38 Burst results for "medicare"

Fresh update on "medicare" discussed on C-SPAN Programming

C-SPAN Programming

00:37 sec | 7 hrs ago

Fresh update on "medicare" discussed on C-SPAN Programming

"Now he's pushing the most far left platform in history. The Biden plan would destroy Social Security and destroy protections for people with pre existing conditions. Give free federal healthcare to all illegal aliens bankrupting Medicare. It's gonna happen. They gonna floor in your country. When you hear that they're gonna come in very smart, very sophisticated. Be surprised. Dance school choice. And ban all charter schools don't more charter schools. No more sculptures were making a lot of progress. In the second term, I will provide school choice to every parent in America. Vote for Republicans is a vote for safe communities, great.

Biden America
Amy Coney Barrett 'to be picked by Trump for Supreme Court'

The Young Turks

05:42 min | 5 d ago

Amy Coney Barrett 'to be picked by Trump for Supreme Court'

"Donald Trump will be announcing his supreme court pick on. Saturday which means that he already knows that the individualism according to sources close to Donald trump his selection will be judge Amy Coney Barrett Their York Times makes a point to mention that she would be the least experienced supreme court nominee however she is a favorite among conservative politicians and conservative voters because of her Christian background but also more importantly and I think this gets left out in a lot of the analysis in the media. She also would immediately invalidate the affordable care act she's on the record. Saying that whereas you know the thing that people seem to be more focused on right now is Roe v Wade which you know obviously I don't WanNa be naive and just assume that she won't touch Roe v Wade but she is on the record saying that she believes in the precedent when it comes to reproductive rights even though she as a devout Catholic disagrees with abortion and all of that but Emma I wanted to get your thoughts. We're talking about this a little bit during the break talk a little bit about what this means for the affordable care, act? Certainly. So that's my concern too. I mean we're both women. We obviously have concerns about our reproductive health but I think there is a hesitance in terms of justices overturning that precedent because of the ripple effects and how massive and that it would be I feel like it's just more of a political talking point for Conservative politicians to score points than it is a judicial reality. That's the only thing saving us here. What should concern everybody is that she's forty eight years old she has a history of pro-corporate positions that side with the with the employer against employee etc I believe and she's sided against. I'm reading some of it here. Things in gun rights she descended in a decision that would disarm felons for example, after they came out of prison, she's pretty extreme when it comes to those issues but for the affordable care. Act's guys if it's six to three if she gets through and it's that solidly conservative, they're going to do away with the affordable care act and then that's a conservative basically supermajority for decades at that point say ideally, we got the Progressive President in twenty twenty four who wants to put Medicare for all through. That's dumb. That's what concerns me most about these decisions are yes. The Supreme Court's been pro-corporate for a very long time for the Romney says, we're a center right country and the courts been leftist for awhile talk to him about Bush. Gore in citizens united whatever. But but but yeah, that's what scares me the most about. This is the complete mixing of any legislation that comes through that could be progressive. That's appealed Conservatives Appeal Appeal Appeal go the Supreme Court and they know. It's just going to be overturned. INCORPORATIONS can have a field day in big Pharma will be doing great. Yeah I am definitely worried about this. You know representative Ro. Khanna introduced a bill that would limit the. Time Supreme Court justice could serve on the Supreme Court to eighteen years. I don't know where that piece of legislation is GonNa go but I I do think that it's important that you mentioned her age as you just did and how. Her influence on the court will have a lasting ramifications on on this country really and yeah, the pro-corporate angle is something that just seems to get lost in the fray lost in the analysis and I'm glad that we're talking about it in a story that will cover later donald trump signed more ridiculous phony executive orders alleging that he's protecting people with preexisting conditions. The truth is those executive orders constitutionally speaking have no teeth but what it does is it messages to his voters that don't worry don't don't be frightened of the repeal of the affordable care act because signed executive orders. They're not going to do anything, but you know it's just enough to cover his ass while also simultaneously causing great harm to honestly all Americans because anything could be considered a pre existing condition. If you tested positive for cove it, that's considered a pre existing condition. So this is going to have. A damaging effect on so many people in this country I wanna read a quote from from this piece in the New, York? Times it's by Aaron. Who's president for the old Alliance for Justice a liberal group. She says, Amy Coney Barrett Meets Donald Trump's to litmus tests. She has made clear that she would invalidate the affordable care act and take healthcare away for millions of people and undermine. A woman's reproductive freedom. Again, I'm not entirely sure that the Supreme Court would overturn Roe V. Wade I know that there's a lot of fear about that. I understand that fear a lot of my fear again has to do with You know corporate shoes that make it to the Supreme Court and what is very likely to happen to the affordable care act at this point and remember the Supreme Court did strike. The healthcare mandate, that's an important part of the affordable care act. That's what kept premiums low, and you know when they undid that, of course, premiums immediately shot up and so we'll see how this all plays out, but it is pretty terrifying.

Supreme Court Donald Trump Amy Coney Barrett ROE Wade York Times Executive Emma I President Trump Gore Khanna Representative York Medicare Romney Aaron Bush
Fresh update on "medicare" discussed on How The Heck Are We Gonna Get Along

How The Heck Are We Gonna Get Along

02:22 min | 8 hrs ago

Fresh update on "medicare" discussed on How The Heck Are We Gonna Get Along

"Directed what the what the the tendency of the party would be for the next four years under his leadership as president and under his leadership you know if he's not elected that still going to go on so he's GonNa set right? Right so but I cringe because I was thinking. That they're going to be some progressive will lose their mind I thought I had the exact same reaction but I'll tell you and listen twitter is not the twitter isn't and shouldn't be the Public Forum where I find out how people really feel. But I I was surprised that there just wasn't that much vitriol thrown interesting. Yes and maybe it's because trump made such fools. We forgot about that. But there were there were there was very little complaint from the left about him not specifically. Not specifically saying that he was not, but he was for Medicare for all for him not specifically supporting the green new deal. I. Didn't see much blowback actually maybe it's coming it's probably coming but I didn't. Make but I think I know the questioning who could probably answer this better than I but my impression at least. Is that. The left and I'm using that useful mystically arts opposed to the right. Or the Democrats have largely. Decide it. Okay. We're just you know our. Goal is to the goal is to get rid of this president who most US believe is not appropriate to president. Now. Personally I happened and I've Long said I love Joe Biden because he is not willing to be extreme and he's he's you know I, want to ask you this because it brings up the question was he how did you feel about him not answering the court packing question? You know. That was that. You should ask that because that was actually another cringe worthy moment for me because I thought his answer. Came off as if. He either a had something to hide. or be. That he was he was actually being political in that. and. It's rare for him to do that and.

Joe Biden President Trump Twitter Medicare
Virus shutdown took a toll on routine health care for kids

AP News Radio

00:53 sec | Last week

Virus shutdown took a toll on routine health care for kids

"Federal officials are expressing concern about a steep drop in routine medical care for low income children during the pandemic the centers for Medicare and medical services spines that vaccination screening for childhood diseases visits to the dentist and even mental health care dropped precipitously from March through may of this year federal officials are warning that sharp decline in routine care could cause long term issues calling on states pediatric providers families and schools to ensure children get caught up billing records for the chip program show early childhood vaccinations drop by twenty two percent dental visits plunged nearly seventy percent and time sensitive screenings for cognitive or developmental problems fell by forty four percent Jackie Quinn Washington

Medicare Jackie Quinn Washington
Fresh update on "medicare" discussed on The Nicole Sandler Show

The Nicole Sandler Show

00:34 sec | 10 hrs ago

Fresh update on "medicare" discussed on The Nicole Sandler Show

"Question. Will Party? says. By. The. End Private Insurance and create a government takeover of health does not it's only for those people who are so poor they qualify for. Medicare. Joe Biden that. Most states governors wanted denied people are. Medicaid anyone who qualifies for Medicare. Excuse me Medicaid automatically be enrolled in the public option. The vast majority of the American people would still not be in that option number we'll show you with Bernie Sanders. Him On. Manifesto Manifest, you socialize medicine look hey. The fact of the matter is I beat Bernie. Sanders. Not by much I've been a whole lot. I'm Ashley. I'm here standing facing hodges would've? Would've lost every. Day, you.

Bernie Sanders Medicare Joe Biden End Private Insurance Hodges
A new independent contractor rule

Clark Howard Show

06:39 min | Last week

A new independent contractor rule

"We have had a fight going on in the United States between workers and employers for at least a generation. Because it's been about a full generation now. That employers. Started using independent contractors is more and more a part of their regular staffing. And it is something that sometimes works out very well for the worker other times. It's an involuntary thing. You know there are big companies that will lay people off. And then hire them right back through a third party contracting agency and the person comes back with a contractor badge instead of their employees badge and they lose the benefits, lose their whatever job security they had the rest and there are situations like that. But that's not the main action, the main action. has been this never never land. Of when it's right when it's wrong for somebody to be classified as a non employ ten, ninety, nine person independent contractor versus being an employee. And the reality is the courts. Have never been able to come up. With a clear understanding. or a consistent system. To determine when somebody is an employee and when they're an independent contractor. The laws passed in various jurisdictions have been very contentious. There's been an ongoing fight in the state of California. That passed a law that made people like drivers, Ruber and lift. Employees instead of contractors and that's being relegated, and there's going to be a proposition on the ballot. To overturn that and who knows how that's going to play out, and now the US Department of Labor. has weighed in with a new rule. That will actually put the burden of proof. On the non employee. So let's say you're working somewhere. As. A non employee has an independent contractors ten, ninety, nine worker. You will really be in a position where the employers position of making you an independent contractor will be considered to be. The proper win under this proposed rule. In, the last year successfully able to challenge it. So. Essentially you as an independent contractor. Are Not going to effectively be able to challenge the company that's hired you so it means That this is something where the company will. pretty clearly. If, this proposed rule is not overturned later in the courts. And in accompany, Sam not saying employer accompany will be able to have work done by somebody as an icy without worrying as much about later getting their wrist slapped for having somebody as a non employee. As far as. The definitions. As I've said for years based on something written years ago by a university based economist. There's a need in the United States in order for employers to have flexibility in their workforce, but at the same time for people not. To end up in a situation where there are essentially an employee but being treated as a non employee for the. Non Employers convenience that we should have. Instead of this either or. Of Independent, contractor. Or employee with benefits. We should have a third classification that deals with a modern workforce. There would be dependent contractor. So in my mind. Somebody who works for Uber or? Lift. Is a classic example of someone who would be an independent contractor and I don't understand really wet California has tried to do. Because Thank how many times if you ride regularly or did with Uber and left, a driver would be with both had both APPs in whichever one was giving the best pricing or the best bonus at the moment that's who they were driving for. So they really ultimately fit how I would perceive somebody to be an independent contractor on the other hand somebody WHO's working for one particular company? They're typically going to nine corona virus into an office space to work for that company they have pretty much a set shift. For a company to call them an independent contractors. reuss. Is Not really a valid designation. But there are times employer may not want to add to their permanent workforce and that's where this idea of having a third category dependent contractor. Where the employer. Would have the right to treat someone in a way that they can come and go as they wish schedule them up and down and all that. But that the employer would have some responsibility so that individual that they don't now such paying the employer portion of Social Security and Medicare. And potentially even having some level of sick leave. For those independent contractors and that is A. Very different way of looking at this because obviously, this has been too hard from an economic standpoint and from the political process and the legal process. With just having these two systems of independent contractor or employee. The marketplace, the workforce needs some flexibility a needs another way to get there. That would not give the employer. Or the company, an unfair advantage

United States California Us Department Of Labor. SAM Medicare
Canadas Single Payer Prevails Against Privatization Attempt

Medicare for All

05:04 min | Last week

Canadas Single Payer Prevails Against Privatization Attempt

"I, Benjamin. Day. And I'm Stephanie Nakajima. And this is Medicare for all. The podcast for everybody needs healthcare. Today. We have Dr Monica debt who is on the board of Canadian. Doctors for Medicare and Public Health and family physician. Nova Scotia, we're thrilled to have her on today to talk about historic legal challenge to the Medicare program that was just heard by the Supreme Court of British Columbia and spoiler the victory delivered by the court to the country single payer system. I cannot wait to hear about this welcome Dr Dot and I'm just curious before we get into the topic. I mean. You're a family physician, but how did you get involved with? Felt the need to get involved with? Health reform. Protecting the Canadian universal healthcare system, but also trying to expand it and improve upon it. Here Hi. Thanks for having me on your podcast I'm really excited to be here. I've been a family physician about ten years. Now, I've worked in a range of settings from big cities to to mainly though northern. Towns across Canada and I've always been in settings where I've very much appreciated. The fact that my patients have access to healthcare wherever we are whether it's a small town or a big city. You know there's there's variations of cross across the country, but fundamentally, all of my patients do not need to worry about. Physician and hospital care. They do not need to pay when they come see knee or when they get to the hospital they know they can count on that care and that's always been really important to me. I also work in public health in very much care about health policies that. Benefit the health of a community of population and absolutely access to to healthcare is a fundamental determinant of Health I. Think it's something that I wanted to support in a in a everywhere I can in one of those ways has been through involvement with Canadian Doctors for Medicare for about the last ten years. and GM or Canadian for Medicare A as a nonprofit organization we've existed just over ten years and our. Fundamental goal is to maintain an improve our single payer publicly funded healthcare system in. Canada. So we want to maintain that single payer but at the same time know that there's there's always things we can do to make it better, but we can do that with a single payer system. So that it might be a bit confusing for our listeners. To hear that the Canadian single payer healthcare system is also called Medicare since we have a program called Medicare that only. Available for seniors sixty, five and older Whereas Canadian Medicare is of course. Accessible to everybody from to cradle-to-grave. So can you just talk a little bit about how Canadian Medicare works are there are there physician networks? Can you ever lose your coverage? Are you allowed to just out of the system or pay to jump the queue? So we do color our health care system Medicare in Canada at the same time when it actually is it's a series of we have provinces and territories, and so there are thirteen provincial and territorial health insurance programs across the country. So every province and territory is responsible for delivering care. Under the umbrella of what's called the Canada Health Act, which outlines the core principles of of Medicare and Canada and one imposes is universality but really it's a a series of health insurance plans that everyone is covered for primarily for physician and hospital services. So for example, where I work I see patients I build my provincial health insurance program I get paid in that way I cannot bill a private insurance program for for my services. Because it is publicly funded. I'm not allowed to then go in and bill a private insurance program. So for the pieces that are covered publicly through universal system, you cannot buy insurance to go see a physician or go to a hospital privately you need to access it through the public system just as as everyone else does we do have some of our care about thirty percent that is privately paid for either through supplemental insurance or through. Private payment, and that covers pieces like dental care some medications, physiotherapy other allied health professionals, and to be honest it's a gap in that we don't cover some of those pieces, but the vast majority of of care is covered under our public system.

