MIT experts on the future of health-care reform: Congress should still think big
March 14, 2010 by Stacy42 · 6 Comments
From MIT News – web.mit.edu/newsoffice
The Future of medical insurance in the US.
Just over a week ago, passage of a landmark federal health-care bill seemed a dead certainty. But the flip of a single U.S. Senate seat has changed all that, leaving the Democratic Party highly uncertain about how – or whether – to proceed. Given the current flux in Washington, a panel of MIT health-care experts assembled yesterday to assess the situation, often hammering home the idea that political half-measures will yield little in tangible health-care results.
“You can’t break this bill apart and have it work,” said MIT economist Jonathan Gruber. “It’s all or nothing at this point. The Democrats, and essentially the president, have to decide if they’re willing to go for it all, or are willing to live with nothing.”
First, though, Gruber, a central architect of the Massachusetts health-care system that has served as the model for the congressional legislation, acknowledged his extreme chagrin over the political reversal that accompanied Massachusetts Republican Scott Brown’s victory last week in the special election to replace the late Sen. Edward M. Kennedy. “My kids are like, ‘Why are you so sad, daddy?’” said Gruber, speaking at The Stata Center. “I explained, ‘Imagine you worked on a term paper for a year, and you were about to hand it in, when someone turned off your computer and you lost all your work.’”
Brown’s victory has caused multiple fractures among Capitol Hill Democrats. Some legislators want to drop the health-care effort entirely; others say Congress should only pass popular portions of it, such as making it illegal to deny insurance based on pre-existing conditions; and still others want to reconcile the existing, separate health-care bills already passed by the House and Senate.
Gruber made it clear he favors the last position, telling the audience the healthcare plan is like “a three-legged stool,” and “doesn’t work unless you have all three legs.” Those three pieces are reform of insurance markets (including banning those denials of coverage based on pre-existing conditions), the existence of an individual mandate requiring everyone to have insurance, and subsidies to make insurance affordable for low-income people.
For instance, simply allowing people with pre-existing conditions to sign up for insurance, Gruber argued, would be ineffective by itself. In that scenario, more people with pre-existing conditions would have coverage, rates would rise and lead healthy people to drop out of the insurance markets, and to compensate for those healthy people dropping out, insurance companies rates would raise rates further.
A hidden benefit of health insurance: Innovation
Yet even if a large-scale health-care bill passes, cutting health-care costs remains the “$2 trillion question,” said panelist Joseph Doyle, an economist at the MIT Sloan School of Management. Many observers have noted in the last year that regional disparities in health-care expenditures around the U.S. have nonetheless yielded similar patient-care results. But Doyle’s own research in Florida suggests otherwise. The city of Fort Lauderdale spends 30 percent more on heart patients than West Palm Beach, he stated, but has a mortality rate that is 30 percent lower. Instead, Doyle said, we would perhaps be better served by, among other things, incentives for hospitals to avoid care problems like re-hospitalization for the same illnesses: “Nobody likes to go back to the hospital.”
Still, as MIT economist Amy Finkelstein pointed out in her remarks, the value of universal health-care coverage goes beyond the medical services rendered. The introduction of Medicare in 1965, a subject she has studied in detail, produced “a dramatic decline in the share of the elderly with large out-of-the-pocket payments,” Finkelstein said, meaning that it left more senior citizens in better financial shape than they would have been without Medicare.
Moreover, Finkelstein argued, Medicare went hand-in-hand with an increase in technological innovation in the health-care sector (from procedures to devices to drugs), a scenario that could be repeated if a serious bill is passed by this Congress. “If you have insurance, the idea that whatever happens to people who are uninsured isn’t going to affect you is a very misleading notion,” Finkelstein explained. “When you increase the share of the population with insurance, you increase the market size for these technologies, and you almost surely increase the pace of development of these technologies in the future.”
But will any bill at all emerge from Congress? Political scientist Andrea Louise Campbell sounded a skeptical note. “The American political system is very status-quo-oriented,” she said, with a lot of “veto points,” such as the current Senate convention that the Democrats need 60 votes to pass the legislation.
Those 60 votes would not be necessary if Congress elected to use the reconciliation process, which would essentially mean that the House would pass the Senate bill, then have both branches of Congress modify it, which would require just 51 Senate votes in the end. Yet as Campbell noted, that would still be difficult: 47 Democratic House members represent districts that the Republican nominee, Sen. John McCain, carried in the 2008 presidential election, and may be unwilling to back any health-care bill at this point.
