The Ottumwa Courier

Letters to the Editor

November 2, 2009

Bill HR 3200 proposes $32 billion in Medicare long-term care reductions

The nation’s largest not-for-profit senior care and services organization, Good Samaritan Society, has expressed alarm at how seniors in long-term care are being marginalized by recent actions taken by the Centers of Medicare and Medicaid Services (CMS) along with proposed health care reform initiatives in both houses of Congress.

On Oct. 1, 2009, CMS enacted a reduction of Medicare payments to long-term care by over $1 billion increasing to $12 billion within 10 years. This impacts their ability for sufficient resources to maintain quality of care our seniors deserve. This reduction is occurring before any of the proposed health care reform initiatives.

House bill HR 3200 proposes $32 billion in new Medicare long-term care reductions, devastating the profession’s ability to care for our country’s seniors. Final legislation is unknown but additional cuts to Medicare and Medicaid seem likely. This is not health care reform but rather payment reform.

Hospitals, pharmaceutical and insurance companies have negotiated Medicare funding reductions with the White House in part because they have the profit margins to do so, also because they hope to experience new sources of revenue as more Americans are covered. Long-term care providers have extremely small margins and no hope for any new dollars coming in. Their funding sources are shrinking.

Many people in long-term care are among our nation’s poorest. Most have been hard-working, productive people who have contributed a great deal to our society and the “system.”

The actions of the liberal left seem to say, “If you are old, poor and sick, die quickly.”

Congress needs to cut spending; long-term care should not be first choice.

Money from the stimulus package would be better spent on our senior citizens. I would much prefer spending it there than on swine odor study, or airports and railroads to nowhere.

Susan Spees

Selma

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