Medicare Medicare And Public Health Canada Family Physician Dr Dot Stephanie Nakajima Canadian Doctors Benjamin Supreme Court Of British Colum Dr Monica Nova Scotia GM
The Future Of The Affordable Care Act In A Supreme Court Without Ginsburg

NPR's Business Story of the Day

03:52 min | Last week

The Future Of The Affordable Care Act In A Supreme Court Without Ginsburg

"The fight over who will replace Justice Ruth Bader Ginsburg will be fierce because supreme. Court decisions are so high stakes among the highest decisions on health care and abortion, and this morning we're GonNa talk about both starting with healthcare the quarterback in session on October fifth several state attorneys. General are challenging the affordable care act they want it thrown? Tens of millions of people would lose Medicaid benefits and more than one hundred million people would lose protections for pre existing conditions. So very high stakes duly rovner of Kaiser, health news is with us now. Good Morning Julie. Good morning where do things stand with the affordable care act? Well, things are tenuous Congressman 2017 failed to repeal and replace law but it did eliminate the penalty for not having insurance as part of its big year end tax bill just a couple of months. Later, a group of Republican attorneys general and governor sued they said that without the penalty, the law was now unconstitutional. That's because the law would they say was only upheld by the Supreme Court in two thousand twelve because the penalty was a constitutional exercise of Congress's taxing power. So no tax no affordable care act. Now, most legal experts didn't think a lot of this case including. Some scholars who had argued to strike crippled the law in cases that went to the court in two, thousand twelve, and again in two thousand fifteen. But a federal judge in Texas bought the argument in late twenty eighteen and in two thousand, nine, thousand, nine, hundred appeals court panel in New Orleans agreed although it's case back to the lower court to see if the whole really had to go democratic attorneys general who are now defending the law because the trump administration is not we're worried about leaving the helpful in limbo for as long as that would take, which could be years they asked the Supreme Court to step in right away the court. But. It didn't agree to decided before the election. Okay. So without Justice Ginsburg, what the possibilities for how the court might decide this case? Well, there are several if they're still eight justices, it could be afforded four tie that would mean that the lower court ruling would stand, but it might just apply in that circuit. So Texas Louisiana. Mississippi or the court could ask that the case be re argued when there's a ninth justice, the court could also decide that the. Individual Mandate the requirement for people to have insurance even though with no penalty is unconstitutional, but the rest of law might be able to survive It's worth mentioning that even limited decision could strike down protections for pre existing conditions a very popular because those are considered tightly linked to the mandate or the court could strike down the entire law which seems unlikely with only eight justices but you never know and possible of president trump manages to fill the seat right away. What happens if the Supreme Court does strike down the entire law? Well, the word most health experts I've talked about this is chaos not only could more than twenty million Americans immediately lose insurance coverage popular provision like letting young adults stay on their parent's health plan guaranteeing coverage of pre existing conditions expanded prescription drug, and preventive benefits for. Seniors. On Medicare would all be eliminated it would also impact healthcare providers, hospitals, and insurers and doctors who's the way they are bill in are paid is intimately tied in to the law. So the court hearing the case in November, but we likely won't get a decision until next year anyway. So if Joe Biden is elected, could he drop the case? No because it's actually not the administration's case it's the Republican attorneys general but a Democratic Congress under Democratic president could make the case mood they could put the penalty back at a dollar they could eliminate the rest of the language about the mandate. Or they could pass a bill saying the change in two thousand seventeen was not intended to impact the rest of the law. All of those however would be big fights on their own. Julie Rovner of Kaiser Health News thanks Julie.

Supreme Court Justice Ruth Bader Ginsburg Julie Rovner Democratic Congress President Trump Joe Biden Texas Kaiser Health Congress Congressman New Orleans Donald Trump Medicare Mississippi Louisiana
Biden's Agenda for the Latino Community with Congresswoman Sylvia Garcia

The Electorette Podcast

05:13 min | Last week

Biden's Agenda for the Latino Community with Congresswoman Sylvia Garcia

"I'm Jim Taylor skinner, and this is the electorate. On this episode I have a conversation with representatives, Sylvia Garcia of Texas twenty ninth congressional. District. Discussed Biden's agenda for the Latino community and what we can expect from Bein Harris Administration including their plans to address income and healthcare disparities and the disproportionate impact of Kobe purpose. Of course, also addresses those criticisms of the campaign around whether their outreach to the Latino community is enough. So here is my conversation with representative Sylvia Garcia. Purpose Garcia. Welcome to the PODCAST. Well. Thank you for having me. If I I want to talk about the Biden Campaign I. Guess these are criticisms not doing enough to connect with the Latino community, and if you think that that assessment is fair or do you think that there's more work to do there? Were you know I think people are just so excited about the Joe Vying Kamala Harris. Ticket that everybody wants some light right there now in their neighborhood at knocking at their door, I mean, they're that excited about this ticket that I think there's some folks who who just feel like until they go come to their neighborhood, it's just not happening but but I know I serve on the National Latino. Council. For by now early supporter I know that from day one joe by his been reaching out to Latinos but I know that we can always do better. Anything that we could do to make sure that we reach more. Latino voters. Not Just in Florida not just in Texas not just in California. New York Arizona. New Mexico but everywhere across the country because if you look at any state these days we have Latinos everywhere we have them in Hawaii. We have him in Alaska. So I think what matters is knowing that that he has started his spanish-language press he started making sure that we we air as much as possible. Eh, he's gotten. The Latino Leadership Councils now in several states, I know I'm working on building up in in Texas because he wants to make sure that he touches the Latino community in especially also is Dr. Biden I think Dr Binding early on recognized Latino vote was and more importantly how important Bill Latino vote was that I know that she had a virtual event with with the would we call the commoditised synagogue Nestle. Which is Debbie Powell from Florida. Veronica, grammar from from Texas and myself were all three Judiciary Committee and people here called on ESCO mothers did judiciary it stock and Jill heard about it and wanted to do an event with us and we did, and now we're going to launch a commodity to commodity campaign to make sure that we impress all our voters that we got to vote until one mother to another. To remind work in our own mother network to make sure that we come out and vote to make sure that we make the change that's needed at the White House. So I'm excited. So one of the things I've found really impressive about Biden's response to that specific criticism is that he wasn't defensive and I think you know right before he visited Florida reporter asked him about. Whether there wasn't enough outreach to the Latino community and buying said something like you know I'm going to work like the devil to make sure that I listen and their vote. So he was open to the idea that there was room for improvement and I think both by an Harris are both consistent in responding without being defensive you know and they bring people to the table. There's a lot of work to do and I think we can always do better and I can tell you Scott along with surrogate were willing to do that. He's he's got a lot of people on the ground. Excited to do that. I mean I can tell you a story Saturday I. Don't do too many in person events, but they wanted me to go to a phone bank and I was assured that were social distance everybody's a math. And I went and the minute I walked in it was about Sylvia Joe Sylvia Joe. Any they know the job blindness running. They're excited because. It hurts them to see a White House that is about hurting people for us in. Texas. It's about what we've seen him doing at the border, but it's also seeing that they're not getting more help and more relief on for everybody on unemployment. It's also about what he's doing to Medicare and social security because that hurts our relief does on our lead us. So people know and they know the to make the change that we need they're going to have to get there in those phones. And? Of, course, the member of Congress I've First Ladies First. So that became their chance. Soviet Joe and I told him I said well, it's not just a joe as it Soviet Joe more contests. So I left him with at Madeira. Very excited. You're making calls and Were Spanish language of phone calls to low propensity Latino voters in Harris County

Sylvia Joe Sylvia Joe Dr. Biden Sylvia Garcia Texas Scott National Latino Latino Leadership Councils Florida Bein Harris Administration White House Harris County Jim Taylor Skinner Kamala Harris Harris Alaska Congress Representative Veronica Debbie Powell Arizona
Many Hospitals Charge More Than Twice What Medicare Pays

The KFBK Morning News

00:29 sec | Last week

Many Hospitals Charge More Than Twice What Medicare Pays

"And health insurers paying more than twice as much as Medicare does for hospital services that's included in a new report from the Rand Corporation. Showing that businesses and private insurance companies paid hospitals an average of 247% of what Medicare paid between 2016 and 2018. The results of show that access to such information is important for employers to make sure their insurers are negotiating for low and consistent hospital rates. Swedish tech

Medicare Rand Corporation
Trump on ABC News town hall: We will protect coverage for preexisting conditions

Mornings on the Mall with Brian Wilson

05:14 min | 2 weeks ago

Trump on ABC News town hall: We will protect coverage for preexisting conditions

"Going to Pennsylvania yesterday for a town hall last night on ABC with Bill Clinton's former communications director, George Stephanopoulos. How did it go? Well, here's an interesting moment. A woman asking a question of the president of the United States gets testy with the president for attempting to answer it. Listen to this. Questions on health care comes from the block. She's from Philadelphia and assistant professor who voted for Hillary Clinton. Last time, Mr President. I was born with a disease called sarcoidosis, and from the day I was born, I was considered uninsurable. That disease started in my skin moved to my eyes into my optic nerves. And when I went to graduate school into my brain when it hit my brain, I was automatically eligible for disability. For the rest of my life. I chose instead to get a bachelor's degree a master's degree a PhD and become a professor. It is great. Except I still have similar health care problems. It cost me with copays. I'm still paying almost $7000 a year in addition to the co pay and should pre existing conditions which Obama care brought into brought to fruition be removed. No with that. Please stop and let me finish my questions there. Wow should then be removed within a 36 to 72 hour period without Medication. I will be dead and I want to know what it is that you're going to do to assure that people like me who work hard we do. Everything we're supposed to do can stay insured. It's not my fault that I was born with this disease is not my fault that I'm a black woman and then the medical community. I'm minimized and not taken seriously. I want to know what you are going to do about that. How about a cocked fist? Basically, I mean, it listened to her. Asked that question he tries to even gently answer it, she said. You stop. Let me finish my questions because it's because she's black and he's white. So he's racist. And so she's confronting the man was. I heard that and I thought that that was so rude and I got tired of and she was just one of several who are like because they're black. It's different for them, you know, and I thought President Trump kept his cool the whole time, and she said, I pay $7000 a year in premiums. I'm like I want your insurance plan because that's far less than mine. You know, she's paying less than I'm paying. And you know she's going to take much more out of the system. Then I dio and I'm pretty sure she doesn't understand how a socialist system works like that. Her brain is filled with all sorts of new media manipulation. I mean, it's just like it's kind of interesting to hear her talk. It's like it's like she's regurgitating a CNN segment. We'll glide. The questions were written down, and I wonder when these people asked these questions if they're written for them or if they've been coached in anyway, because there were several of familiar themes that ran through the questions. It wouldn't be the first time that political activists were either involved or made their way into event like this. The Stephanopoulos did say at the beginning that these were their own questions. These questions were written by these individuals and by the way, we totally appropriate for ABC to check on what the actual question is, from a question or prior to the production of this event, because you create a natural flow of topics that way so you can go to somebody who actually has a question that's relevant, something that was just asked. But you know, it's good to be skeptical, definitely, especially in an environment where Bill Clinton's former communications director is the moderator. That does seem like a good idea. Trump was calm in his answer Here listen to the way he talked about pre existing Titian's So first of all, I hope you are taken seriously. I hope you are and we are not going to hurt anything having to do with pre existing conditions were not going to hurt preexisting conditions, and in fact, just the opposite. If you look at what they want to do, where they have socialized medicine, they will get rid of pre existing conditions. If they go into Medicare for all, which is socialized medicine, and you can forget about your doctors and your plans, just like you could forget under President Obama. Said. You can have your doctor. You can have your plan and that turned out to be alive and instead of 28 different times, at least we have 28 different times. You can have your doctor. You can have your plan. Well, it's not true, but what we're doing is we're going to be doing a health care plan pre existing protecting people with preexisting conditions as an example yourself. It sounds like that's exactly perfect. That's exactly what we're talking about. Yeah, Okay, so and he and he hit that again, like look, any plan I come up with any plan we're gonna work on will replace Obamacare, especially the issues of pre existing conditions. I want to protect him. He's been

President Trump Mr President President Obama Bill Clinton Director George Stephanopoulos ABC Hillary Clinton Sarcoidosis United States Philadelphia Assistant Professor Pennsylvania Professor CNN Medicare
Lawyers allege abuse of migrant women by gynecologist for Georgia ICE detention center

The 11th Hour with Brian Williams

05:00 min | 2 weeks ago

Lawyers allege abuse of migrant women by gynecologist for Georgia ICE detention center

"Some horrible allegations out of an ICE detention center in Georgia nurse at that facility and lawyers representing clients their claim that immigrant women are telling them. They are routinely being sent to gynecologist who performed unnecessary procedures including hysterectomy hysterectomies forced sterilizations the nurse Don Wildman has filed a complaint with the Department of Homeland Security earlier today Ms Wooden spoke to our own jacobs sober. Often warning what she has to say here in addition to this story itself is disturbing. You're quoting the complaint of saying that's his specialty. He's the uterus collector. Is that people refer to this doctor? That's how the detainees referred to this physician. Him is I had detained into s she said, well, what is he doing? Miss wooten collecting Alibi uteruses. And I just looked at her puzzle. Because I didn't have. The private company that runs detention facility released a statement that reads in part and we quote Lesao, corrections has a strict zero tolerance policy for any kind of inappropriate behavior in our facilities and takes all allegations of mistreatment. Seriously, our company strongly refutes these allegations and any implications of misconduct at the I. CDC that Detention Facility and a statement immigration and customs enforcement ice says, the accusations will be fully investigated. That's a quote they denied. Detainees are being used for experimental medical procedures. Adding quote I says, mission is to protect the homeland. And to swiftly and quickly remove people from the country. The health welfare and safety of ice detainees is one of the agency's highest priorities. Any assertion or claim to the contrary is false and intentionally misleading is also said, since two thousand, eighteen, two individuals from the facility were referred to doctors for hysterectomies. Now, NBC News, National Security, and justice correspondent Julia Ainsley has been following this story and joins US tonight Julia give us the benefit of your reporting talking to these women directly and trying to reach one of the attorneys in this case. So Brian, what we can tell you is that we have spoken to four attorneys who say that their clients who were in the Irwin County detention center in Georgia were sent to this doctor. His name is Mahindra Amine. That is the doctor that these lawyers each individually identified without us prompting his name we reached out to him and I've deficit. Someone picked up the phone like I'd be making an appointment as soon as I identified myself as a reporter. They hung up I was not able to get through to get a response from him because his lawyers told us that their clients that detainees said that they thought that he was unnecessarily harsh one had a client who reported bruising one had to clients who reported hysterectomies they found out later that they did not need that he told them that they had a cancerous condition that needed to be taken care of the agreed to the hysterectomy only to find out later that was not the case that they did not have to go that far with that procedure. But now here is what Dr Amine told buzzfeed again. NBC. News has not yet talk to this doctor, but he did say that. His lawyer said, the doctor is a highly respected physician who dedicated his adult life to treating the high risk underserved population in rural Georgia, and they believe that this allegations that started with the Whistle Blower Jacob spoke to that they believe that after they investigate allegations that Dr. I mean will be cleared of any wrongdoing and I will say all of these are allegations right now none of this has been presented in a court of Law Don wooten sent that complaint to the Inspector General of D. H. S. They will do their digging. She did not name names she did not even named this. Doctor she did not give dates. It was only from US speaking to lawyers with clients in this facility. Did we learn more of the story we've also learned that this doctor is someone who they send detainees to outside of the facility. He's not actually working in side for ice. One other detail though Brian that I did learn about this doctor is that in two thousand, fifteen, he and other doctors had to settle and pay over five hundred thousand dollars in civil penalties for Medicaid and Medicare fraud with the Justice Department that settlement and twenty, five hundred. So we're learning more but right now he's denying.