Alternately, Campbell suggested, those representatives might prefer to pass popular-sounding segments of the health-care bill, like lifting the pre-existing conditions blockage, even if the policy results seem dubious. “What might be feasible politically, might be disastrous economically,” Campbell said. “They might pick out certain features without the counterbalancing features that make the whole package work. That might end up accelerating the unraveling of the system.”
Your Medical Insurance Providers May Not Insure You While You Travel
Should you open up your passport to the second page, you will notice a caution which states that any person who is thinking about overseas travel must research which travel medical health insurance coverage, they would require whilst they are outside the United States. For every US national travelling abroad, Medicare does not cover the medical treatment costs past the United states and US territories, apart from in rare instances in Canada and Mexico.
It may surprise you to find out that a lot of worldwide travelers travel without suitable and sufficient insurance cover. United states Government sponsored health insurance plans, like Medicare, are highly doubtful to insure any urgent medical care that you might have to receive in a overseas nation. Employer sponsored plans often retain inadequate coverage abroad, for emergency care only, just so long as you can prove the emergency. Whether you’re roaming on business or for amusement, you probably have gaps in your travel medical coverage which you’re not even aware of.
Obtaining one or two low cost or cheap intercontinental travel medical insurance rates on the internet from quite a lot of companies is very simple to do. If you’re searching for a group plan there are a small number of group insurance policies which are relatively inexpensive, and if you’re in the company of a tour group or visiting business delegation you would save a lot of cash with group travel medical insurance. Whatever compromise in the cover you prefer to make concerning the dangers and expenses, look around not only for cheap worldwide travel medical insurance policies, but also for a highly regarded company that offers you total information, has open view working and is not elusive concerning any of your queries.
If you have medical insurance coverage in the United states, evaluate the coverage that you have. Verify with your insurance issuer and clarify just what type of coverage you hold, within the existing policy. Should you deem that the provided cover is not a sufficient amount, get your travel medical insurance cover improved prior to leaving home. If you don’t already have insurance, you know how problematical things can occasionally get. Ponder how much worse it would be in a distant and strange country.
Exclusive policies for people in the profession of teaching are additionally available. Whether you are a student, a faculty member, a scholar or a researcher who is getting full-time education in a different country, you will come across international insurance that will fit your medical needs. Cover could span from one to twelve months and is renewable. Renewal of a plan will need to be prepared before the plan lapses. You could be reimbursed as much as $500,000 in medical costs through your cover.
Domestic travel insurance plans are not designed in any way to perform suitably with hospitals and doctors overseas, which could fire your frustration if you have any medical troubles while traveling.
Medical Insurance R Us is the premier resource for compare medical insurance information and medical insurance abroad on the internet. Visit the website now to get medical insurance rates information. Click on the links above to find out more.
How to avoid rip off for searching the simplest accessible insurance qutoes
February 1, 2010 by Stacy42 · 2 Comments
One of the most effective budgeting lessons I ever learned wasn’t to easily renew my existing service contracts and policies while not looking around first. It could be a competitive market and there are various smart deals and promotions on health insurance quote ca you simply have to look for it. Most individuals keep with the identical providers as a result of of the convenience, however doing thus will finish up costing you money in some cases. By being vigilant about these varieties of things, you’ll save big.
When scammers like these steal from the govt. they usually think that they’re stealing from a massive faceless entity; they figure that when Medicare falls short of cash, the government will simply hand it more. They finish up feeling that they are not such unhealthy individuals, since they’re not very taking anything from the poor. But they are after all taking money from lots of struggling households that are paying taxes. I would say it’s a smart best internet marketing. Therefore what was it that tipped the police off during this case?
It is very important to consider your work or employer. More than likely there is health and dental insurance coverage provided through your workplace. You must ask your supervisor about what options you’ve got at your disposal, if you do not already know. When you get insurance coverage this manner, a little of your paycheck is taken out. Even for your Child for adoption, correct insurance set up ought to be in place. You just permit your company to accommodate it. However, you do not have to induce health coverage this way. You’ll be able to refuse their arrange and get coverage on your own. The thing is, most major firms get you a lower rate through your workplace.
