For Europeans who don't understand why Americans are against ObamaCare
Tom Send a noteboard - 03/09/2009 04:24:35 AM
WASHINGTON (CNN) -- Power-driven wheelchairs are costing Medicare and its beneficiaries nearly four times what suppliers pay for them, and competitive bidding could have reduced those costs, according to an inspector general's report released Wednesday.
Competitive bidding would have cut costs on a standard power wheelchair by nearly $1,000, the report says.
A standard power wheelchair costs the federal health insurance program for seniors an average of $4,018 to lease, compared with $1,048 for suppliers to buy, the Department of Health and Human Services' internal watchdog reported.
"Medicare and its beneficiaries paid suppliers an average of $2,970 beyond the supplier's acquisition cost to perform an average of five services and cover general business costs," the report found.
The difference was not as dramatic for more advanced wheelchairs used for physical rehabilitation patients, but at an average lease of $11,507, those chairs still cost Medicare about twice as much as the $5,880 paid by suppliers, the report found.
More than 173,000 Medicare beneficiaries received power wheelchairs in the first half of 2007, at a cost of about $686 million, the report said. The cost could have been reduced considerably had Congress not delayed a planned system of competitive bidding for what Medicare classifies as "durable medical equipment," such as wheelchairs and oxygen tanks, the report said.
"Medicare and beneficiary payments under the Competitive Bidding Acquisition Program would have decreased by an average of 26 percent across all included categories of [durable medical equipment], saving up to an estimated $1 billion annually," the report found. "However, Congress delayed the program and exempted complex rehabilitation power wheelchairs from future competitive bidding."
Medicare's annual budget for 2008 was $444 billion. In January, it cut its payments to suppliers by 9.5 percent to make up for what it thought competitive bidding would have saved taxpayers, according to the report.
In July, a CNN investigation found that a patient and taxpayers were billed about $1,200 over four years for a nonmotorized chair, while a nearly identical chair could be bought from the same supplier for $349.
The issue has become controversial as the Obama administration tries to overhaul the U.S. health care system and rein in the cost of Medicare.
Administration officials want to require competitive bids for items such as wheelchairs. But the American Association for Homecare, which represents many in the durable equipment industry, said the bidding program would reduce patient choice, limit access to home medical care and drive up Medicare costs by requiring more hospital stays.
If you ever watch 24-hour news networks you'll see DOZENS of commercials encouraging seniors to call so that the company selling the wheelchairs can help them process their Medicare claims. It's yet another example of lobbyists colluding with businesses to steal money from taxpayers. If you follow the link you'll see another link that shows how Medicare paid $1200 for a woman to rent a wheelchair (not automated) that can be bought on the Internet for $350. That's right - a $1200 rental as opposed to a $350 purchase.
The government is tainted with lobbyist money and a bidding system for government contracts that ensures overpayment for everything. Regardless of how you feel about socialized medicine generally, it's a sure bet that our government would fuck it up.
At a time when we're now moving towards $12 TRILLION in debt, roughly a quarter of which is thanks to the Obama Administration alone, we can't afford to keep this up. We can either (1) tax people more and slowly stifle economic growth, which delays a nasty collapse, (2) stop spending, which only buys us roughly 20 years, at which time mandatory spending will exceed revenue, or (3) cut benefits.
The last option isn't something people like to discuss, but let's face it - a government can't (and shouldn't) do everything for people. Why do seniors get powered wheelchairs in the first place? Since when did that become a necessity?
Competitive bidding would have cut costs on a standard power wheelchair by nearly $1,000, the report says.
A standard power wheelchair costs the federal health insurance program for seniors an average of $4,018 to lease, compared with $1,048 for suppliers to buy, the Department of Health and Human Services' internal watchdog reported.
"Medicare and its beneficiaries paid suppliers an average of $2,970 beyond the supplier's acquisition cost to perform an average of five services and cover general business costs," the report found.
The difference was not as dramatic for more advanced wheelchairs used for physical rehabilitation patients, but at an average lease of $11,507, those chairs still cost Medicare about twice as much as the $5,880 paid by suppliers, the report found.
More than 173,000 Medicare beneficiaries received power wheelchairs in the first half of 2007, at a cost of about $686 million, the report said. The cost could have been reduced considerably had Congress not delayed a planned system of competitive bidding for what Medicare classifies as "durable medical equipment," such as wheelchairs and oxygen tanks, the report said.
"Medicare and beneficiary payments under the Competitive Bidding Acquisition Program would have decreased by an average of 26 percent across all included categories of [durable medical equipment], saving up to an estimated $1 billion annually," the report found. "However, Congress delayed the program and exempted complex rehabilitation power wheelchairs from future competitive bidding."