Detention Facility United States Don Wildman Mahindra Amine Georgia Brian ICE Ms Wooden Department Of Homeland Securit Miss Wooten Julia Ainsley NBC Jacobs Nbc News Don Wooten Reporter Irwin County Justice Department
Georgia ICE Detention Center Accused of Performing Mass Hysterectomies on Immigrants

The 11th Hour with Brian Williams

05:01 min | 2 weeks ago

Georgia ICE Detention Center Accused of Performing Mass Hysterectomies on Immigrants

"We are following some horrible allegations out of an ICE detention center in Georgia nurse at that facility and lawyers representing clients their claim that immigrant women are telling them. They are routinely being sent to gynecologist who performed unnecessary procedures including hysterectomy hysterectomies forced sterilizations the nurse Don Wildman has filed a complaint with the Department of Homeland Security earlier today Ms Wooden spoke to our own jacobs sober. Often warning what she has to say here in addition to this story itself is disturbing. You're quoting the complaint of saying that's his specialty. He's the uterus collector. Is that people refer to this doctor? That's how the detainees referred to this physician. Him is I had detained into s she said, well, what is he doing? Miss wooten collecting Alibi uteruses. And I just looked at her puzzle. Because I didn't have. The private company that runs detention facility released a statement that reads in part and we quote Lesao, corrections has a strict zero tolerance policy for any kind of inappropriate behavior in our facilities and takes all allegations of mistreatment. Seriously, our company strongly refutes these allegations and any implications of misconduct at the I. CDC that Detention Facility and a statement immigration and customs enforcement ice says, the accusations will be fully investigated. That's a quote they denied. Detainees are being used for experimental medical procedures. Adding quote I says, mission is to protect the homeland. And to swiftly and quickly remove people from the country. The health welfare and safety of ice detainees is one of the agency's highest priorities. Any assertion or claim to the contrary is false and intentionally misleading is also said, since two thousand, eighteen, two individuals from the facility were referred to doctors for hysterectomies. Now, NBC News, National Security, and justice correspondent Julia Ainsley has been following this story and joins US tonight Julia give us the benefit of your reporting talking to these women directly and trying to reach one of the attorneys in this case. So Brian, what we can tell you is that we have spoken to four attorneys who say that their clients who were in the Irwin County detention center in Georgia were sent to this doctor. His name is Mahindra Amine. That is the doctor that these lawyers each individually identified without us prompting his name we reached out to him and I've deficit. Someone picked up the phone like I'd be making an appointment as soon as I identified myself as a reporter. They hung up I was not able to get through to get a response from him because his lawyers told us that their clients that detainees said that they thought that he was unnecessarily harsh one had a client who reported bruising one had to clients who reported hysterectomies they found out later that they did not need that he told them that they had a cancerous condition that needed to be taken care of the agreed to the hysterectomy only to find out later that was not the case that they did not have to go that far with that procedure. But now here is what Dr Amine told buzzfeed again. NBC. News has not yet talk to this doctor, but he did say that. His lawyer said, the doctor is a highly respected physician who dedicated his adult life to treating the high risk underserved population in rural Georgia, and they believe that this allegations that started with the Whistle Blower Jacob spoke to that they believe that after they investigate allegations that Dr. I mean will be cleared of any wrongdoing and I will say all of these are allegations right now none of this has been presented in a court of Law Don wooten sent that complaint to the Inspector General of D. H. S. They will do their digging. She did not name names she did not even named this. Doctor she did not give dates. It was only from US speaking to lawyers with clients in this facility. Did we learn more of the story we've also learned that this doctor is someone who they send detainees to outside of the facility. He's not actually working in side for ice. One other detail though Brian that I did learn about this doctor is that in two thousand, fifteen, he and other doctors had to settle and pay over five hundred thousand dollars in civil penalties for Medicaid and Medicare fraud with the Justice Department that settlement and twenty, five hundred. So we're learning more but right now he's denying.

Detention Facility United States Don Wildman Mahindra Amine Georgia Brian ICE Ms Wooden Department Of Homeland Securit Miss Wooten Julia Ainsley NBC Jacobs Nbc News Don Wooten Reporter Irwin County Justice Department
Could Trump push a vaccine through before election day?

The Al Franken Podcast

02:32 min | 2 weeks ago

Could Trump push a vaccine through before election day?

"Just wrote an article or a informed policy that about the vaccines and about whether we can trust them or not. If one comes out before the election and can we can we? Trust vaccine that comes out say but what would be a good date November I. That's their target date November I. That is not that the trump administration instructed the CDC to instruct every single governor in the United States and territories to be ready for mass distribution and to by October I have. SENT CDC their Master Plan for how they will vaccinate their population for approval, and then actually it out courtesy of a private contracting firm called mckesson on November first. But we saw a real blowback from political leaders and of course, the public generally and the public health community saying wait a second. How in the world? Can you imagine that you're GonNa, have a safe proven effective vaccine in the next fifty plus days. that's just inconceivable and nine major vaccine makers jointly released a statement promising the world that they will not go along with being shoved out the door hastily and that they will indeed do adequate safety and so on, and then Astra Zeneca which had the most promising vaccine. Let it be known that they're stopping their trial temporarily because they've seen a side effect in one of the trial participants will stop and just say ask you how many vaccines are in the research. Pipeline. Well, if you count the ones that are rather dubious from places like Russia and you put them all in the pile, it's close to two hundred are in the pipeline worldwide. There are. Basically, ten leading contenders that the United States government is looking at most of them are made in America, but there's also Astra Zeneca made in in in the UK and a joint American German product that is probably at the front of the line right now jointly made by Pfizer and a German company. There are many many many products out there all in various stages of testing all the way from just in the Lavatory to already in thirty thousand trial subjects in phase three trials

Astra Zeneca CDC United States Mckesson Pfizer Russia UK America
Housing, Healthcare, and COVID-19

Medicare for All

04:46 min | 2 weeks ago

Housing, Healthcare, and COVID-19

"Today, we're speaking with Barbara Dipietro. Who Directs the policy and advocacy activities for the national healthcare for the Homeless Council. Barbara, thank you for joining us. Thank you for having me. Yeah it's so. I'm so glad you're you're you're with us today especially during covid nineteen where I feel like the healthcare and housing systems are really failing us and intersectional and kind of dangerous way. So we really wanted to focus on this today. But I could you tell us a little bit about yourself? How did you end up getting involved with this type of work and what do you do for your for your work? Thanks much I came to this work working for the state of. Maryland. In the Department of Health and did a public health policy for about ten years both of the governor's office and for the Department of Health I did interagency family and children's services and and was a staff to the. Agency. Council on Homelessness. I was the opportunity to write Maryland's first a ten year plan to end homelessness, and this was back when those ten year plans were really just getting going under the Bush administration and Interagency Councils to. A homeless policies within states were really becoming the thing to do and and so that was precisely the time when I was in public service and my eyes were opened at that point to the breadth of issues affiliated with Homelessness and just how preventable homelessness is if we could just get good public policies to address it. And that was obviously no more. Well, illustrated than health department and in healthcare, and so one the things that I, the partners that we worked with healthcare for the homeless out here in Maryland they introduced me to a network of healthcare for the homeless providers nationally, and that's where I was. Started working with the National Healthcare for the Homeless Council and came familiar with them, and then they had an opportunity for director of policy and I've been in this role for eleven years now. And really excited to be doing just so much more deeper work on healthcare on homelessness in good public policy. So just to start with. I feel like the image that people have of homelessness doesn't actually match the reality of who experiences homelessness, how people become homeless and what it really looks like to experience housing instability. Can You just define homelessness for our listeners and paint a picture to help us better understand what it really looks like sure. I know we tend to conjure in our mind a street homeless man who was a chronic. That is what most Americans think of when they think of as homelessness. Really that population is about ten percent of the total homeless population in the country. Overwhelmingly, what we are seeing our low income working families are working people If you look in shelters most shelters a third to a half of shelter. Shelter stays our children. When you look at it working families who when we think about. Earning eight nine or ten dollars an hour, ten dollars an hour is twenty dollars. Excuse me twenty thousand dollars a year at fulltime salary. That's still not enough to make rent and pay bills and meet your food needs and and and and so people even when they are working even if it's not minimum wage still maybe in the shelter because they can't afford housing. So the official definition of homelessness, it may not surprise your listeners to know that there are many federal different definitions of homelessness depending on the program you were looking to access and so the definition of homelessness if you were in a housing world is more narrow than in the healthcare world. and. So then it's different even for the schools. And so we're looking at obviously street homelessness but also people who were living in transitional housing programs, permanent housing programs, people who were doubled up with friends or family really unstable. There's just a really A. Many people do not just solely stay in one place so they may be staying in a shelter for few nights. They may bounce back onto the street they may be able to stay for a couple of nights with friends or family member. Maybe, a spare couch something like that. Many of our clients do work, and so they do have some income were there on disability and they have some income. So that income allows them to pay a hundred dollars for the for sleeping on a couch for a couple of weeks.

National Healthcare Homeless Council Barbara Dipietro Maryland Department Of Health Interagency Councils Director Official
Medical tech is the new gold rush for investors during the pandemic

Marketplace Tech with Molly Wood

03:11 min | 3 weeks ago

Medical tech is the new gold rush for investors during the pandemic

"More people are seeing their doctors added distance during the pandemic in this long awaited to telehealth has investors intrigued there was already a boom in biotech investing before covid nineteen hit. But now investors are rushing to put money into all kinds of ways to modernize medicine from Boston W.. G. B. H. Radios Aaron Schachter has more personal. Medical Technology isn't especially new push your fitness further with fitbit charge to a heart rate and fitness wristband that helps you make the most of all day workouts and beyond. And the wearables are just one facet of health tech. The pandemic has shown that much of health care can be delivered at a distance and there's been a boon in telehealth platforms, online fitness classes, and Internet connected devices that are vital signs. Harry LARRIKIN IS CO author of moneyball medicine thriving in the new data driven healthcare market before Cova. Did you really have to look at these things and figure out where the world was GONNA go how fast it was going to go there all of a sudden now you're giving people i. don't WanNa say no choice but now they. Need these things and tech investors want in venture capital entities have invested nearly five and a half billion dollars in medical tech from January through June that's according to rock health a company that helps digital health startups. But there are those urging caution about the direction. These investments take all too. Often the technology has attempted to reengineer the process of care rather than leverage. The most efficient process of Care Jed constance is a healthcare consultant. For example, he says, it took years for the developers of medical records technology to get it right because early versions made it difficult for doctors to Talk to patients and fill in the required computerized forms. Constant says there's a history of companies creating what's flashy instead of what's practical and so the venture capital investor backed efforts have found them to be largely ignorant. There are also concerns that new health technology could exacerbate disparities in healthcare between rich and poor communities doctor. My mom is the former chief innovation officer. At Medicare's innovation center she says that smartwatch are fun but the kinds of devices that help most people stay healthy are often more mundane. Can you develop a tool that will help them track their medications with things? That automatically dispense medication for them and or something that will give their physicians more real time data on which medications they're actually taking according to rock health much of the venture money handed out this year went to companies developing online platforms for more telemedicine, digital pharmacies, fitness classes, and more efficient ways to deliver mental health counseling at a distance that's w. g. b. h. Aaron, chapter, and Boston consulting firm McKinsey says the speed of telehealth adoption everything from video visits to digital records means up to two hundred and fifty billion dollars in healthcare spending could soon be going towards virtual care.

G. B. H. Radios Aaron Schachte Chief Innovation Officer Boston Jed Constance Harry Larrikin Consultant Mckinsey Cova W. G. B. H Medicare
White House to Target Hospitals for Uneven Covid-19 Data Reporting

KCBS Radio Midday News

03:47 min | Last month

White House to Target Hospitals for Uneven Covid-19 Data Reporting

"Hospitals have been contributing uneven data about Cove in 19 cases that are hampering the federal effort to gauge the pandemic. The Wall Street Journal reports is early is next week, the administration is planning to publicize the names of hospitals with data missing from the federal pandemic Reporting system for more we're joined live on the KCBS Bring Central news line. Bye. Melanie Evan's Hospital reporter for the Wall Street Journal. Thanks so much for being with us this morning. Time money for thanks for having me. Absolutely. So, can you tell us First of all, why is this data missing from the federal pandemic reporting system? So both hospitals and the administration have been asking that question They've been working on trying to understand. Where these gaps why these gaps exist. And they have found indeed that some hospitals are not Routinely reporting, so they've been asked. Hospitals have been asked to submit some information everyday things like how many patients with Kobe are in your hospital. Are you experiencing a nursing shortage? How many patients are using ventilators? Really sort of. Fundamental information that could be used right? So if the hospital running out of something you could write them supplies I needed so Oh, yes, some hospitals or not consistently reporting, But the other thing that they found was that there are some Errors at the federal level, so there is the hospitals. Send the data. Either through like a A private company or they send it to the state or they submit themselves. Through through a federal system. Somewhere after they admitted there are Other issues that are creating gaps in the data. So we've got flaws in the reporting system and some hospitals not reporting the right data. What is the purpose in making these data gaps public? How unusual is this? Well, so Ah, according to people familiar with these discussions, the UM the industry hospital industry was told that there are a couple of reasons for making the state of public One of them is that they're maybe researchers. Using this data to kind of track the pandemic or ask questions about the pandemic itself. So It would be some sort of public transparency about how complete the data is. But then the other reason is that Really up until like up until this point. All of this reporting has been voluntary. And and the federal government basically last week put hospitals on notice that it was now going to be mandatory. And if they didn't do it They risk Not getting paid by Medicare and Medicaid, which are going to It really subsidize their They're publicly subsidized insurance programs for the elderly, disabled for low income households. The federal government said. Look, if you don't start reporting this data consistently, we could we could Up. Hang you for the for those. Insurance programs. And and this making the state of public is one way to sort of make it very clear. I sort of put hospitals on notice. That the feds don't have their data and that they are at risk. Fascinating. Thanks. So much for your insight. We've been joined on the KCBS Ring. Central News Line. By Melanie Evans Hospitals Reporter for The Wall Street Journal. Que

The Wall Street Journal Federal Government Melanie Evan Kcbs Ring Reporter Melanie Evans Kobe Medicare Medicaid
Online therapy is thriving now, but can it remain viable?

Business Wars Daily

03:21 min | Last month

Online therapy is thriving now, but can it remain viable?

"If you've ever been in the market for a new therapist, you know the drill I ask your doctor or a trusted friend for some recommendations next search online to verify they take your health insurance. Then when you finally find someone hope that there is don't get wide with horror once you start talking about your childhood otherwise he gets weird and you have to start the process all over again. But like most things. These days a combination of technology and covid nineteen have disrupted mental healthcare. Only this time that disruption may have actually made things better now that in-person counseling is largely lockdown online therapy. APPS. With their simplified pipelines and virtual options are looking more appealing than ever in May popular option talk space told The Washington Post that it's volume was up sixty five percent since the beginning of the pandemic rival better help told Mashal the business has doubled during the shutdown and that more than ten thousand people per day sign up for it service. Deciding which services right for you depends on what you're looking for better help offers unlimited therapy sessions while talk spaces offerings while not unlimited include psychiatric help in addition to traditional talk therapy, the online therapy landscape has changed significantly from the beginning of the year in March. The federal government issued waivers allowing insurance programs like Medicare and Medicaid to cover telehealth services for a variety of treatments including for mental health care and many private insurers lined up to allow coverage to the combination of lower cost online therapy sessions, and. Expanded Insurance Coverage helped more people afford the help they needed during an anxious time but success is not without its obstacles. The companies that create these APPS aren't just altruistic healthcare providers. Their tech companies to that means they need to be able to scale their software for growth and they need to do it fast for that they need funding talk spaces raised one, hundred, ten, million dollars to fuel its growth better help was acquired by Telemedicine Tele Doc in twenty fifteen even so each company is facing some growing pains. First, there's the issue of the industry's uncertain future. The relaxed regulations in Medicare waivers that allowed this growth may not be long-term wants the pandemic has passed will the regulations remain in place maybe Maybe, not the other issue is finding enough therapists to keep up with demand. Each platform is actively recruiting mental health professionals through its website and employment advertising. But the hiring bar is high therapists must be licensed in their state and have at least three years of experience. They're paid as independent contractors by the platform verge reports and the competition is tough. There are dozens of online therapy. APPS now, competitor Ginger has raised one hundred, twenty million in its latest round of funding secured in August CIGNA ventures. In Kaiser, permanente ventures both participated giving the startup, some important insurance and healthcare provider muscle in the Mex- online therapy does make mental health care more affordable and accessible, but questions remain about how the highly regulated world of Healthcare Meshes with the grow grow world of technology companies. One thing is certain demand for mental health care is only growing between the pandemic, the recession social unrest in a slew of natural disasters. Now, there's plenty of anxiety around.

