visits & hospital stays, medications and procedures. They have not reached the age that those things are no longer central to their existence.For Real Seniors It’s, ‘where are they going to live’, ‘who is going to help or care for me and how well’? Even more tell tale it is not your aged Seniors who fear dying, in fact for some they long for the reunion with all those they’ve lost. It’s the Young Seniors who are terrified of death, of leaving all those they love behind.
Calling this gray haried group ‘Seniors’ is a joke- their Aged Yuppies who want everything, at the expense of anyone else, as they always have.

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By mybagwell, September 4, 2009 at 7:57 am Link to this comment

Hulk2008

Sure you have been paying into Social Security but so has everyone else except those who live on investments.
However, those who make over the maximum get a free ride for anything over it. 

I appreciate every penny I get from Social Security and have paid into on 100% of my income for a lifetime.

I remember both my grandmothers who had to live with which ever of their children would tolerate them in the last years of their lives as they had no income.
It was not pleasant for them, not like the Walton’s at all. Their children actually fought over who had to take them and while they were not mistreated they were made to feel they were a burden. 

I did not resent paying for the retired when I was working and I am sure my children had rather I do not have to live with them.  Yes I do have a 401K and an IRA but they have lost so much value I would be in trouble without Social Security.  I find it hard to understand why so many are so averse to sharing some of their good fortune with others.  Maybe there some who are not deserving but most have worked all their lives.  Many are paid so little that there is nothing left over after living expenses to save.  I have been there, too.

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Hulk2008's avatar

By Hulk2008, September 4, 2009 at 7:32 am Link to this comment

To fwdpost:
    If you had contributed 6.2% of your pay to Soc Sec for each of those 50 years (as your employer would also have) and temporarily presume you reached the maximum amount each year (that was $102,000.00 last year if memory serves) and that money had been set aside to the tune fo $12,640.00 per year, you would be correct that there would have been a great deal saved up for you. 
    The problem is that the concept of such a “trust fund” or “lockbox” never was implemented.  There never was a savings rate applied to your accumulations.  The truth is that as a young person you were paying the benefits of the retirees each year during your own earning years - your stash was NOT being saved.  Your stash was not earning 4% or even .015% like current bank rates.  Most of the money was taken out and used for current retirees, wars, disability, and whatever - NOT accumulated. 
  So when current younger people say they are paying your retirement, they are not too far off base.  The stash has been getting depleted when people live longer or more people are disabled or parents die and their minor children need support or an administration launches wars of convenience.  Face it: Social Security is worthwhile; but it is not an investment account and never was intended to be such - it is an intergenerational compact at best.  Retirees have always been expected to do their own savings accounts - and remember when companies actually believed in rewarding their workers with defined benefit pensions ?  (Pension = buggywhip = whale oil lamp) 
  By the bye, I have been kicking into the kitty for the past 48 years in various industries, most of it in software development.

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By Lucienette, September 4, 2009 at 5:48 am Link to this comment
(Unregistered commenter)

This is my senior health care experience. I worked for a week as a receptionist at a pricey nursing home in Chicago’s Gold Coast. Over half the residents were in dementia.
The nursing home sends dozens of ambulances to it’s “sister hospital” for seniors to have tests everyday. Very few of the people are aware of being sick. Quite frankly they are almost dead.
One day I ended up at the sister hospital waiting for an e-ray. I caught an orderly wheeling one of the nursing home residents into the x-ray. At the top of my lungs I yelled, “That woman doesn’t work. I worked all day. I have waited two hours. I am next.” The woman was wheeled away and I received my x-ray immediately.
I am certain there are many more seniors who are really living and genuinely worried about health care changes reforms. Doesn’t anyone worry that much of senior health care is about preserving the lives of those who are basically already dead? Doesn’t anyone worry about paying taxes for pricey nursing homes to use an ambulances to run up the medicare bill? When it comes down to a cholesterol test for someone who hasn’t known his or her name for fifteen years and cannot get out bed do you want to pay taxes for it?

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By Outraged, September 4, 2009 at 12:02 am Link to this comment

“When exactly did the Republicans start operating one of those marketing scams that target the elderly?”,

Hard to say….. hard to say.  It appears it may have been since 1917 (or at least they’ve been precariously “placed” since then).  It’s always the Republicans….  Another good article @ Newsweek:

“In a 2001 paper entitled “Dying to Save Taxes,” economists from the University of Michigan and the University of British Columbia examined 13 changes in U.S. tax law since 1917 and concluded that benefactors die in greater numbers just before tax hikes and just after tax cuts. A 2006 study done in Australia, which abolished its inheritance tax in July 1979, reached the same conclusion. Statistics showed that more than half the people who would ordinarily have died in the last week of June 1979—and whose heirs would have been subject to the tax—managed to avoid it by surviving into July.  Republicans in Congress have created a similar inducement for Grandma not to die before January 2010, but to make sure she is gone by January 2011.”
http://www.newsweek.com/id/214267?from=rss

Maybe their fears are more real than we thought…. after all, they listen to the REPUBLICANS…. and when you do that, you NEED to fear for your life!

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By Nighthawk, September 3, 2009 at 4:41 pm Link to this comment

“It was bad enough when Sarah Palin told a bald Facebook lie that there were “death panels” in the plans to reform health care.”

Actually, you should be truly embarrassed.

Democrats, when factually confronted on the “end of life” provisions of the bill at town hall meetings, deflected criticism first by declaring (falsely) that Palin was lying, then by finally admitting that the language was there and vowing to remove it. 

Democrats, by their own duplicity, proved that Sarah was truthful.

Of course, these Democrat lies fall right in line with Democrat lies about the single payer “option”.