Medicare's annual budget for 2008 was $444 billion. In January, it cut its payments to suppliers by 9.5 percent to make up for what it thought competitive bidding would have saved taxpayers, according to the report.
In July, a CNN investigation found that a patient and taxpayers were billed about $1,200 over four years for a nonmotorized chair, while a nearly identical chair could be bought from the same supplier for $349.
The issue has become controversial as the Obama administration tries to overhaul the U.S. health care system and rein in the cost of Medicare.
Administration officials want to require competitive bids for items such as wheelchairs. But the American Association for Homecare, which represents many in the durable equipment industry, said the bidding program would reduce patient choice, limit access to home medical care and drive up Medicare costs by requiring more hospital stays.
If you ever watch 24-hour news networks you'll see DOZENS of commercials encouraging seniors to call so that the company selling the wheelchairs can help them process their Medicare claims. It's yet another example of lobbyists colluding with businesses to steal money from taxpayers. If you follow the link you'll see another link that shows how Medicare paid $1200 for a woman to rent a wheelchair (not automated) that can be bought on the Internet for $350. That's right - a $1200 rental as opposed to a $350 purchase.
The government is tainted with lobbyist money and a bidding system for government contracts that ensures overpayment for everything. Regardless of how you feel about socialized medicine generally, it's a sure bet that our government would fuck it up.
At a time when we're now moving towards $12 TRILLION in debt, roughly a quarter of which is thanks to the Obama Administration alone, we can't afford to keep this up. We can either (1) tax people more and slowly stifle economic growth, which delays a nasty collapse, (2) stop spending, which only buys us roughly 20 years, at which time mandatory spending will exceed revenue, or (3) cut benefits.
The last option isn't something people like to discuss, but let's face it - a government can't (and shouldn't) do everything for people. Why do seniors get powered wheelchairs in the first place? Since when did that become a necessity?
Political correctness is the pettiest form of casuistry.
ἡ δὲ κἀκ τριῶν τρυπημάτων ἐργαζομένη ἐνεκάλει τῇ φύσει, δυσφορουμένη, ὅτι δὴ μὴ καὶ τοὺς τιτθοὺς αὐτῇ εὐρύτερον ἢ νῦν εἰσι τρυπώη, ὅπως καὶ ἄλλην ἐνταῦθα μίξιν ἐπιτεχνᾶσθαι δυνατὴ εἴη. – Procopius
Ummaka qinnassa nīk!
*MySmiley*
ἡ δὲ κἀκ τριῶν τρυπημάτων ἐργαζομένη ἐνεκάλει τῇ φύσει, δυσφορουμένη, ὅτι δὴ μὴ καὶ τοὺς τιτθοὺς αὐτῇ εὐρύτερον ἢ νῦν εἰσι τρυπώη, ὅπως καὶ ἄλλην ἐνταῦθα μίξιν ἐπιτεχνᾶσθαι δυνατὴ εἴη. – Procopius
Ummaka qinnassa nīk!
*MySmiley*
For Europeans who don't understand why Americans are against ObamaCare
03/09/2009 04:24:35 AM
- 1152 Views
I'd be happy to tax top "earners" more and suffer Europes economic "collapse. "
03/09/2009 04:30:31 AM
- 626 Views
The US will never work with socialism.
03/09/2009 04:40:21 AM
- 710 Views
Re: The US will never work with socialism.
03/09/2009 04:58:47 AM
- 700 Views
I don't think the mistrust of the government is really all that overblown
03/09/2009 05:04:34 AM
- 621 Views
It's advanced beyond what it was during the Revolution, I think.
03/09/2009 05:18:22 AM
- 661 Views
I would say it's grown with the government
03/09/2009 05:23:52 AM
- 648 Views
The key is that government shouldn't be heavily involved in personal lives.
03/09/2009 05:58:39 AM
- 668 Views
Re: I don't think the mistrust of the government is really all that overblown
04/09/2009 03:30:23 AM
- 586 Views
How much more can we really tax the wealthy??
03/09/2009 04:41:14 AM
- 550 Views
A lot; before Reagans "reforms" we already taxed them less than any other industrialized state did.
03/09/2009 05:06:00 AM
- 666 Views
I hear a lot of socialism coming from you.....
03/09/2009 05:19:08 AM
- 531 Views
Re: I hear a lot of socialism coming from you.....
03/09/2009 05:40:32 AM
- 616 Views
Nice non-answer answer.....
03/09/2009 05:52:04 AM
- 627 Views
You want detailed answers that require detailed data I don't have.
03/09/2009 06:06:55 AM
- 683 Views
Here are some facts and analyses.....
03/09/2009 02:40:22 PM
- 705 Views
The Heritage Foundation, huh?
03/09/2009 03:01:17 PM
- 735 Views
The non-working wealthy? Please quantify.....