Healthcare Meshes August Cigna Federal Government Ginger Medicare Mashal The Washington Post Medicaid
Dr. Rachel Dolan Discusses The Antipsychotic Drug Epidemic

The Healthcare Policy Podcast

05:54 min | Last month

Dr. Rachel Dolan Discusses The Antipsychotic Drug Epidemic

"Welcome to the healthcare policy podcast on the host David Intra. Kosovo. With me today Dr Rachel Dolan the US House of Representatives ways and Means Committee majority staffer to discuss the majority staffs recently released report titled Under enforced and over prescribed. ANTIPSYCHOTIC drug epidemic ravaging America's nursing homes. Dr Dole and welcome to the program. I David thanks so much for having me. Please call me Rachel. While this'll be the last time Dr Dolan's bio is posted on, of course, the podcast website. In testimony before the House Energy and Commerce Committee two, thousand seven, the FDA's Dr David Graham stated quote. Unquote. Fifteen thousand adults elderly people in nursing homes are dying each year from the off label use of antipsychotic medications. For an indication that the FDA knows the drug doesn't work the problem has been only FDA for years and years close quote. Legal the FDA does provide a black box warning label. Regarding off label use of these drugs, eleven years later, Human Rights Watch published a report titled They Want Docile. How. Nursing homes in the US overmedicated people with dementia. The report found in two thousand, sixteen, seventeen quote unquote massive use or abuse of Anti Psychotics, for example, Sarah. Quel. Doll and Rispler doll that have serious side effects including sudden cardiac death. The human rights report estimated in an average week over one hundred, seventy, nine, thousand, long-stay Nursing Home Facility patients who administered antipsychotic drugs. Without a diagnosis which the drugs are indicated or approved rover, polar disorder and schizophrenia in testimony the ways and means. Committee. Heard this past November Richard Mollet Executive Director of the Long Term Care Community coalition concluded quote the use of San Anti psychotics in skilled nursing facilities is so extensive that puts the US in violation of internal conventions and covenants on torture and cruel inhumane and degrading treatment or punishment. Close quote. This is my third related interview. In December twenty twelve I discussed the topic with Diana Zuckerman. And in February, eighteen high interviewed Hannah Lamb who authored the above mentioned human rights report. With me again to discuss the ways and means report just released titled Under enforced and over prescribed is Rachel Dolan the reports lead author. So that Rachel as background let's get right into this or immediate neatly into the specifics of the report. What did the report find regarding the extent to which? They're persists overuse or misuse of anti psychotics in skilled nursing. David. So the report showed what what you what we would expect from your introduction, which is the use of antipsychotic does persist in nursing homes across the country and it remains quite high and not of course, has implications for patient safety and and health We found in the fourth quarter of Twenty nineteen approximately twenty percent of all skilled nursing facility residents in the US. So that's about two, hundred, Ninety, eight, thousand, six, hundred, fifty people every week received some form of antipsychotic medication and most of that was without any psychosis diagnosis for which these drugs are indicated So specifically, we actually looked at trends and surveyor citations for unnecessary medication use in nursing home. So that's kind of the. Part of this study and what we found was a clear change in citation rates for these facilities between the change in administrations from the Obama Administration to trump administration So we found citations for antipsychotic misuse in sniffs increased by two hundred percent between twenty, fifteen, twenty seventeen but then declined by twenty two percent from two thousand, seventeen to twenty eighteen, and importantly a ten percent of citations associated with actual harm or immediate jeopardy to a residence health or safety. So those are some of the most severe citation surveyors ever capture resulted in no fine from twenty seventeen to twenty eighteen under the trump administration. So you know. I. Would say even though this study in particular couldn't determine causation we we did see a clear association between the Trump Administration's regulatory rollback campaign twenty, seventeen, twenty eighteen and a reduction in citations for these particular drugs. Okay thank you and we'll get into the trump administration's regulatory decisions in this regard in a minute let me just ask as a follow up or an aside question and I don't think I saw this new report. So you may not have these numbers top of mind but worth asking, can you give an approximation of the cost? To the Medicare program at least relative to the overuse I, mean, this is a massive amount of money in reimbursement for these medications. I don't remember offhand. Let's see I think in the in the actually in the report we got About one third of older adult Medicare part d enrolling with dementia who spent more than one hundred days in a nursing humber prescribed antipsychotic in two, thousand, twelve constituting roughly three, hundred, sixty, three, million part D plan payments that year and of course, there's also cost associated with hospitalizations for inappropriate use of these drugs So I would expect you know that that that is obviously very under an understatement understated estimate that does not capture the full realm of payments. So it's it's fairly substantial.

Dr Rachel Dolan FDA David Intra United States Antipsychotic Trump Administration Nursing Home Facility Dr Dole Us House Of Representatives Dr David Graham Human Rights Watch Kosovo House Energy And Commerce Comm Means Committee Diana Zuckerman America Obama Administration Psychosis Rispler
"medicare" Discussed on Medicare for All

Medicare for All

02:14 min | Last month

"medicare" Discussed on Medicare for All

"Talk about the increase in the man like. Ken Thaw or the Urban Institute when the costing Medicare Kroger's. Maybe, they should think about how if more people had access to healthcare, we might have a healthier population. Maybe people with live longer. Than benefits. And of course, if there is increased demand. Pass a single payer. Then of course, that would mean that there are people right now who are currently not acting not accessing healthcare that they actually need. Your seems like a problem that society needs to fix one way or the other so. Y-, I mean some somebody. Once. said that economists know the price of everything the value of nothing. Really applies here we know the cost of people going to the doctor more. But What's the value I mean I asked that as it may be three, ten percent of American deaths associated with people not being able to access healthcare system because of cost that's three hundred, thousand deaths a year. That's a lot of people. Shortly. As even as a columnists, we should think about that as something worthwhile. Yeah. Absolutely. One of the questions that I see repeated over and over again and debates and in. Political debates between. A for candidates is, how do you plan to pay for a single pair healthcare system and I almost never see questions like how do you plan to address the thirty five million people who don't have health insurance right now? And there was just like a very big cost focus. Another question that observation I just wanted to make about. Last night's debate. I feel like most conservatives and sally pipes was no exception attack Medicare for all by characterizing countries that have single payer healthcare systems. As as pipe said, last night in a quote near constant state of crisis. So I think that that encompasses a couple of things. One of them is way times and others rationing. Can you give us an overview of the rationing argument.

Free Market Arguments against Medicare for All

Medicare for All

05:23 min | Last month

Free Market Arguments against Medicare for All

"Today we have a really special guest professor Gerald, Freedman here known as Jerry. Last night Jerry debated sally pipes the CEO of Pacific Research, Institute. A known well known. And well-sited single payer opponent. At the Soho Forum on the question of whether the in nineteen pandemic makes it all the more urgent for the US to install a system of Medicare for all and I would say he killed it Jerry didn't you kill it? Thank you. As the conversation turned out Kobe was mostly used as a hook to return to the sort of long debate that we're having over Medicare for all I think. Other. Libertarian think tanks have also done for the same question. And also invited sally pipe she's sort of like a recurring figure so it was really interesting to me because. As a Medicare for all has has really picked up steam since Bernie Sanders run in two, thousand, sixteen or two thousand fifteen. We've. Really focused on dissecting and debunking the centre-left arguments against Medicare for all that have really sort of cropped up with the new enthusiasm for Medicare for all the past couple of years. And we've actually really stopped addressing right wing arguments for the time being as as we focus on organizing Democrats. And so Jerry was interesting for me to see. An argument or a conversation with a true sort of free market opponent of single payer healthcare and so I just want to kick things off by asking which of these like conservative or more free market arguments against single payer healthcare. Do you find to be the most compelling? Well the most compelling as long as we leave the most and because none of them are very compelling. I mean if you come down to it that arguments really based on a fantasy theory where a free market could happen in healthcare, which is wrong. But, free market competition in healthcare would promote. Efficient delivery of services and only the services that people want it. These arguments make no allowance. People can't afford it people who lack information for the public benefit that we all get when other people get healthcare. So. Yeah. Yeah. I mean as an economist I love studying free market economics. It's fun when I was young I used to play chess since analogous and it has about as much to do with the real economy as chess has to do with Martin Luther Nothing. So yeah. I mean I I don't find that arguments compelling but the most compelling I guess would be that. Well maybe you get some more efficiency. You know if. Hospitals had more pressure to find ways to deliver healthcare better but I don't I don't think they're really would really that way. So. It's not a sometimes I think that. They keep bringing sally pipes because they can't find anyone else to make this argument. But Jerry I mean she's making ultimately an economics argument against for all and for a pure kind of market based system and healthcare. Is there any chunk of the economics profession that actually believes a free market works in healthcare or is she really just a total fringe element here? I think she's pretty much on the French. That is. feeling among economists, most of whom brought up in this free market. fantasy. but there is a strong feeling that Oh God. If we made healthcare free at the point of service doing words, copays, deductibles, that would be some gigantic increase in demand for healthcare. As if healthcare's is like skiing, if I could ski for free as if we don't have this and all the other countries, right? Yeah Yeah I mean it's completely. I mean Americans love to not pay attention to the experience of other. Solly pipes is Canadian and clearly does not like the Canadian healthcare system for whatever reason Y- she restricts itself to the United States Canada and occasionally the UK. She's almost nothing to say about the rest of the world I thought that was kind of curious. In how books and in in debate yesterday she's acting like an American except. She recognized the candidates separate country. Yeah. But you know even if there was some huge upsurge demand. That might be an issue for financing and costing out of a program. But. Maybe. There'd be some benefit if more people could get

Medicare Jerry United States Freedman Bernie Sanders Kobe Pacific Research Professor CEO Sally Skiing Solly Pipes Gerald Martin Luther UK Canada
3 Awesome Senior Savings Top Tips

Your Medicare Benefits

06:15 min | Last month

3 Awesome Senior Savings Top Tips

"Well, what are the many benefits of being the father of five? Wonderful Beautiful Smart. Daughters yes. I. Have Five daughters is that they are very savvy when it comes to what's going on the Internet. And they tell me Oh dad you gotTA. Do this dad you've got gotta do that try this try that. And I'm thinking okay, enough's enough. You guys know everything. I. Don't know anything. But it's come to the point where. They were right in some cases. Of course, I don't tell them that hope that I listen to this podcast. But they turned me onto a couple of things that have really been a lifesaver for me and my wife. When it comes to running all over. Town trying to get this and trying to get that. And also I also assume that everybody knows about this stuff but me because I don't. I just don't read the Internet like the young people do. So they turn out to a few things. And don't worry I'm GonNa have this in the show notes down below. So you don't have to worry about that. I'll have links to these sites so that it's easy for you to just go on there and find out for yourself. But I can tell you it made my life so much more enjoyable. stress-free. Don't have to leave the house to go get different things. And saved a ton of money. So not endorsed by the way, I am not endorsing any of these services but I can tell you that I use them. So if you can try it out and see if it works for you. Let's start with the first one. If you've not heard that you can get your deliver your groceries delivered for free. Now a lot of the grocery stores will now deliver your groceries not only will they deliver them? They'll shop for them you go online. You tell them what you want I want nine bananas, three heads of Broccoli and five. Granny Smith apples in two gallons of milk. And they will have a shopper in the store. That will go get that, and in some cases, you can either pick it up. which I don't do or they delivered. And there are delivery services that do that for you. There's probably a dozen or so. Probably one of the biggest ones this. Again I didn't believe that this would work I didn't like the idea of this whole thing. People buy my groceries picking out my bananas or whatever may be but I was amazed when I tried it there's a fee for it I. think it's nine dollars and ninety nine cents a month or a hundred dollars for the whole year whatever. But you know how we go to the grocery store, the pharmacy or Costco or SAM's Club wherever. We go in there for four things we come out with forty, right Happens to me every time. So. Yes. I do pay ten dollars a month whatever it is for unlimited number of deliveries to my home. It's well worth it. It's saved me more than ten dollars a month. So instant card is one of the more popular ones I know there are some regional ones. There are some local ones I encourage you to use local if you can. It's always good to help out our local businesses. regional businesses but I'll put a link down below to the INSTA- cart. Website and you can check it out for yourself and see if it works for you. Now the other area that I want to help you save some money on is in pharmaceuticals or prescription drugs. It can I assume everybody knows this if I know what I assume everybody else does but He was talking to a client yesterday. These people are extremely wealthy. And I thought they knew about this stuff they didn't know about INSTA- car first of all the lady was absolutely amazed about heart. She said, really, how can I sign up I center link instantly she signed up instantly and I think today she's already got a delivery come to her house This is very important because this woman. She's sixty six years old. She's extremely mobile capable. Every sharp lady however, her husband has a very serious the. Diagnosis ends in a wheelchair. So you know for her to go to the grocery store by herself. Leave him alone is a problem obviously for her to bring her husband is also a problem whether he just sits in the car or not. Can you imagine what she has to go through every time if she needs a gallon milk or runs out of paper towels? To nightmare, she was amazed about what instagram would do. But she also didn't know. About some of the pharmaceutical savings that I showed her. Now her husband again, I'll use him in particular. He takes medication that seventeen hundred and twenty two dollars a month. With insurance. Data very rare drug. Mentioned he's got a very serious condition. Chronic. Of course, there's no generic substitution for it at Seventeen, hundred, twenty, two dollars a month. And they have Medicare and again, these people are extremely wealthy. Seventeen hundred dollars isn't a big deal for them. However, everybody wants to save some money. So. What I said to her was. Let me do some research for you. Let me find out who makes that drug. Thought out who makes the drug shirt off to that drug manufacturers website and as a coupon. For the next ninety days, he could get a ninety day supply of medication for thirty dollars. Ninety days for thirty dollars. Had I not done that she would have gone to the pharmacy and paid seventeen hundred and twenty two dollars and forty three cents. Amazing she was absolutely stunned now this manufacturer's website by the way. Some of them are income based. In some cases if your income is low enough, you just tell them your income is whatever it may. You may qualify to get the medication for free. But in this case, it didn't ask for any income questions and again, these people are very wealthy. And she was just amazed. Ninety Day supply for thirty dollars. She was very, very happy.

Costco TA Insta Granny Smith Instagram Broccoli Medicare
"medicare" Discussed on Your Medicare Benefits

Your Medicare Benefits

02:20 min | Last month

"medicare" Discussed on Your Medicare Benefits

"All the germs and everything else. That's doctors offices. I didn't leave my house I did leave my couch. Four minutes, five minutes most I not only had seen the doctor I had already received the medical notes and receive received a phone call from pharmacy. That my medication would be ready within thirty minutes. Unbelievable. telehealth telemedicine is the fastest growing segment of the medical world today. If you're Medicare policy does not have that Komi. I will see what I can do to help you. There are vendors that will allow you to sign up with or without insurance. And fees are minimal. I actually gave this information to my daughter who has two small boys. And she's been to the ER the office constantly. Well, guess what now she uses his service never has to leave the house doesn't have to drag the kids out. I'm a huge proponent of this. So again, if you're on Medicare a lot of the Medicare companies now offer this if yours doesn't or you don't know and just give me a call and I'll help you find out. Thank you again for listening to this podcast. I hope it was a value to you. If you have any questions whatsoever, please don't ever hesitate to call I do answer.