An option that is run with The People’s money while taxing and fining employers and individuals that do not maintain coverage approved by the Government will lead to a situation where competing plans cannot compete.

Single payer plan.  Not “option”.

Note that when I use the term “The People’s”, it is in the Constitutional sense, not the Communist sense.  Apologies for confusing the NeoComm Liberals here.

“Have you checked your spiritual development lately? “

Yep.  The Lord has given us Dominion over the world.  Not stewardhip.  Dominion.

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By fwdpost, September 3, 2009 at 12:56 pm Link to this comment

The brilliant young generation that never took economics in high school, or civics, is now lecturing seniors that Social Security is an entitlement and we contributed less than we get.
Over a period of FIFTY years I contributed $170,000, plus a similar amount from my employers. At even 4% interest you are talking about more than a million dollars in my phantom trust fund, maybe $2 million. The treasury note interest on the lower amount would be three times what I get from SS. Do a chart yourself if you are so smart.
The rule of thumb is that the low wage earners receive a benefit that represents half their high years wage, and the higher middle class workers receive only 25%. It’s a ripoff, and it is disgusting to hear some moron who works at Burger King blogging that he’s paying my social security.

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Allan Krueger's avatar

By Allan Krueger, September 3, 2009 at 11:30 am Link to this comment

I would dispute this - based on the behavior of many in this country.

“We are not humans going through a temporary spiritual experience.  We are spiritual beings going through a temporary human experience.”

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tropicgirl's avatar

By tropicgirl, September 3, 2009 at 11:14 am Link to this comment

Thanks for mentioning Sara Palin again. Yuh. Her polls just shot up and the
Democrats went down because of your incessant ranting. You need to stop.

And besides, what exactly do you not understand about “managed care”? And no,
doctors ARE the only ones to make these decisions. And if there are mandates to
save money, you can kiss your butt bye,bye at an earlier age.

I think you have put your brain aside for the sake of a cynical, depressed,
hopeless Obama who has lost the American trust.

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By Rodger Lemonde, September 3, 2009 at 9:31 am Link to this comment
(Unregistered commenter)

The Republican party seems to be suffering from Alzheimer’s. They don’t recognize their friends. They
forget what they did just a year ago. They don’t
recognize things they once were proud of. They don’t
know were they are going. They think a big black man is
attacking them. The list goes on.

The sooner we put them in a home with government care
the better.

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By mybagwell, September 3, 2009 at 9:19 am Link to this comment

I am one senior who would not mind giving up some of the great benefits I have with Medicare Advantage so that my granddaughter could afford insurance for herself and her children.  It seems that the opposition to health care reform is rooted in selfishness and greed.  Surely we are better than that.

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Hulk2008's avatar

By Hulk2008, September 3, 2009 at 7:02 am Link to this comment

Just because someone gets old (aka a “senior) doesn’t mean they suddenly become kindly or charitable or filled with wisdom.  U.S. seniors are every bit as greedy and self-centered and closed-minded as young people .... and they tack on the element of age paranoia to boot.  Granny is just as stubborn as ever and would wrestle her own 2-year-old grandchild to the mat for a stick of candy. 
    We constantly hear old-timers claim they have paid their own way into the golden sunset and “deserve” homage, care, and the good life.  The truth is that seniors on average burn up most of their FICA and Medicare tax inputs within a few brief years of retirement - they truly depend on the inputs of younger generations to keep it going.  Social Security and Medicare never were or will be self-supporting programs - people now outlive the basic designs.
  The Republicans now see an opportunity to begin killing off all the entitlement programs using the “death-of-a-thousand-cuts” approach.  Anybody who would make up a death-panel lie with a straight face would cart Granny off to the dumpster in a heartbeat without a qualm.  Politicians were born without consciences ..... what else should one expect?

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Fat Freddy's avatar

By Fat Freddy, September 3, 2009 at 3:13 am Link to this comment

Let’s see, many points to address here.

When exactly did the Republicans start operating one of those marketing scams that target the elderly?

1980? Ronny Reagan ran on a promise to “protect” Social Security. Now, seniors are turning to Republicans to “protect” their Medicare. I find it very odd that a group of people (elderly), turn to a Party (Republicans), to protect certain entitlements, that that same Party opposed when they were written.

—presumably from the plan to save $500 billion out of a projected growth in its spending. He did not mention that the proposals would also close the “doughnut hole” in prescription drug coverage, provide subsidies to low-income seniors and give the Medicare trust fund five more years of life.

Seniors were led (or should I say misled) to believe (by Republicans) that those cuts were to come from cuts in services. When in fact, those cuts are to come from administrative cuts.

The fear-mongers are also selling the idea that there is something pernicious about a designated panel of experts studying and comparing the effectiveness of treatments.

I think the medical community has this one covered, already.

How many of the elderly politicians who took this item out of the Senate bill have themselves signed a living will? 

Practically everybody that I know, that’s over 55, has a Living Will. Living Wills require the services of an attorney, which costs money. The so-called “Death Panel” provision was just a benefit that would cover those costs. Republicans, very effectively, used fraud and deception to remove a nice little added benefit.

If someone comes selling that as your legacy, Granny, check your caller ID and block that con artist.

Yeah, and don’t answer those emails saying that you won the Nigerian lottery, either.

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By christian96, September 3, 2009 at 12:12 am Link to this comment

There are so many of us sharing earth who haven’t
learned to share yet.  Just like a selfish child.
Please keep in mind, “We are not humans going through
a temporary spiritual experience.  We are spiritual
beings going through a temporary human experience.”
Have you checked your spiritual development lately?

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