03/09/2009 03:31:58 PM
- 719 Views
So you accept the CBOs assessment the House healthcare bill will be $1 trillion over the next decade
04/09/2009 03:02:13 AM
- 610 Views
You're so full of shit on this issue I don't know where to begin.
04/09/2009 03:15:55 AM
- 700 Views
Re: You're so full of shit on this issue I don't know where to begin.
04/09/2009 03:59:21 AM
- 785 Views
Less than 200 people were said to be US persons with Swiss accounts
04/09/2009 04:16:24 AM
- 581 Views
And yet account for many millions of dollars; what does that say...?
04/09/2009 04:21:57 AM
- 617 Views
It's statistically insignificant and your hyperbole is reminiscent of screaming guests on CNN.
04/09/2009 02:07:31 PM
- 518 Views
Well, look at this way:
04/09/2009 02:24:03 PM
- 660 Views
That's not a solution.
05/09/2009 02:39:12 AM
- 669 Views
The Soviets weren't socialist, or even communist, so it's a false comparison.
05/09/2009 03:09:06 AM
- 609 Views
Okay, now you've just gone into Kool-aid drinking territory.
05/09/2009 04:32:07 AM
- 720 Views
Communist THEORY is predicated on democratic participation at every level,totally absent in the USSR
05/09/2009 04:55:00 AM
- 838 Views
Ever heard of the 20-80 rule?
04/09/2009 04:28:54 AM
- 528 Views
Top earners? Please define.....what income and how much more? *NM*
03/09/2009 04:52:25 AM
- 429 Views
That would be open to definition, and should change with inflation.
03/09/2009 05:13:02 AM
- 779 Views
What is your justification for taking over 50% of anyone's income?
03/09/2009 05:28:22 AM
- 708 Views
That's a good example of why I say the rate has to be set to cost of living.
03/09/2009 05:50:16 AM
- 741 Views
Still no comment on the fact that 40% of Americans don't pay any income taxes?
03/09/2009 02:32:12 PM
- 669 Views
To what 40% do you refer?
03/09/2009 02:42:55 PM
- 525 Views
Dude, you are not making this easy.....
03/09/2009 03:38:01 PM
- 562 Views
No one "gets money from the IRS. "
04/09/2009 02:55:02 AM
- 574 Views
Actually with EIC you can get money back that you never paid in.
04/09/2009 02:56:43 AM
- 559 Views
It MIGHT be possible with the EIC, but in practice few people get more than they paid.
04/09/2009 03:43:36 AM
- 598 Views
I don't know, I've known plenty of people that have gotten more back than they paid in
04/09/2009 03:46:29 AM
- 690 Views
Yet another example of your ignorance on tax policy.
04/09/2009 03:19:39 AM
- 512 Views
The word I notice is "welfare"
04/09/2009 03:57:01 AM
- 628 Views
I wouldn't say that's what it means....
04/09/2009 04:02:40 AM
- 631 Views
It's what welfare means to me...
04/09/2009 04:32:17 AM
- 635 Views
I was just talking about EIC as a form of welfare, not welfare welfare. *NM*
04/09/2009 04:45:13 AM
- 387 Views
It's a credit for people who file a return on income that's been taxed.
04/09/2009 04:19:57 AM
- 561 Views
It is only for the WORKING poor, yes.
04/09/2009 02:12:55 PM
- 550 Views
Mean it may be, but hardly illegal.
04/09/2009 02:31:16 PM
- 582 Views
No real comments, just 100% agree with you....plus the $12 trillion is terrifying to me. *NM*
03/09/2009 04:33:39 AM
- 273 Views
Excellent post - the US government is not capable of running HC.....
03/09/2009 04:40:19 AM
- 505 Views
It depends on your level of cynicism
03/09/2009 05:38:53 AM
- 675 Views
when have they ever cut the fat?
03/09/2009 08:35:36 PM
- 596 Views
This doesn't make sense to me.
03/09/2009 08:33:18 AM
- 644 Views
The key phrase is "should be. "
03/09/2009 09:38:15 AM
- 781 Views
In fairness, most Europeans don't seem to realize what ObamaCare is.
03/09/2009 02:34:01 PM
- 669 Views
As far as most people I know are concerned, opposition to ObamaCare isn't the issue.
03/09/2009 11:04:36 PM
- 741 Views
It's hard not to be horrified with a government as wasteful as ours
03/09/2009 11:24:59 PM
- 525 Views
For Americans who don't understand why Canadians like their public healthcare.
04/09/2009 04:23:11 AM
- 645 Views
Correction
04/09/2009 04:44:32 AM
- 628 Views
Re: Correction
04/09/2009 05:05:11 AM
- 705 Views