"medicare" Discussed on Medicare for All

Medicare for All

04:07 min | 2 months ago

"medicare" Discussed on Medicare for All

"You like hundreds of dollars thousands of dollars and he's like if that happens, call me again and we'll find a work around for this. And then he told me that culture scene is actually thousands of years old. I looked it up. There's documents from fifteen hundred BC ancient Egyptian hieroglyph, the earliest medical tax. We have mentioned culture. It just comes from this flower and it was used to treat gout going back for centuries and centuries. It's like one of the earliest human medications, but only in recent times the FBI allowed it to be patented for exclusive rights in two thousand nine. It was being distributed as a generic drug for decades in the United States. It was like ten cents a pill, and then in two thousand nine FDA gave exclusive rights to this. You're L. Pharmacy and they jacked up the price of five dollars a pill I. Don't know how much of an increase it is from ten cents. But it's thousands of percent increase, and they drove all of the generic manufacturers out of the market, and so they they can charge whatever they want, and it's been hard for generics to get back in. So this is something that like Aristotle, and Christ might have taken for their medication, and now we cannot access it because of fucking farm Bros., buying up you. You know getting basically monopoly rights to these years and years old medication so apologies for that but I was just so pissed off that I might have trouble. You know using this one of the most ancient medications ever from a flower I should just grow the flower in my backyard and chew on it if I need it or something. That may not be recommended by Dr. Rant over I apologize for that. Stephanie. Do you want to introduce our guest? Yeah I think also that is just so. Unfortunate that structures built to protect us like you know. The FDA are actually end up being vehicles for corporations to take advantage of us various ways so on that bombshell. Let's. Let me, introduce our guest. Who is again? Mark Duds is the national coordinator of the Labor Campaign for single payer. So he was on. If you remember last episode, Talk About what Medicare for all would look like for union workers and all workers, and how the Labor movement is, or isn't involved in some cases in Medicare for all organizing, and we had a great conversation, and we just had so many leftover questions, so we're bringing them on again mark. Thank you so much for being here. We're going to do a deep dive on the recent history of the Medicare, for all social movement from a man mark wants to go way back all the way from the forties to the present day so so looking forward to talking with you today. Well, it's great to be back. Stephanie Ben Sorry about that Glad you experiencing the the massive innovation that our system sparks in. Pharmaceutical industry this is. Exactly, as it was intended to do the market competition, sparking new innovative methods of A. Ripping off. The consumer when they need needed the most so logjam, welcome welcome to healthcare in America twenty twenty. So so. I'm sure that price hike is GONNA pay for the RND so. For. Another part of Family remedy that they can now can maybe I can't. Be. Next, in the you know. The next way. To put back on the on the pet wagon, so innovation is such a wonderful thing. So when you asked me to come back on and talk about it in the more historic way,.

FDA Medicare Stephanie Ben RND Mark Duds FBI United States fucking farm Bros. L. Pharmacy Dr. Rant Aristotle coordinator America
"medicare" Discussed on Medicare for All

Medicare for All

04:13 min | 3 months ago

"medicare" Discussed on Medicare for All

"We start operations what they're going to be thinking about now. PGA, so we're GONNA, you know we're really facing a whole new a whole new world in the. Face of this collapse of the employment, based healthcare, system and You know I think the jury is out on. You know exactly how this is. GonNa play out, but the opportunities to begin to organize for a more rational and humane alternative in are certainly there, and that's why we think that the political opportunities right now while we're still in the midst of this crisis is to provide sort of more expansive solutions to the emergency. legislation that we're going to have to continue to. Support as we move forward. To speaking of political opportunities. It seems like the Democrats best. Offer! For Workers Under who are dealing with losing their healthcare, undercurrent virus is to Expand Cobra and to subsidize Cobra. For, those workers who qualify how how do you feel about that? Mark Yeah well. You're right. They attached. This Cobra subsidy? Bill to the Heroes Act that Congress passed a few weeks back the heroes. act in general is a really good bill. It provides essential protections for frontline workers. It provides wage supplements for those workers who have to continue to work. It provides a bailout for the post office, which by the way may be out of business by the end of the year. If we don't do something, one of our great public. Public Institutions So you know there's a lot of good things in this bill, but we got outmaneuvered on the The healthcare portion of this bill and the Democratic leadership and a little group called a hip which is a lobbying group of the health insurance industry where able to attach of the narrowest least comprehensive and most costly support for a healthcare for workers who are displaced under this crisis. That basically says that. The the government will pay. The full colebrook costs for any out of work workers for the duration the crisis now. Cobra is explain what Cobras I was just getting ready to yeah. Thank you go? Cobras bill that was passed in the nineteen eighties. that gives workers the right when they lose their job if they're covered by an employment, based health plan and they work for an employer with. I. Don't remember if it's twenty or twenty five more. Workers They have a right to. Purchase their health care from their employer at basically at one hundred and two percent of the cost of what the employer was paying for. It so it's a sort of a you know. It was designed to provide an opportunity for people to maintain healthcare coverage is a transition between jobs now. Very few people ever took advantage of it because south is so damn expensive, and when you lose your job, you don't have any money, so you know to pay to have the right to pay one hundred and two percent of your healthcare insurance was pretty much the right not to have healthcare, but you know They've latched onto that solution by saying. We'll pay the full cost so what we're doing now is. We're if this bill passes stuck in the Senate right now. Is First. Of all, you will only provide relief for a narrow subset of workers who are affected by this crisis that is those workers who already had employment healthcare who worked for employers, an employer of twenty or more workers. and. Had the all the other accoutrements of at healthcare? It's only a narrow subset.

Bill Cobra PGA Senate Mark Congress
"medicare" Discussed on Medicare for All

Medicare for All

02:55 min | 3 months ago

"medicare" Discussed on Medicare for All

"Their union and at very engaged in their union and so when they're you know they're union told them. That Bernie Sanders would. Cause them to lose their health plan I think the union really expected that the members would would flock to that position and do the do the right thing. which was not to vote for Bernie Sanders in that situation. But. Guess what? These workers and thanks. May you know in many ways to the kind of activism that the union had always promoted them on them? These workers saw through that and realized. You know that they are part of a working class that they you know. They have friends and family. and neighbors whose benefits are not guaranteed by the strong union contract that they were able to achieve, and they also realized how precarious their own benefits were, because it was dependent on the fact that they were employed by particular casino and were members of a particular union and so. Majorities of these workers members of the Culinary Union. In the primary actually voted for Bernie Sanders and did so because they supported Medicare for all, and that was a real wakeup call I think for for labor leaders around the country. You know we didn't have the same kind of dynamic in south. Carolina, one of the reasons is unions. Don't play the. Central role in democratic politics that the culinary plays in Las Vegas but you know the it was an in fact in some ways. The argument was a lot easier to put before. Union workers in South Carolina because. Unions don't have the density and the strength that they do in Las Vegas. They already knew how precarious their healthcare was. Their employer's constantly hammering at it, and comparing their healthcare to the rest of the South Carolina, working class that had little or no healthcare so I think the argument actually was easier to make in South Carolina, Bernie and do good in South Carolina but over sixty percent of Democratic primary voters. Supported Medicare for all in south. Carolina so You know I think we've won that argument among Working People and I think the Labor movement has. Begun to wake up to that fact, you know a lot of times you talk union leaders and they'll say. Oh, yeah, you know. I support Medicare for all, but the members aren't ready for it. They want you know they they wanNA keep a whole lot to their health. Insurance plans that we just can't go to the members with this issue, so the members have come to them now and show them the way forward and I think that it's really changed..

Bernie Sanders Carolina South Carolina Culinary Union Medicare Las Vegas
"medicare" Discussed on Medicare for All

Medicare for All

02:48 min | 3 months ago

"medicare" Discussed on Medicare for All

"Think it was January, maybe December. titled. Take my benefits. Please Wyoming. Based healthcare is an anchor around the neck of the US working class You know and you know that that people would celebrate this crazy system that we have. That links employment healthcare to employment. So if you lose your job, you lose your healthcare. If you go on strike, you can lose your healthcare. If you get sick. You often lose your care You know it's just outrageous. And you know and also oblivious to the fact that for a entire generation, healthcare has been the biggest cause of strikes and lockouts and concession bargaining. with unionized employers, the workers who are lucky enough to even have a say in what kind of health care that they get, and you know a constant deterioration in the standards for all working class Americans so. It was just such a UP. Outrageous way to frame it and you know I think that that's talking points that were developed by. You know people who have a real stake in the system for profit. Industry who are very smart about this idea about that sociologists call loss, aversion that people are often more motivated by the fear of losing something that they have rather than the hope of gaining something that they need and so the Way To manipulate people's thoughts. We I like to joke that. The only people the only thing people hate worse than their health insurance company is the fear of being without any health insurance, and that's the kind of way that loss loss aversion plays on people. Don't. Medicare recipients you know saying this Medicare for all is going to mean that you're gonNA. Lose your Medicare because everybody will have Medicare. It's like you know you don't think it's GonNa work, but it works AH. This pernicious way of of manipulating people's deepest fears and insecurities So that's you know that's the way they played it. And I was actually struck with how. People rejected that formulation and you know and I. You know I. think that that's what really means that you know this is an idea whose time has come. Because if you look at the polling, no matter who people voted for. A majority of primary voters believe in and support Medicare for all even in the face of these kind of nasty. Industry as talking points and so this this is really kind of cleared a.

Medicare Wyoming US
"medicare" Discussed on Medicare for All

Medicare for All

05:40 min | 3 months ago

"medicare" Discussed on Medicare for All

"Right here, this is not about politics kiss. Health. Emergency can't wait brought up theoretical face about better. Well never ever thought the. We have been. Reporting Daily! In, this matter of Camp Ross. And that means you have a right to come to my house and conscripts. Believe in slavery. I, am Benjamin Day? AM, Stephanie Nakajima and this is Medicare for all the PODCAST for everybody who needs healthcare. Including all the K pop fans all over the world who came together to sink trump rally. Yes for those who haven't heard. Trump headache coronavirus rally in Oklahoma. And a bunch of young people filled out fake reservations so that he ended up with an empty stadium. And it turns out, they mostly from south. Korea where they already have single payer healthcare, those lucky bastards. So today Yellow Lucky! We have a really special guest Marc Duds Ick the national coordinator of the Labor Campaign for single pair. Thank you mark for joining us. It's great to be here Ben and Stephanie. Thanks Suit. Could you just tell us first? How did you get into the single payer movement? Wow well. I was the. President of a union in the union called the oil chemical. Atomic Workers Local Union in New Jersey. That had about. Forty different. small chemical and pharmaceutical plants under contract. and. In the nineteen eighties, we began to see that and we were having more and more of a struggle on. Bargaining for health care for our members, and We, actually invited. David Himmelstein to speak our district council meeting in Nineteen eighty-eight when Jesus of the single payer. Yeah I think this is not long after they actually launched php the Physicians for National. L. Program, and You know I gotTa say when I first saw David show up I was like man. Who is this hippy doctor? What does he know about healthcare But you know he really framed. The issue. You. Know made us made me think about you know..

Stephanie Nakajima David Himmelstein Atomic Workers Local Union Benjamin Day Marc Duds Camp Ross Korea Oklahoma Physicians for National Medicare coordinator President New Jersey Ben
"medicare" Discussed on Medicare for All

Medicare for All

05:40 min | 6 months ago

"medicare" Discussed on Medicare for All

"This illustrates how wonderful marketplace solutions are to healthcare coverage. I mean the whole idea of the exchanges was like yeah the market will offer you better options and you know lower prices But the the reason that they even have enrollment periods. Where it's like. You can only enroll at a certain time of the year in the exchange is because they're attempting to crack down on what they call free riders people who like we'll wait until they get sick and will then enroll in exchange plan and then as soon as they're better will disin- role and stop paying premiums And they don't want to just cover you when you need it So this is the whole reason that they created these things but of course we are in the middle of a pandemic. I think you actually do want to cover people when they against sick and we WANNA pay for it collectively as a society. That's the whole goal so it's just like another yet. Another layer of how all of the incentives of market base system are run exactly opposite to what you need to do to address a pandemic but also really just to provide healthcare to society. So I think there is a way we can all give back. We like to close with some sort of an action step And I want to give some love to our postal office workers Postal Service Workers So this is a situation. People might not know about but Obviously Postal Service workers are one of these front line jobs who are just like highly at risk of of of of contracting. Toronto Virus But keep showing up to work. Keep doing their job But the postal service itself is in danger of going under a basically going bankrupt according to some projecting projections The USPS could run out of money as early as June and. The reason is of course that Use of the postal services just plummeted during this economic crisis A lot of businesses are dropping their use of of the postal service just because they're going under or temporarily suspending their operations But their costs have actually been going up to keep the service running but also to address all the the needs of of protecting their workers. So there's two way too important ways where this overlaps with Medicare for all one is that people don't always think about this but the postal service is actually a very important part of our healthcare system Because they deliver prescription drugs to your house. Lots of people get mail order prescription drugs especially people in rural areas especially older people in central service with or without that is essential service and they were actually created in the US Constitution having a postal services considered foundational part of of our country. It's also one of the people are actually like staying in touch with each other while they're isolated in their homes but another thing and this is something that a lot of people don't know about. Is that useful service? Receives Zero Tax dollars? They're fully funded by the stamps that you buy but they have been financially hemorrhaging since two thousand six but only because of a bill passed by Congress so Congress in two thousand six that requires the postal service to prefund retiree. Healthcare costs seventy five years in advance. This means they have to estimate what their retiree health care. Costs are going to be seventy five years from now and they have to have that money in the bank. Right now So it it causes an immediate financial crisis. Obviously no business in the country in the world is required to do this or does do this. Even if they're being very fiscally sound you know. How do you even project? Healthcare costs seventy five years into the future. I'm not sure we're going to have healthcare system in seventy five years so if you have experienced if you had bad experiences at your post office in the last fifteen years like maybe you've had to wait in long lines or something. This is the reason why Basically postal workers who haven't even been born yet higher having their retirements fully-funded exactly. Yeah this is like four generations in advance Because of that they post office immediately had to do staffing reductions they had to shorten their operation So this is why we have these long waits in the post office so do not blame your post office. Blame Congress And so this you know they were already pushed to the brink by this weird health care requirement that was imposed on them. And obviously if we had medicare for all they wouldn't have to prefund retiree healthcare costs because they're retirees would be covered so there is a petition out there to demand that Congress Support the Postal Service The relief bill that passed Did Not include any support or Or you know funds to help the postal service keep going even though all these other industries got bailouts like you know the other like infrastructure industries like You know like the air airline services so We're GONNA send you guys. Were put a link in the show notes But you can also just look for you know. Tell Congress during this pandemic support our postal service our public postal service and there's a petition up on the Action Network that we really encourage you to sign and we want to stand in solidarity with our brothers and sisters in the.