It used to be the Medicare health insurance fraud was one thing that attracted the educated categories for a little simple money. However this is quickly turning into something that basically will need the president’s personal attention because it does now. Doctors, homeless individuals, elderly patients and FBI agents are being threatened for compliance and silence, there are dead bodies turning up everywhere, of folks executed mafia-style. The sort of cash accessible for easy pickings within the Medicare scheme makes alternative arduous-core crimes seem like needless exertion. If you were a arduous-core criminal trying to run medicine past the border, risking getting shot or captured for life behind bars, would not a mere 5-year prison sentence for bilking the Medicare scheme seem abundant a lot of tempting? Of course it might, particularly if it’d internet one $50,000 in pure profit every day. They’re going apply for a Medicare provider license, and just get into business.
How long does it take to recover from reconstructive surgery?
September 2, 2009 by Stacy42 · 8 Comments
Weight loss surgery had its beginnings 40 years ago. Doctors noticed that people who had parts of their stomach or intestines removed to treat ulcers or cancer tended to lose a lot of weight after surgery – regardless of what they ate. Weight Loss Surgery is not for everyone. Candidates must be at least 100 pounds over your ideal weight and ready for a permanent weight loss solution. Weight loss surgery may offer hope of significant and lasting weight loss.
Weight loss surgery has a tremendous, positive impact on the health issues associated with excess weight. We have many years of experience performing laparoscopic surgery and have chosen to dedicate our practice to LAGB surgery – the best permanent solution for obesity. Weight loss surgery techniques, such as gastric banding, have been shown to be effective in reducing body weight and obesity-related diseases, such as diabetes. Although the results of these procedures are widely beneficial, there are some complications. Weight loss surgery involves some continued disadvantages as the patient heals as well.
Weight loss surgery does not cure back pain, but in many cases patients find relief. Weight loss surgery isn’t for everyone. Some people are actually too heavy for it because they have so many other health problems. Weight loss surgery limits the amount of food you can take in. Some operations also restrict the amount of food you can digest.
Gastric bypass surgery and gastric lap band surgery are two weight loss operations that are more popular than ever. They work by shrinking the space available to store and digest food, so patients feel fuller faster, as well as by poorly absorbing the food, so that fewer calories are taken in. Gastric bypass involves separating the stomach into a small pouch. This partitioning delays the mixing of food and digestive juices from the lower stomach.
Medicaid is the federal government’s health care plan for certain low-income individuals and families. Whether Medicaid covers weight loss surgery varies on a state-by-state basis. Medical science does not know enough about how our bodies work yet. Weight-loss surgery is an experiment, and people are the guinea pigs. Medicare patients can only be operated on by COE surgeons. You mught need some Reconstructive Surgery about 2 years after your Gastric Bypass Surgery.
Obesity is defined as a body mass index (BMI) of 30 or more, and morbid obesity is characterized by a BMI of 40 or more. The research team controlled for age and diabetes status. Obesity is the most common chronic disease in the U.S. Louis Flancbaum, one of the world’s foremost experts on weight-loss surgery, takes you through the entire process, from presurgical evaluation to postop care.
This is not medical advice, diagnosis or treatment. You should consult your doctor if you have questions regarding any medical condition, before starting any new treatment, and before stopping any treatment that has been prescribed for you.
AARP Health Insurance
August 8, 2009 by Stacy42 · 3 Comments
AARP Health Care Options:
Ages 50-64 AARP Health Insurance Plans:
AARP Essential Premier Health Insurance: Specially selected individual major medical health insurance plans offering quality coverage for you and your family.
AARP Essential Health Insurance: These basic fixed-cash hospital indemnity plans offer some coverage with a significantly lower premium.
AARP Essential Plus Health Insurance: Enhanced fixed-cash hospital indemnity plans offering a lower-cost option to major medical insurance.
AARP Hospital Indemnity Plans: Competitively priced indemnity plans with fixed-cash benefits payable in addition to other health insurance you might have.
AARP Long Term Care Insurance: Protect your retirement assets and plan for your future with coverage designed to help offset the high cost of care.
AARP Prescription Discount Program: Obtain discounts on your prescriptions that are purchased through retail pharmacies and mail order.
Ages 65+ Insurance Products
Choose from an array of quality Medicare Advantage, Medicare Supplement, and Medicare Prescription Drug insurance plans specially designed for Medicare-eligible persons – all in AARP Health Insurance plans.
