Government run health care

[Grace]

So, am I right in thinking only those with Medicare part D will be affected?
Only those who signed up for the Medicare Drug coverage?

That's the way it sounds to me. But it doesn't definitively say that all will be affected. Guess we need to do more investigating.

One final note for the majority of beneficiaries who may think they've dodged the bullet: The hold-harmless provision doesn't apply to Medicare's prescription drug coverage. So some seniors may still get a smaller Social Security payment next year if their drug premiums increase.

[sasvermont]

What Drop In Benefits?
The Phony Flap Over Social Security COLAs


By Chuck Blahous
Tuesday, August 25, 2009

"Millions of people face shrinking Social Security checks next year," The Post reported Monday, "as officials project that benefits will stay flat for the first time in a generation." The New York Times reported earlier this year that the lack of a Social Security cost-of-living adjustment (COLA) in 2010 "will be a shock to older Americans" and quoted an AARP official lamenting that "Most seniors have never been through a year in which there was no Social Security COLA."

But this controversy is more smoke than fire.

Like other Americans, seniors are suffering through the economic downturn. Unlike other Americans, however, most seniors are benefiting from multiple technical quirks of law that protect their income stream.

First, there is the current Social Security COLA. Automatic COLA increases were established in 1975 in an effort to protect seniors' purchasing power. In January, Social Security began paying its largest COLA since 1982, 5.8 percent. But this adjustment has since surpassed national measures of the cost of living.

The 5.8 percent boost was based on the high price increases of last year, especially in food and fuel. Since then, prices have subsided. According to the Congressional Budget Office, the Consumer Price Index subsequently declined by 4 percent. By law, COLAs can never be negative. So benefit payments are exceeding inflation, and seniors will simply pocket this 4 percent increase in real purchasing power for the indefinite future, until prices once again exceed their 2008 levels and further COLAs resume.

Meanwhile, most seniors stand to benefit from a provision in the Medicare Part B premium formula. Under normal circumstances, the Part B premium is indexed so that one-fourth of program cost increases are passed on to beneficiaries, three-fourths to taxpayers. Part B also has an "income-relating" feature, which requires higher-income seniors to pay more for their benefits.



A "hold harmless" provision, however, ensures that for most beneficiaries (those not subject to income-relating), the dollar amount of their Social Security check (minus the Part B premiums) will not diminish from one year to the next. In a year without a COLA, therefore, the majority of seniors will receive Medicare Part B coverage of increased value, with the larger bill passed on entirely to others.

Third, the February stimulus legislation provided $250 checks to most Social Security recipients. Though some working seniors will need to return these checks because of their interaction with the "Making Work Pay" tax credit, non-working seniors will keep them.

Taken together, these features of law mean that taxpayers are providing substantial additional income protections for most seniors, well beyond inflation.

If our policies for seniors existed in an ideal world, benefits would be adjusted upward when prices go up and downward when prices go down. The intended burden-sharing of Medicare Part B premiums would not shift with price swings in the general economy. Alternatively, the nation's most powerful organization for the elderly would responsibly explain to its members that the deviations from these ideals are largely working in their favor.

But this isn't an ideal world. Accordingly, Congress is being pressured to "do something" about the COLA issue, which would translate into further costs facing taxpayers and increased payments to the seniors benefiting from these technical quirks.

There is nevertheless a potential problem in all of this. Medicare law provides for the premium relief provided to those "held harmless" to be made up by those not so protected. This could result in large unintended premium increases for a minority of seniors, and in more costs shifted to taxpayers through Medicaid.

The Obama administration entered office talking about tough choices and fiscal responsibility. These issues shouldn't be particularly tough. Helping Congress defuse this unnecessary political problem would be a modest threshold test of such responsibility.

The administration should either publicly push back on the misrepresentation of the situation or propose an alternative revenue-neutral distribution of beneficiary premium burdens. Providing this cover -- instead of shifting further costs to taxpayers -- would send a positive signal to lawmakers looking for administration seriousness on bigger fiscal issues, such as the unsustainable growth of entitlement spending generally.

Seniors, like all Americans, are feeling the pain of our economic difficulties. If, after due deliberation, Congress and the administration decide that taxpayers should shoulder still more burdens and seniors less, then so be it. But let's not dress that decision up in the guise of correcting a nonexistent inequity.

Chuck Blahous, a senior fellow at the Hudson Institute, served as deputy director of the National Economic Council from 2007-09 and executive director of the President's Social Security Commission in 2001. His book "Social Security: The Unfinished Work" is due to be published next year.

[lizbud]

That's the way it sounds to me. But it doesn't definitively say that all will be affected. Guess we need to do more investigating.

Well, I did read that private insurance costs will go up & employers
will past that along to their employees.Some say could be as much as
20% increase. Some employers might decide to drop insurance altogether.

[Edwina's Secretary]

Liz...See my post above about one of my clients.

Medical up 12% and Worker's Comp medical - even though they have lower experience this year - up 25%