Obviously Postal Service Congress US Medicare Toronto Action Network prefund
"medicare" Discussed on Medicare for All

Medicare for All

10:36 min | 8 months ago

"medicare" Discussed on Medicare for All

"Socialized medicine which leads to long waits for care. Lack of choice in healthcare rationing is never the answer see her planet team waggled Dot Com. I'm Susan Waco and I approved this message. I love how the voice over call the team Wagle though she introduced himself as wiggle. I really want to join team Wagle. I don't know why. So what do you make of this ad That's been being run in key throughout Kansas. It is unfortunate that you can't see the visuals because it just straight up nineteen eighty-four. Mum Mom starts as it's describing sort of the nightmare system of a single payer healthcare. I'm sorry socialized medicine You're you're basically in this underground Soviet era compound In this breadline or something. It's it's just extremely dramatic attic armed security guards like policing this long slow line of people shuffling along thinking Muse of you. If you know the band Muse cover art move very much That sort sort of aesthetic and then there's the dude who is Blindfolded sort of groping forward blindly walks through a door and then walks up to a precipice blindfolded and then at the end of the video falls off the precipice. I'm not sure what the Metaphor Metaphor is there. it's supposed to be government controlling. But yet he is walking blindly and falling into a pit of despair or something So anyway and really subtle music. Change their nascent. Matic Nice job. Tim Weigel So let's just let's plow through. Let's listen also to the Gary Peters Attack Ed and then we can kind of take this all together and try and make sense of at all So here we go. This is the better future Michigan ad going. After after Gary Peters ideas extreme their policies radical and Garry Peters is falling right in line Peter Supports Medicare medicare for all siding with radical liberals Gary Peters even supports the green new deal killing millions of jobs devastating Michigan's auto industry. He so liberal. He's voted with his party. Ninety four percent of the time. Call Gary Peters tell him to represent Michigan not radical Washington Washington liberals amazing. I wonder how many times the word radical was used in that compulsive compulsive use of that word. God I love how they assume that the the mainstream Democratic Party is is liberal. So you can measure someone's liberalness by how often they vote with their party But you know the one thing I appreciate about this ads. Compared to the partnership ones. They go really old school. It's like Affiliating thing Medicare for all with the left and with socialism That's like the old school attack on Medicare for all where the partnership is like trying to confuse medicare for all with with centrist ideas which is a confusing developments in our movement. I have to say So what do you make altogether of Why are they running? These ed's I mean. Is it going to make an impact. Do you think in these races. Well that is interesting. What you're talking about with the Titus Socialism you know I think Obama received more than than almost any President that we've seen and yet he was re elected immigrants. Yeah Oh my oh gosh exactly so I think the first takeaway is that socialism. I don't know if it's really gonNA work anymore I don't think I saw another poll the other day that showed that even when you you mentioned that Bernie Sanders is a socialist And makes a very small dent in people's public perception of him And also I think it says something about our messaging that you know. Our messaging doesn't really matter like whatever we say about it whether it's single payer whether it's Medicare for all whether it's socialized medicine all that stuff because I think that the opposition is going to frame even if we were fighting for a public option as socialism And you know we don't get to decide whether other opposition calls a socialist or not so. Yeah and I mean that was like the big thing I remember going into the CHARAC- fight Obama and and and sort of Democratic leadership made this calculated decision that you know if we push for Medicare for all now. We're just going to be characterized socialists. We're going to be like seen as left left as a takeover We'll pay you know all this costs. And then they decided instead to push a public option and they were still characterises Socialists They paid exactly the same political price just as we were talking about with this partnership ad as if they had pushed for the thing that would actually solve our healthcare system which would be the Medicare for all type system. Opposition isn't GonNa go with your focus. Group tested message. You can just forget about that. And this is the great thing about advertising is it's just basically the lying. Yeah I mean everything we listened to is just lying in both of these at Senate. Ads are kind of funny because they're trying to link These Democratic candidates who are actually kind of the center under more center right of the Democratic Party Both of these two senators Bully I believe is a former Republican. Who Switched Party affiliations to run in Kansas And to link them to like ABC and Bernie and Elizabeth Warren This great free advertisements for AFC all over the country it. She could run for National Office at some point because everyone knows her name calculation to tie the most popular politician in America Bernie Sanders with this person who is not nearly as as progressive. Or you know in our is good as as Bernie. So there's there's one interesting twist to both of these ads that we haven't haven't yet revealed then makes it truly bizarre and interesting. You know where I'm going with this so both of these senators WHO had attack? Ads Run against them for supporting Medicare for all. Do Not Support Medicare for all neither Gary Peters nor Barbara Bully are on on the the sanders bill in the Senate. They haven't cosponsored the bill. They have not been running on Medicare for all they haven't expressed support anywhere for Medicare for all so that is like the twist that makes these ads to me truly almost unfathomable like what is going on here. What's the dynamic it's also screwing up our our campaigns? Were trying to flush out candidates positions on medicare for all. And that's why we're you know we've been doing this. Bird dogging campaign so that we get them on video saying yes. I do support this bill or no. I do not support the bill. Although in there you could say in a way that it's helping the movement from Medicare for all in it all these candidates who are probably getting pressured by their constituents to support Medicare for all I mean something like eighty to eighty five percent of Democrats support Medicare for all by most polling And it's still strongly popular among independents usually upwards of sixty percent and then shockingly more than a third of Republicans even and Support Medicare for all. So you know all of these senators are GonNa have intense pressure to sport Medicare for all But now they're kind of paying the price for supporting Medicare for all even if they don't I kind of feel I wonder if it's going to start changing their political calculations if it's like well I'm already getting attacked supporting this. What's the reason not you too at that point right? It's probably just industry money right. Yeah absolutely I mean I think both are side and then the partnership side or the opposition side. They're both. We're both making a gamble. That revealing you know that this person does support Medicare for all. His person does not support Medicare for all is going to help are cause for us. We feel like making that reveal is going to cause pushback from their constituents to actually get on the bill and they feel like it's going to shit cost them politically And I think that The polls really are with us here that most people do support Medicare for all I feel like we're the strategy. Asia is one. That's going to work for us but I don't know how well it's going to actually work for the opposition I think that a lot of candidates will see that there The opposition is making in this gamble on tying them with Medicare for all and that I think could impacts you know how brave they feel about coming out for Medicare for all but ultimately I think that this this is a tactic that belongs in our court right and this is like the big question is does it help or hurt you to run a medicare for all and obviously that's going to be different state to state district district But by and large nationally. I think we've learned pretty quickly that you can run on this issue and win. And it's a populist position Which I think one of the big reasons for Donald trump kind of winning nationally was that the Democratic Party really retreated from? I'm in populist. Is kind of a broad rod phrase that includes some terrible right wing populism in some progressive like everybody in type policies But I think you know. The Democratic Party kind of leaned corporate for years and it just been getting destroyed and elections across the country So you know. I think we're finding over and over again that you can run on Medicare for all all even kind of working class more centrist it. It's not an issue that polls that is a left right issue all the time I mean we have like I think. Half of the Blue Dog Caucus in Congress is on board the Medicare for all bill in the house And that's because they're fiscal conservatives and Medicare for all saves money so it's not a traditional left-right thing but there is a concerted attempt to make it look that way to look like a left issue and shore up support on the Republican side. Because because they must also see that Republicans when polled actually support Medicare for all Either up to a slight majority or almost a majority. So yeah so this is super interesting And we're gonNA continue you know. Elections have just started again. Feels like we've you've been doing it for a year now already But the official primaries are actually rolling. Now so we're GONNA track how Medicare for all is being used by the How the opposition is trying to attack us? I'm also we're GONNA try and follow like the breakthroughs in the movement Elections are kind of a weird time for issue based organizing for social movement organizing It can.

Medicare Democratic Party Bernie Sanders Gary Peters Senate Kansas Garry Peters Wagle Susan Waco Tim Weigel Obama Michigan Donald trump Washington Washington official CHARAC Asia AFC
"medicare" Discussed on Medicare for All

Medicare for All

10:53 min | 8 months ago

"medicare" Discussed on Medicare for All

"Right here this is not about politics kiss is a health. Emergency can't wait. I have some theoretical face about the better. Well never ever. We have been reporting on prepaid daily in Europe and this matter of medical care Ross position that means you have a right to come to my house and conscripts believe in slavery lever. I'm Benjamin Day Stephanie Nakajima and this is Medicare for all the podcast for everybody who needs healthcare except for Michael Bloomberg Mike Bloomberg. What did he do this time? So so as you know. He's been running for president. You don't say I wish he was running out or something so elevated profile a little bit yeah and the. DNC has changed the rules so that he can participate and the next thing Without having as reaching reaching the threshold for donors That previous candidates had had to meet to attend the debates. I'm glad we're making some provision for billionaires because we haven't done enough for them yet in this country I think we should really ease their way into the process. All Right I agree with cutting Mike Bloomberg out of the Medicare for all coverage. I feel like usually I think that it's a solid solid Eric Policy. That everybody should have it. You know well like in Scandinavian countries whether rich or poor but if you can buy your way into the democratic debate stage then you can buy your own damn healthcare and besides we're cutting at least one personnel each week during the someone's gotTa go So speaking of the primaries as we are recording this the Iowa caucuses just just started today. So I mean it feels like this. Election has already been going on forever but in reality the election is just now starting. Today's recording this You'll be listening to it on Tuesday after the caucuses finished And if you're lucky enough to live in Iowa or one of these primary states not only are you just drowned out submerged with advertisements from the candidates but The Partnership for America's Healthcare Future Future. which is the like Orwellian slash dystopia phrase that That has come up. They come up with for the coalition that it was created basically to defeat Medicare for all so this is the Health Insurance Industry Pharma. This is the for profit hospitals. This is the Chamber of Commerce All of the powers of a line to try and undermine Medicare for all and they are actually also spending hundreds of thousands of dollars running ads in the primary states. It's and We thought we would actually Take a short break from all these candidates and talking about the candidates running for office and like like put a little bit of focus on the Partnership for America's healthcare future and how they're trying to undermine Medicare fraud shoe. Listen to this ad or sure. Okay Get ready to enjoy some good old fashioned advertising. We come from different walks of life but we agree on one important thing. We don't want WanNa be forced into a one-size-fits-all government insurance system. The politicians may call it medicare for all medicare buying or the public option. But they mean the same thing a higher taxes or higher premiums lower quality care politicians and bureaucrats in control of our health care. We can't afford one size. Fits all planned and we need to fix. What's broken? Start over so What was your first take? That was like a lot a lot of gobbledygook thrown at us in the span of thirty seconds. Every single possible talking point smashed into thirty seconds sometimes sometimes repeated two or three times. You know you don't you shouldn't be afraid of one. Size fits all healthcare. I don't know if you've ever had it before. It's like a ill-fitting sweater sweater. You know. When I lived in England everyone basically does have the same healthcare and it turns out? The comprehensive healthcare fits every single person. AH regardless of your body size. That's right. I mean every single person has a body. So I kind of like the idea of one-size-fits-all home insurance. No the name of this. This ad which you can see on Youtube is called same thing and actually what they're arguing. I think the main argument of the AD is that Medicare for all is the same exact thing as a medicare buy in and a public option. So why the hell are they renting this in in primary states like Iowa and what's the point of like conflicting those those two. I wonder any any expansion of public health insurance. is perceived to be threat. I think which is a strategic mistake on on their part I think because it rather than co opting One of the more more corporate solutions like a public option. They A. They'd rather just go all in against any sort of reform which I think is going to backfire on them. Yeah I mean they've they've stated that one of their goals the partnership schools is to keep Medicare for all and public option off of the Democratic Party Platform Twenty twenty which seems very unlikely given that every candidate it under stages backing one of those two And I I guess it's confusing to me like WH- every debate medicare for all. Is the number one issue in the presidential in and the democratic debate and all in the main thing they talk about is how different. Their healthcare plans are So people are constantly exposed. The huge gap between a Medicare medicare for all proposal and a public option. Buying and these guys are like running ads swimming upstream like trying to convince you that basically they're the same thing Another thing that struck me in there. I mean. Do you think that this is GonNa work. Like who are they trying to help one candidate win. Or what do you think. The goal is ultimately Emilia running these ads targeted at Democratic primary states. Yeah whatever their plan is It's not actually working all. The ads have not only failed to really make a dent in public opinion about single payer but they've also failed to prevent The more you're liberal candidates like Sanders and Warren. From doing well in Iowa on factor in fact sanders is surging right now And in two thousand sixteen trump won the IRA fifty one to forty one. And if the polling today is correct If you know we were in the general and Iowa was voting. Today he'd win by a smaller smaller margin against any Democratic candidate reforming from you know the public option. Democrats to the all out Medicare for all Democrats Democrats by only six point spread Went up against you know Sanders or Warren So what is the lesson here. Money can't buy you love. Yeah they haven't won my love yet. I wonder I mean the other thing that's interesting is they're kind of they're they're imposing the same. They're they're trying to punish certain candidates for running on these issues But they're imposing the same costs on candidate support Medicare for all and a public option. So there's there's really no disincentive for Democrats to support Medicare for all and it's also I think a lesson about how you know. I think the Democrats who are pushing a public option. They're saying thing. Hey look this more moderate choice. It's not GonNa get the full opposition of the healthcare industry right We're just going to tinker around the edges. We're going to expand access a little that we're gonNA try and do things here and there to not make healthcare right but to like expand coverage Maybe make things a little less horrible But they are actually really triggering the full opposition of the healthcare industry the same exact Resources and money and messaging that Medicare will fight gets So the establishment government is going to have to come up with another reason to taxing pair over a public option because in terms of political feasability I don't really see an advantage advantage anymore. Exactly this gets to the core. The most common pushback we hear on Medicare for all his political feasibility. And that's like a reason to do a public option instead it turns out that there's the same existential crisis in the healthcare industry. That and I mean it's worth remembering. The partnership is not just the health insurance industry. It's also also Pharma. It's also hospitals. It's also chambers of commerce and all of these groups have agreed to fight a public option equally to fighting Medicare for all so much so that they're running ads trying to convince you that the same exact thing which is incredible to me so next? We're going to look at it. A couple of ads been run. Also attacking Medicare for all Again I think premised on the notion that you can get something politically after going after Democrats for Medicare for all and or the public option. Same thing if you didn't the same exact thing And in this case we're looking at two Senate races in Kansas and Michigan So in Michigan Senator Gary Peters is being attacked by this pack called Better Future Michigan a right wing pack and in Kansas Barbara bully a a sitting. US Senator is being attached attacked by a Republican Competitor who's running for a seat Named Susan Weigl who is the current And this is incredible to me. She's the current Senate president of the State Senate in Kansas And we're GONNA listen to her at first because it is just almost unbelievable I'm I'm so sad you can. We cannot give you guys the graphics of this individual imagery. But we'll try and describe to you so I'm going to play that now. It's called socialized. Medicine also known as Medicare for all the government decides what doctor you can see when you can see Dr. It's expensive leads to long waits and about as efficient and your local DMV DMV and this is the Healthcare Warren Sanders Eos and Barbara Bully. Want to give you Susan. My family like many other families his hand. Our share of healthcare battles are manuals instilled in me a strong on commitment to provide a healthcare system.