AARP Medicare Complete: These are comprehensive plans that offer you all of the benefits of original Medicare plans and more, such as prescription drug coverage, no limitations on pre-existing conditions, and fitness benefits.
AARP Medicare Rx: This is a Medicare prescription drug coverage plan to help you deal with the rising costs of prescriptions and any unexpected changes in your prescription needs.
AARP Medicare Supplement: Plans that help cover some of the expenses not covered by Medicare and help limit annual out-of-pocket expenses.
Other AARP Health Insurance and Care options include Medicare supplements, Dental plans, Vision Plans, Medicare Part D, and Medicare Advantage. All are designed to give you the best coverage at the best price. Call an AARP representative today to see which plans work best for you.
Assisted Living Apartments
April 13, 2009 by Stacy42 · 4 Comments
Assisted living apartments are used to describe one bedroom apartments for the elderly or other citizens who wish to live alone but require assistance with their daily activities. Assisted living apartments differ from a nursing housing compound in that nurses do not make regular check-ups and assign their medications.
Those who live in assisted living apartment are eligible to obtain support in various areas of individual care such as laundry, hygiene, dressing, shopping, cleaning and cooking on a frequent basis. Carers who offer assistance to these elderly can also help them attend community and social events including providing a means of transportation.
Assisted living apartments have access to staff services at any time of the day or night. The staff will usually be within the beck and the resident can transmit a call for assistance through a communication device. Most of these apartments also are equipped with a nurse lest any health urgencies arise. The presence of a nurse can be assuring to elderly residents who have recently been transferred from a nursing compound into these types of apartments and are not familiar with the new atmosphere.
The price for living in an assisted living apartment will differ according to the locality and the number and type of services that are available. In many situations, the fees for the apartment will be paid independently or upfront by a relative. Medicaid/Medicare usually does not fund this type of assisted living, though several private health insurance bodies do provide coverage. Additionally, health insurance policies vary between states and one should be informed of their state’s obligations.
Individuals opt to live in these types of apartments as they want their privacy and independency conserved with the added advantage of the care of staff whenever needed. It becomes a convenient option for the elderly who cannot fend for themselves and wish to live in a pleasant and relaxing environment. These dwellers have the option to journey to social events where they are sure to thoroughly enjoy themselves and make new friends in the process.
The social events that eventuate at assisted living apartment compounds include bingo clubs, movie night, golf excursions and shopping sprees at malls. These provide great opportunities for residents to get a breath of fresh air, have fun, exercise and mingle with friends on an everyday basis. The attendance of these types of events is entirely up to the discretion of the resident and although not compulsory, is highly encouraged by staff to participate in the activities that everyone enjoys.
If you or someone close to you fits the criteria to live in these apartments I.e. need care and support with daily chores and activities, talk to staff at an assisted living apartment in your vicinity.
Medicare has limits for long term care
March 5, 2009 by Stacy42 · 3 Comments
Medicare also only pays for skilled care, and patients are normally able to collect for only about 23 of 100 days spent in a nursing home . This leaves Medicaid, to pay for 40% of the national aveage of long-term care annually. Medicare pays for skilled care in a nursing home only for the short period during which you are recuperating following a hospital stay (only up to 100 days). Once your care needs stabilize, and you need personal or custodial care, Medicare will not pay these costs according to Paul Contris. The average cost for a person who needs long-term care is $40,000 to $70,000 annually, depending on where you live, plus the cost to the family caregiver who may have to leave their job.
Medicare only pays for 20 days of nursing home care, and only under limited circumstances. As such, only 8 percent of people meet the necessary requirements. Medicare supplements insurance or the major medical health insurance provided by most employers however. Nationally, individuals and families pay one-third of all nursing home expenses out-of-pocket and about half are paid by state Medicaid programs. Medicare supplement insurance and health insurance you may have at work usually will not pay for long-term care. Minnesota Long-term care insurance will pay for some or all of your long-term care.
Medicare, which provides health coverage for all Americans over the age of 65, pays a share of the ‘capitated’ annual fee per member for elder care in Minnesota. Medicaid pays the remainder for those who qualify on grounds of low income. Medicare only pays about 5% of long term care costs, with the other 95% paid either privately or by Medicaid (the health program for America’s needy). Long Term Care Insurance is designed to help Americans plan for their future long term care needs.
