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Medicare reform

The cuts to the Medicare system have decimated the healthcare industry, a sad fact hidden from the average American citizen. In an ill thought out plan, the United States Congress cut 23 billion dollars a year out of the Medicare system over the next five years. Around the country, hospital patients, nursing home residents and home health patients are being denied lifesaving treatment because of insufficient reimbursement by the government. In the wake of news reports of these tragedies, many Congressmen are now calling for a new vote to restore much of what they gutted from the public healthcare system.

At the forefront of the problems that have arisen because of the Medicare cuts is the lack of care for the most needy of our citizens, the elderly. In the United States, close to 40 million Americans are on the Medicare health system, of that number around 75 percent are over the age of 65. At a time when the life expectancy has increased to 78 years old, and medical care presumably is becoming more necessary, should we really be limiting the access to that care? In my position as a paralegal for a major healthcare company I routinely hear of husbands or wives returning to work in their seventies to pay the medical and nur


sing home costs for their spouses. In a Florida nursing facility the husband of a resident recently died from malnutrition. He had been working two jobs to pay for his wife's nursing home care after she had exhausted her Medicare benefits. In an effort to save money, he had been eating dog food for about two months. Two sons of a California nursing home resident each month turn over their social security checks to pay for their mother's nursing home stay. When asked what they were living on they replied that they had sold both their homes and were living together in an apartment. Both sons were in there sixties, and most likely would need care themselves at some point, who would provide it for them? A nursing home recently sued an Indiana woman for failing to pay them $100,000 for her annual costs. The woman, penniless was faced with eviction and placement with her son and daughter in-law.

Already, only one year after the enactment of the Medicare cuts, several of the nations largest nursing home chains have gone out of business or have left the skilled nursing home business all together. According to U.S. Senator Edward Kennedy, 10 health agencies have gone out of business since January 1, 1999, in Massachusetts alone. A recent report released by HCFA indicated the mean reimbursement rate would be $300 per resident per day. With an average hourly rate for an LPN at $14 an hour and HCFA mandating a minimum of 4.8 hours of care per day, that leaves only $133 to provide food, shelter, medication, pay support staff and still turn a profit. Is it any wonder why nursing home companies are finding it difficult to make employee health insurance payments?

Residents of nursing homes are not the only ones who are suffering from the Medicare budget cuts. Across America, employees

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Approximate Word count = 1210
Approximate Pages = 5 (250 words per page double spaced)


  

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