Medicare Iowa Michael Bloomberg Mike Bloombe president Healthcare Warren Sanders Mike Bloomberg Stephanie Nakajima Chamber of Commerce Senate Health Insurance Industry Phar Europe Dr. It Youtube Ross DNC WanNa Eric Policy
"medicare" Discussed on Medicare for All

Medicare for All

07:17 min | 9 months ago

"medicare" Discussed on Medicare for All

"This is a whole right here. This is not about politics. This is about health emergencies. Can't wait brought to have some theoretical face about the better idea. Well never ever we behind. Every Humphry Humphry pretty nearly in Europe. And this matter of medical care Ross innocent. I'm physician that means you have a right to come to my house and conscripts me means you believe in slavery. Anyway I am Benjamin Day and I'm Stephanie Nakajima and this is Medicare for all the podcast for everybody everybody who needs healthcare except rampal. Yeah except for Rand Paul. Wait a minute why not ripple the Rand Paul was the voice that you just heard in the intro reasonably pointing out that universal healthcare is actually just like slavery. Oh my God we can definitely out for this system. He's a doctor right right. He can take care of himself. Maybe Canada will have pity on him. He can apply. So we're here. We're making podcast. This is a little bit crazy but Stephanie. Why why don't you tell me? Why did you get into this Movement for Medicare for all I spent several years either underinsured or just totally uninsured until I basically moved to a country that had universal health care I moved to Tokyo in two thousand ten about I walked into City Hall to register stirrer my residency in the word and I was asked while I was destroying if I need health insurance which is like Oh are you handing that out and it turns turns out that they were I had no idea before I moved there that you could just sign up for health insurance in Japan. I'd been used to working jobs in the United States. That didn't give you health health insurance and I came to view it as a luxury item Even though I actually really needed health insurance I had asthma And my the second shock after realizing leising that could sign up for a public health insurance in Japan was that you don't pay a set premium and Japan so you pay just a percentage of your income and and at that point I was unemployed. I just moved there and so I got a full comprehensive public insurance. It wasn't like a bronze plan or like Shit it plan or whatever for the equivalent of twenty dollars a month. Now I'm here I don't know why no I'm the director of communications at healthcare. Now the National Grassroots Welfare Organization. Even though I was really comfortable in Tokyo with health insurance and I wasn't sure what was GonNa Happen with the affordable care act I my friends and my family Identity was still American and I wanted to come back and fight for them And Fuck up the insurance companies so ben tell me tell me about you. I also want to fuck up insurance comedies comedies because my story I actually got screwed over when I had health insurance I didn't lack insurance and I actually had decent health insurance I've been living in upstate. New York And I ended up Being admitted to the hospital for few days with a panic disorder kept having panic attacks. Although although I didn't know that that's what they were I thought I had some terrible physical illness. And actually my doctors misdiagnosed me. A bunch of times And when I was being discharged From the hospital my doctor sat me down and he said you know. I don't want you to freak out panic CIA but your insurance company is not going to cover your stay in the hospital. They've denied your claim And I didn't freak out until I got the bill which was about four thousand dollars At the time I was earning fourteen thousand dollars a year so so it might as well have been four million to me So when I moved back to Boston shortly after that and this whole fight with the with the health health insurance a company I haven't organizing background and I found this organization called mass care. They were The Massachusetts single payer nation. I didn't even know there was a social movement in the United United States to win. Healthcare is a right And I was like ready to fight. I was ready to go so they hired me and this was almost fifteen years ago. And I've been a fulltime organizer in in the mood for Medicare for all ever since right now. I am the director of healthcare. Now an organization you may know as one you also work at the desk immediately next to yours We work out of Boston. And you know we decided to do as podcast because we wanted to kind of let the public in All the amazing news that we hear around the country about the fight for Medicare for all the organizing that people are doing and just You know how far we've come since I started those fifteen years ago but also how hard it's going to be to get it over the edge one of the reasons I'm really looking forward to this. PODCAST is because I think there isn't really consistent pro Medicare for all voice right now For people to hear to go to for a clear understanding of Medicare for all or For reference point four how to understand like the news they're hearing about Medicare for all attacks and what different you know. Candidates are saying The mainstream media isn't really faithfully reporting on this issue They report on it. They're very centrist Lens and sometimes with a very obvious bias. And we're here. I think to dissect the the news. We already do this every day. Sitting next to each other and the offense that we thought why not just stick Mike in front of us and then at least other people can wasn't in on the conversation station And so we're here do that to look at these attacks through the Lens of you know frankly the rest of the world at already has universal. Healthcare debate is ridiculous. I I don't think you even need like a pro medicare for all I would settle for like a balanced dot totally pro healthcare Industry Lens. So we're going to cover a few things with this. podcast cast one. We're going to go over the big political fights over healthcare Both at the national level obviously in Congress Medicare for all has really gained steam but also at the state state level which You don't hear as much about often but that's where a lot of the fight is happening. Also we're also going to talk about like the big breakthroughs in the social movement. Meant to make healthcare right. Big Organizing Victories This is never covered in the news but we hear a lot about it and it's our job actually to coordinate the grassroots efforts around the country and then we're going to break down like the constant total stream of bullshit that ends up being pushed into the media about healthcare era and Medicare for all. And it's honestly I kind of see this. This podcast is like a form of personal therapy for me so I can like event unlike. Get all this stuff off my shoulders. I don't know about you but this is already been Cathartic. Yeah I'm feeling a little bit better already. It's just going to be better from here so please everyone everyone Thank you for joining us on this journey Share on social media. That we're here we're alive we're GONNA be coming back to you next week with content and please tell everyone you know because we are coming..

Medicare Humphry Humphry United States Stephanie Nakajima Rand Paul Boston Tokyo Europe Japan National Grassroots Welfare Or Canada Massachusetts Ross CIA New York
"medicare" Discussed on Your Medicare Benefits

Your Medicare Benefits

05:06 min | 1 year ago

"medicare" Discussed on Your Medicare Benefits

"How would you really like to understand the difference between a Medicare Advantage program at a Medicare supplement program? Whether you're new to Medicare for the first time or curly looking at open enrollment or thinking about switching this particular podcast is exactly for you. Welcome to another episode of your medical benefits, presented by Tracy mcmanamon, president of one source benefits with twenty nine years of experience in Medicare. Tracey takes the confusion out of how Medicare works and shows how to make it work for you. I especially love when customers commit to my office or prospects. And they bring in a box of pamphlets, folders, whatever from all the different insurance companies are trying to solicit their business. And they say helped me understand this. I don't get it to get information from the federal government. You get information from all these insurance companies get information from a ton of agents, and they just drop it on my desk. And they say, I don't get it. What's the difference between the advantage program in the supplement program? Well, we're going to cover that. But I also have some tools and some items that I'm going to give away to you. If you go into this show notes, you'll see link that you'll be able to download the information printed off at home and be able to have this handy or simply call me, and I'll be glad to go through this in great detail with you. But there several different distinct advantages that you should know about when you're evaluating whether an advantage. Program or a supplement program is the right program for you or someone that you cared deeply about now the advantage program it it's all over the that. There are plans that are free as they say on TV or zero premium is really the term that we're supposed to use not free but zero premium. That includes some include dental vision, drug son include hearing, certainly the medical portion of it. Some of them are HMO some of our PPO's. Okay. I'll stop there. I lost you already probably some have a premium associated with it and some do not which ones right for you. Is my doctor in the network. What if I'm traveling what if I go to visit my grandchildren? Am I going to be covered? What if I get in an accident? What if I go on a cruise ship or go out of the country is Medicare going to cover me? Well, these are all the questions that you should know about and be able to have someone that you can trust that you can call opera text, which is how I get most of my questions. People text me their questions about Medicare. And I just respond to them. About what the right type of plan is for them the supplement program the same thing. Now, the up program is medical only does will it cover all of the out of pocket expenses of Medicare. That is not covered. The answer's yes. Some will some won't. What's the premiums? Am I going to be underwritten? You know, these are all questions that have to be discussed with someone. And I just encourage you, whatever you do don't put your phone number and your Email address onto a website all those places or call centers or carriers, which is a call center. And all they wanna do is sell you a Medicare policy, and that's it two days from now, you have a question you wanted to talk to the same person that you talk to today's earlier guess what we don't know where they are. I don't know how to reach them. I can't transfer you. How can I help you gotta start over and over and over again, and it just becomes a nightmare. So there are. Are some very very distinct disadvantaged disadvantages to the advantage program. And or the supper program, there are some advantages that are very very important to you that you understand on both programs. What about Medicare Part d her all about drugs? How do I get my drug card? Some plans include them and some do not. So it's really important. And I really encourage you to call and talk to someone that you feel that you can trust. Because you know, what your situation is totally different than your next door neighbors or the person across the street, and you can't just go to a website or talk to some call center person in whatever part of America or outside of the United States that wants to do nothing, but sell you a policy move onto the next call. This is too important folks understand the difference. Finding out what plan is best for you, a true professional will listen to your needs. And then make a recommendation to you and. Then if they're really good they'll help you enroll, and that's exactly what I do. And I've been doing it for thirty one years. Most of my business is referral business. You won't find a quoting tool on my website that you can run your own quotes. Because frankly, if you're just looking to run quotes there are other opportunities for

Medicare Tracey Tracy mcmanamon president United States America twenty nine years thirty one years two days
"medicare" Discussed on Your Medicare Benefits

Your Medicare Benefits

03:09 min | 2 years ago

"medicare" Discussed on Your Medicare Benefits

"Again treatment free for the last two years. Not a problem. Now, again, you you can't have nine different health conditions. But yet one of those was cancer, and it was seventeen years ago. You know, they're still going to be some other underwriting factors that are going to come into play. But so many people. Once they've had a difficult health condition. That's normally or I shouldn't say normally, but that's many times, they're only health condition and their treatment for either taking care of themselves. They're not smoking there. High. Wade is very good there. Plus hall is good and you know, lifestyle conditions. We call them are all very very good. I just can't wait to call some of the people back that have called me over the years and said, can you help me I had leukemia six years ago. Well, now, it's just two years. If it's within two years, I can't help them. But if it's two years or more, I'm going to call those people and offer them this particular program. This carrier offers all of the plans that you would be most interested in certainly plan F plan G in most states, not every state, but in most states clan is another good plan. So let's talk about it. Let's see if we can help you get out of that bad. Situation that you might be in you've been wanting to change Medicare supplements. Now's the time you've been wanting to get out of that Medicare Advantage program. Now's the time give me a call. You know, if you've heard my other podcast, you know, offer free consultation. I don't charge a fee, we get paid by the insurance carrier. But I'm here to help people. I've been at this for thirty years, and I want to help people as much as I possibly can. I've been blessed already. I'll continue to be to be blessed. If I help people the right way and do the right thing. So give me a call. I'm on eastern standard time, I'm at eight seven seven five four nine one two one two eight seven seven five four nine one two one two or go to my website, one source benefits dot com, again, we'll tell you who the carrier is. But I'll submit the application for you with your assistance. We'll find out what they have to say. And then finally finally you may be able to get out of that bad situation. Medicare's great deal. Medicare is awesome program. I love Medicare. That's why I've devoted so much of my life to better care. But over the past many many years there was nothing I can do while Dow can let's give it a try eight seven seven five four nine one two. One to thank you so much. God bless you. Thank you. For listening to another special episode of your medical benefits with industry expert, Tracy mcmanamon to take advantage of the free consultation session on your own Medicare benefits. Call him today at eight seven seven five four nine one two one to thank you for listening. And God bless you.

Medicare Wade Tracy mcmanamon cancer Dow leukemia two years seventeen years thirty years six years
"medicare" Discussed on Your Medicare Benefits

Your Medicare Benefits

07:16 min | 2 years ago

"medicare" Discussed on Your Medicare Benefits

"Welcome to another episode of your medical benefits, presented by Tracy mcmanamon, president of one source benefits with twenty nine years of experience in Medicare. Tracey takes the confusion out of how Medicare works and shows how to make it work for you. Hi, thanks again for tuning into your Medicare benefits where we deal exclusively with Medicare Medicare benefits Medicare supplements and Medicare Advantage programs today, I'm going to share with you some information that is very timely because this is what I get asked. Every time someone is new to Medicare or is looking at open enrollment for Medicare. So that open enrollment period is usually in the fall. But this is the time where you should know the answers to these questions before you make that decision. You know, most people once they make a Medicare decision their Medicare insurance. They normally don't change. But if they do want to change they really need to understand what some of the ramifications are especially when selecting their initial Medicare coverage because sometimes they may not be able to make a change if. Their health deteriorates. So what I did was I developed a checklist that I actually hand out to people how Senate to you, of course, no problem, and you should print it off. And record the answers yourself when you're interviewing your broker about Medicare. You should ask these questions to him or her. And if they don't know the answers to those questions than you really should find somebody that does because these are basic, but these are critical important questions for you. Now, these are not in any order. I'm going to go through them randomly, but on the checklist that I developed they're very important that you get each one answered because if you don't you could end up selecting the wrong Medicare plan, you know, I had a gentleman come into my office recently. And unfortunately, he contacted a call center, and they sold them their plan. Well, his health deteriorated. And now he. Cannot make a change in his health insurance for Medicare forever because of his health situation. So we don't want this to happen to you. You've got to get this. Right. The first time, and I'm gonna give you some tips on making sure that you do that. So here the questions, I'll give them to you. And as I say if you call me at eight seven seven five four nine one, two one two just Email it to you. You can also go to my website, one source benefits dot com forward slash blog. And that's all spelled out. Oh, any source benefits one source benefits dot com forward slash blog? This information along with a large number of other helpful tools are contained in my blogs. So here we go. Question number one. And again these are in random order, but these are all important. This is when you're comparing Medicare Advantage program versus medic medi gap program or also the Medicare supplement medi gap and Medicare supplement, by the way, folks are the same thing. Here we go. Number one is my doctor or hospital in the network. You got to know that it is changing rapidly. Some of these networks are shrinking so small. It's unbelievable. You could go to the doctor next door. But you can't go to the doctor across the street or you might wanna go to a different hospital is that hospital going to be in network, very important question. So when you get ready to go see an interview someone or talk to independent Medicare broker an expert. They should know the answer to that question. Very very quickly because we can pull it up on the website and find out what if question number two. What if I need care at a different facility? Let's say I go to the local hospital, and they say, you know, what we just can't treat you here. We need to send you to a specialist. Let's say the Cleveland Clinic for heart procedures or Anderson hospital for cancer or Johns Hopkins hospital because you have something special or. Or whatever that may be will that facility be in network. You gotta know those kind of questions number three do I need a referral to see specialist. Oh my gosh. So many people think that their primary care can do it all, but what happens if they have any type of cardiac problem, and they need to go see cardiologists. Well, some of these plans you've got to get a referral to go see cardiologists, and it may not be the cardiologists of your choice. So do you need to see do you need a referral to see specialist? Here's an important question which Medicare Advantage programs, and what Medicare supplement programs do you offer? Now, if you call some of these folks that you see on TV all the time guess what they're only going to offer that particular product or that one insurance company, you really need to get about five different carrier quotes from diff-. Companies some of the companies you may not ever hear of some. Hopefully, we'll be on the list are name brand companies or national companies that you've heard of but you really need to look at. Maybe maybe five is too many probably three for sure you need to get three different quotes and ask these questions on all three of these different. Programs. How about this question is their premium charge? And if so is dental covered what about vision and don't just ask is it covered. You wanna know what is covered in dental, or what is covered envision a lot of these companies say all we cover dental and vision, but guess what they give you an eye exam for ten dollars big deal. But they don't give you any hardware glasses lenses context thing with dental. They might give you a dental cleaning once a year, but that's not really a huge deal. You can buy dental insurance or vision insurance and just talk to your broker about that or give me a call. Glad to help you you know, number six is kind of a funny one, but do you offer silver sneakers? What's what's silver sneakers, silver sneakers is a nationwide program? Specifically for senior citizens that offers free gym memberships around the country. I had people just had one about a month ago. He switched insurance carriers because that one insurance carrier did not offer silver. Sneakers and he was paying forty two dollars a month. I think to go to the gym and silver sneakers free. So asked that question, it may not be a big deal for you. You may not be Jim person. But it might come into play. How about this number seven? Is there a household discount? What if my wife, and I take a Medicare policy with the same insurance company? Do we get a discount?

