- Paperback: 100 pages
- Publisher: Cato Institute (October 25, 2001)
- Language: English
- ISBN-10: 1930865090
- ISBN-13: 978-1930865099
- Product Dimensions: 5.9 x 0.4 x 9 inches
- Shipping Weight: 7.4 ounces
- Average Customer Review: 4 customer reviews
Amazon Best Sellers Rank:
#2,700,023 in Books (See Top 100 in Books)
- #256 in Books > Medical Books > Administration & Medicine Economics > Medicaid & Medicare
- #1228 in Books > Politics & Social Sciences > Politics & Government > Political Science > Reference
- #4128 in Books > Politics & Social Sciences > Politics & Government > Public Affairs & Policy > Economic Policy
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Medicare's Midlife Crisis Paperback – October 25, 2001
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She notes early in the book, "The federal government effectively prohibits Medicare beneficiaries from paying privately for Medicare-covered services ... The only way physicians can accept private payment from Medicare beneficiaries (for Medicare-covered services) is if they do not accept Medicare reimbursement (for treating Medicare patients) for two years. Since few doctors have enough Medicare patients who are willing to pay ALL their medical bills without Medicare reimbursement, the federal government realistically prevents seniors from spending their own money on the health care of their choice." (Pg. 3)
She observes, "As a citizen taxed to support the nearly $222-billion-a-year Medicare program, you probably assume that once you reach age 65, it will provide you with catastrophic coverage. It doesn't. Medicare doesn't pay for hospitalization beyond 150 days, even though such hospitalization would be considered truly catastrophic. There is no cap on the amount of out-of-pocket costs that beneficiaries must pay." (Pg. 7)
She points out that Medicare does not pay for "dental care, routine eye examination, most prescriptions drugs [this was written before President Bush added Part D, of course], most nursing home care, and routine physical examinations. Medicare also doesn't cover many types of alternative medicine that are in great demand today, including acupuncture, homeopathy, and naturopathy. It covers only a limited amount of chiropractic care." (Pg. 9) She adds, "When politicians decided in 1965 to make Medicare Part A compulsory and Medicare Part B nearly universal as well, they established a national policy to crowd out private insurance from the health care market for seniors." (Pg. 12)
She summarizes, "Medicare has undoubtedly reached a midlife crisis and is going to require a major overhaul during the next decade. The fiscal squeeze on Medicare will be aggravated further by growing demands for more comprehensive medical services, including prescription drugs and preventive care." (Pg. 17) Later, she adds, "Medicare clearly has not met its purported goal of reducing seniors' out-of-pocket spending on health care. Rather, the program has led to skyrocketing costs for all seniors. Today's seniors might have been better served if the free market had been allowed to work and a safety net had been provided for those too poor to pay for health care." (Pg. 71) She concludes, "The bottom line is that Americans should not be forced into a single-payer government health care system---Medicare---that limits their health care options and prevents them from pending money on the treatments of their choice." (Pg. 98)
This book will be of interest to free market supporters, and critics of the Medicare system.
"This volume provides a useful reference for general readers and medical professionals. Its greatest strength is in combining, in a highly readable and concise volume, practical information about how Medicare works and insightful analysis of Medicare's history, consequences, and possible reform. Its weaknesses are chiefly organizational, including a sometimes disconcerting tendency to repeat facts previously discussed. "Medicare's Midlife Crisis" is intended primarily for those not acquainted with how Medicare actually works and how it originated. I would strongly recommend it to a friend who wanted to inform himself quickly about the Medicare issue."
"This book is not about political or economic theory; it is about Medicare's history, administration, and practical effects. Its great virtue is blending the historical with the current, the political dynamics with the actual effects of Medicare. As such, "Medicare's Midlife Crisis" will appeal to a wide spectrum of readers."
The book tracks the early efforts at compulsory insurance efforts, on the national as well as the international scene, up to recent schemes for expanding the program by adding a prescription drug entitlement.
Waste, fraud, abuse and misuse account for some 800 million to 1.6 billion dollars yearly in this program. And, as Blevins points out, "If health care costs continue to rise with fewer workers to finance the program, the federal government will have to raise taxes, increase seniors' out-of-pocket costs, reduce benefits, or implement a combination of these reforms."
Most seniors believe that Medicare pays for everything. Nothing could be further from the truth. The tables in the appendices outlining the payment limitations should be read by everyone who uses Medicare to pay for their medical expenses.