Medicare Sneakers Tracy mcmanamon Tracey president Johns Hopkins hospital Senate Cleveland Clinic Anderson hospital Jim cancer forty two dollars twenty nine years ten dollars
"medicare" Discussed on Your Medicare Benefits

Your Medicare Benefits

09:36 min | 2 years ago

"medicare" Discussed on Your Medicare Benefits

"Welcome to another episode of your medical benefits, presented by Tracy mcmanamon, president of one source benefits with twenty nine years of experience in Medicare. Tracey takes the confusion of how Medicare works and shows how to make it work for you. Welcome. Thanks for joining me again today. I can't believe how many changes are occurring in the Medicare world. And today, I want to announce a really really exciting change that's going to happen in two thousand eighteen probably around April will start to see the roll out of this. But I can't tell you how many people that are on Medicare talk to me about an asked me the question. Why is my social security number right on my ID cart? They really don't like that. They don't like carrying their social security card. We've now been programmed for the last several years not to REVEAL OUR social security number let alone carry in our wallet. Well, I have good news for you. Stay tuned. This is going to go over the big change in Medicare one of them. Anyway, for twenty eighteen in fact, there are so many coming out. The new premiums for Medicare Part B that duck doubles are they're going to change. We don't know yet. But we'll find out probably the next couple of months. So here's the big change that I'm aware of at this point for twenty eighteen. Your medicare? Ide- card will all be changed. Everyone in the country is going to get a brand new Medicare ide- card or Medicare insurance card as you call it because your social security number is finally going to be removed from those cards. And now they're going to have something called a Medicare beneficiary indicator or an M B. I so what's the NBA the NBA? I is a randomly assigned eleven digit number. That means nothing to you. It can't be your. Birth date and your couple of initials or your children's aunts uncles ages or anything like that. It's going to be a computerized randomly assigned unique number two just you. So people will not be able to figure it out it'll be eleven digits long. So what does that mean everyone that's on Medicare or newly applied will start receiving new Medicare insurance cards, beginning April twenty eighteen now don't panic because not everyone's going to get their card in April or may or June or even maybe even twenty eight team because it's going to be a gradual rollout across the country. So it's supposed to take about a year for to be fully implemented nationwide. Whether that happens on time or not remains to be seen. But we're being told that beginning April twenty eight teen new Medicare cards will come out what you should do. You should throw away cut up. Shred your current Medicare card or place it in an area that no one's ever gonna find it. Hopefully, you will. But no one else will be because it's got important for mation yourself security number. Probably maybe out of ten Medicare clients that come into my office to talk about their existing plan. Nine of them bring that up when are they ever going to get away from the social security number being my Medicare number now, not only are you going to be getting new idea cards, but all of the providers doctors hospitals to clinics. What have you all will be able to accept the new M B I, beginning April part of the reason it's taken so long, quite frankly is because the providers have had a change their systems. So that when this card is sent to the public. They will be ready for that. Don't worry, they'll still take yourself security number and your in your Medicare number which as you know, is your social security number plus letter, they'll still be able to take that. But begin to use the new car the NBA number because over time the card with your social security number will be discontinued, and you will be required to use. Your new MBA card now, can you imagine? I don't know how many millions of people are currently on better care. And so that's why we've got to be a little bit patient with all this. But it will happen. You will get a new ID card in the mail, please put it in your wallet right away. You know, I have one wish on these Medicare cards, and that is it doesn't come out in a simple plain paper format the way it is today. Hugh should see the cards that come into my office when people pull them out of their wallets their food stains on their rip. They're torn they're bent. It's just ridiculous. When you think about your health insurance car that she used to get remember the days when they were plastic. Well, now, they're a different kind of plastic, but they don't care or soil as easily as the cards that are out there today. So that's my hope is that they become more sturdy card, whether it be stronger paper, or whatever we'll we'll see. They haven't told us. There's been no designs released yet or anything like that. So it all remains to be seen. Exactly what those are going to look like now think about this. Most of us carry our Medicare card in our wallet, right or are poppers in that same wallet or purse is your driver's license, which in most states also has your data birth. Certainly has your photo it has your home address, and it has your driver's license number. Now, I'm not a hacker or a thief, but think about that. That's exactly what these hackers and these these are out to try to steal when they want to steal your identity. They've got all the information in one spot, and if it's not a driver's license. Well, if you're a Medicare recipient, it's red on your Medicare card, which should probably be in that same wallet. Will finally that won't be a concern of yours anymore. Okay. They still going to get your driver's license. If someone steals your wallet or your purse, which will have the other information, but they won't have your social security number. Now, you know, just research. Gently equifax one of the largest data companies in the world was hacked. Can you believe that they were actually hacked? I forget how many millions and tens of millions of people's personal data was compromised, probably mine and possibly yours. What they do with it. The the hackers remains to be seen. But it just shows how vulnerable our systems are even a company like equifax has been hacked. So it all remains to be seen. What's going to happen? If they do anything with that compromised information or not, but at least now you have one thing that will not be out there for everybody to see and that's your Medicare card with your social security number. Thank god. It's finally come come out. And I just hope I pray that those cards are a little bit sturdier than the ones that we are issued nowadays. So don't panic again, don't call Medicare don't talk to your provider, your insurance carrier, or whatever. But that's going to be one of the big changes that will occur in twenty eight teen I expect the part B deductible to change. I don't know. What are how much and I also expect the part B premium to change again. I don't know what are how much now remember when they calculate your part B premium. They look back two years at your tax return. So that's the. Income figure they go by is two years prior. So keep that in mind. Okay. So those are just some of the big changes the other big change that is going to occur, and you may not be aware of this. But if you have a Medicare Advantage program. You really have to understand what may or may not happen to your network of facilities, doctors hospitals. What have you? We've been told in if you Google it. You'll find out that the networks on the Medicare Advantage programs are getting smaller and smaller and smaller. And so I'm not saying that yours will or years will not. But you just have to ask the questions. Okay. So those are the changes that we see right now that are going to occur when we get further information about the part B premium, and or the part B deductible will send out another podcast if anytime you ever have a question about Medicare. I'm all about Medicare twenty nine years. Call me directly. I am not a call center. I answer my own phones. How about that? You can call me directly at eight seven seven five four nine one two one two eight seven seven five four nine one two one two. Check us out on the web one source benefits dot com. Thanks have a great day. God bless you. Thank you. For listening to another special episode of your medical benefits with industry expert, Tracy mcmanamon to take advantage of the free consultation session on your own Medicare benefits. Call him today at eight seven seven five four nine one two one to thank you for listening. And God bless you.

Medicare NBA Tracy mcmanamon equifax Tracey president Google Hugh twenty nine years two years eleven digits eleven digit
"medicare" Discussed on Your Medicare Benefits

Your Medicare Benefits

06:23 min | 3 years ago

"medicare" Discussed on Your Medicare Benefits

"Medicare and Medicaid policies. Don't cover our drugs. So you have to buy a drug card party. Try care, by the way is not a Medicare supplement policy. What about vision hearing as dental eye glasses private duty nursing? Those are all things that are not normally carried in a Medicare supplement policy some carriers. Offer you discounts and the discount actually quite substantial looked at one the other day for a hearing aid or four vision, for example. So call me, and I'll be glad to tell you which one of those carriers do offer that. But those are some things that are not covered. Now. The probably the most chilling question. I get is what if I get really sick. Can they cancel me? The answer is very simple. The federal government is very very good about policing these carriers and these policies, but you cannot be cancelled unless one of three things happens. You lied on the application. You did not divulge some information or you don't pay your premium. Those are the only three ways that you can have your Medicare supplement policy cancelled. Stop paying your premium. You worked truthful or the insurance company becomes insolvent or bankrupt. Now, we haven't seen much of that lately. There was one this year pretty big one actually, and it was rumored to go bankrupt for a long time. So I think for the last few years several people steered away from that. If that happens the federal government steps in they will not leave you without coverage. They'll work with you to get you covered to get all those policyholders covered. But those are the three reasons insolvency or bankruptcy of the insurance company. Do not pay your premium. Or you've lied or falsified the location just a small tidbit. I normally courage people to just put their Medicare supplement premium on a Bank drafter credit card. Then you don't have to worry. Let's say you go to Florida, and you're visiting the grandchildren, and you decide to stay an extra couple of weeks and your supplement policy is do what do you do? And you forget to pay. Well, if you have it on auto draft, then you don't have to worry about that. Lately, I've had a lot of people come into my office and say, I don't take any medications or the medications, I take are so cheap. I can get them at WalMart or wherever for four dollars. I don't really need a drug card. But you need to understand what happens if you don't buy drug card during your initial guarantee issue enrollment. They're penalties involved, which you could end up paying for the rest of your life. So you need to be sure that you look at the drug card and and selected drug card because of the penalties that are involved. So what do you do if you're new to Medicare? Well, first of all, you gotta make sure that you get your Medicare Part a card you should already have it by now, if you're within sixty days of if you're Medicare date Medicare policies are always affective on the first day of your birth month. So if you're born on the thirtieth of the month, your coverage starts the first of that month. You also have to make sure if that Medicare Part if Medicare card has Medicare Part B auto enroll if not you have to call the local social security office and enroll in Medicare Part B you need to do that right away. If you're within sixty days you need to make that appointment. Once you have Medicare Part A Medicare Part B, it's gonna say that on your card, then you're able to purchase a Medicare self in policy. But you can't do it without the Medicare Part A in part be affective date listed on your card. So that's all confusing. I actually wrote a handout, which I'll be happy to Email to you. If you call me eight seven seven five four nine twelve twelve eight seven seven five four nine one two one two I'll send that right out to you via Email this guide that I wrote on how to enroll in Medicare. How to get your part b the phone numbers to call the websites to go to and so forth. It's very very handy. I compile it after working in the Medicare world for twenty nine years now. So the last thing I wanna share with you is to take advantage of something that I only offer to my listeners, and that is an exclusive free consultation on Medicare and how to enroll. There are lots of things that you need to be aware of. And you're never gonna get them all down by reading all the brochures that are coming in the mail. So wouldn't it be nice? If you could just talk to somebody that's done this for a long time. It my case twenty nine years and find out what you need to know about Medicare, and what's going to be the best way to enroll. To pay for and to be satisfied with your Medicare plan. Not only that by the way, I service Medicare recipients had been Medicare people throughout the year. Now, we do things right. The first time we don't have a lot of service issues. But if you run into something you call me, that's what I'm here for you're not gonna call a call center and that person's. No longer working there. This is my own company. I am the owner. And I'm the one that you would talk to so call me today. I offer free consultations help you understand Medicare and help you enroll in Medicare something policies by calling eight seven seven five four nine one two one two eight seven seven five four nine twelve twelve. This is Tracey mcmanamon. Thank you so much. God bless you. Thank you. For listening to another special episode of your medical benefits with industry expert, Tracy mcmanamon to take advantage of the free consultation session on your own Medicare benefits. Call him today at eight seven seven five four nine one two one to thank you for listening. And God bless you.

Medicare federal government Tracey mcmanamon Tracy mcmanamon WalMart Florida Medicaid twenty nine years sixty days four dollars
"medicare" Discussed on Your Medicare Benefits

Your Medicare Benefits

08:22 min | 3 years ago

"medicare" Discussed on Your Medicare Benefits

"Welcome to another episode of your medical benefits, presented by Tracy mcmanamon, president of one source benefits with twenty nine years of experience in Medicare. Tracey takes the confusion out of how Medicare works and shows how to make it work for you. Hi, thanks for joining me. Again today today, we're going to really dive into what is a Medicare Advantage plan. And I'm gonna lay out the pros and the cons of the Medicare Advantage plan. And so this podcast is going to be strictly limited to the Medicare Advantage plan. I am doing a subsequent podcast on the Medicare supplement plan also called the medi gap plans. But if you're looking at Medicare for the very first time, you are more than likely being inundated with mail phone calls postcards emails from insurance carriers offering you Medicare Advantage or Medicare supplement program. So in today's program, we're going to exclusively deal with the Medicare Advantage plan. And maybe you want this, and maybe don't now we're not going to get into what one carrier offers over another carrier because. We're not allowed to do that number one by law. But number two, I think you just need a general overview of what the Medicare Advantage program may or may not do for you. Because if you're watching the TV every other commercial seems to be a Medicare Advantage plan or now they're promoting the Medicare supplement program, and by the way, the Medicare supplements outweigh or in popularity anyway the Medicare Advantage plan by a significant margin. So let's talk about Medicare Advantage programs and to confuse you, hopefully, a little less within the Medicare Advantage program. There's something called the regular Medicare Advantage program, which are the ones that you normally see advertised on TV for zero premium no cost, and there's also some called the select Medicare Advantage or the regional Medicare Advantage program. And they do have a cost associated with an explain that in a few minutes. So what really is a Medicare Advantage program? Well, when you turn sixty five and assuming that you've already. Had some knowledge through my previous broadcasts of of what Medicare parts ABC indeed do for you, and you likely have Medicare by now, and hopefully you have Medicare be by now. Now's the time to decide how do you want to be your claims to be processed going forward? So you could just essentially have Medicare a and b guy Medicare is free, as you know, cover some hospital charges the operative word being some Medicare Part B covers some hospital sucked. Charges me some doctor charges and again, the operative word being some, but there's all kinds of co pays co insurance deductibles out of pockets, and so forth excess charges that you could be involved in. If you just have Medicare parts a and b b likely have to pay for a free those claims would be paid for by the federal government. So if you go in. To the hospital, and you only have Medicare NB they send the claims directly to Medicare. So what is the Medicare Advantage program? Well, what the Medicare Advantage program does is that replaces the claim payer from the federal government to an insurance company like mutual of Omaha at bluecross blueshield, a carrier like that. Okay. So they just. You go to the hospital. You have claims the claims now go to this insurance company that you have selected to be your Medicare Advantage carrier. So that's really truly the major difference K. So. With Medicare Advantage programs. You also in some cases and put this on the table right now, you also have some dental and or some vision benefit and some even give a hearing aid either benefit or discount, and I say some because not all carriers have the exact same thing. So if you were to watch TV call that insurance company and say, hey, I watch your Medicare Advantage program. And they say, oh, great. You get this for free and the discounts on here. But if you don't know what the other carriers are offering you're missing the boat. So my suggestion is don't call those insurance companies and don't call the associations that are marketing. The advantage program because the only represent one carrier. You've got to find out what is carrier ABC in Diaw 'ring. To me, whether it be what we call the answer. Larry like dental vision or hearing aid. But is there anything else? Okay. So you don't wanna just call directly to that insurance company because you're not going to get the full perspective of what's out there. Not all carriers offer that but some do and the other thing that some carriers will offer on the Medicare Advantage is some drug benefit now. Again, you really have to look into this the drug benefit has called part D as in drug, but you really have to look into this to see what is truly covered. And in some cases, where can you get your medication from you may have to only go to one or two different preferred pharmacies to get the discounts. So again, you've got to look at all the different than all of them. But you know, the top four five carriers out there to see what they offer what are the bells and whistles do. They offer dental vision or indoor hearing and what about the drug what about the drug benefits? Okay now. I'll stop you right here because I'm sure that's a lot to cover and tell you that. You're welcome to call me if you wish. And I will lay this all out for you in plain English tell you what carriers in your zip code or your county or your state do this or that. And whether they cover those other benefits like dental vision or drugs. But if you don't wanna call me, that's fine. Call an independent insurance agent that you know deals with Medicare and someone that is advantage certified first of all because there's a special license that we have to secure every year to be able to represent advantage carriers like mutual of Omaha or at or anyone else, and this is special certification that we have to go through. And it's it's pretty difficult to be honest with you, but the independent insurance agent that has the certification will certainly be knowledgeable because the training is actually exceptional that we take to recommend suggest. The different Medicare Advantage carriers to you. Okay. So that's in a nutshell. What that really means? Now, I mentioned earlier what is the difference between regular Medicare Advantage and select it's huge. The difference is the networks under the regular Medicare Advantage programs and more than likely the ones that you see ever touched on TV that are zero premium means that your network your access to doctors, and or hospitals is very very very limited. May only be your zip code it. Just it's all different every carrier has a little different rule in terms of how that works and how that plays out. So the advantage program that's zero premium has a very small network, and you also need to be aware that what if you're traveling, and you're visiting the grandchildren, and you need to seek care more than likely

Medicare ABC federal government Omaha Tracy mcmanamon Tracey president bluecross blueshield Larry twenty nine years