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Media malaise

It's time for reporters to see how Medicare's red tape chokes elderly

By Barbara J. McKee
Tribune Columnist

April 25, 2006

Week after week I keep looking for news that the Medicare Part D prescription drug program is getting better, and the push for home-based nursing care instead of nursing home placement is improving.

But I'm consistently disappointed.

My father-in-law gets all of his medications from Canada. He's been following the stories and researching what cost benefit he'd receive if he enrolled in Medicare's drug program. His diligence proved that he would pay up to 40 percent more for his medications, and he wouldn't be able to get all of them.

Most of his friends are doing the same thing - buying in Canada to keep within their limited budgets.

Last month he received a letter stating he was automatically enrolled in a health plan without his permission. He's writing letters to remove himself from this forced enrollment before it takes effect on May 15. He's one of the many who spend enormous amounts of time fighting for medical rights.

Unfortunately, most Medicare patients don't have the time or skills to fight the good fight. A New York newspaper tells of Eddie Rosa, who died because he couldn't afford the now-mandatory prescription drug payments for the 23 medications he was to take daily.

Until Jan. 1, Rosa got his drugs for free, because he was "dual eligible" - poor enough for Medicaid and disabled enough for Medicare. Medicare Part D is designed to help seniors pay for prescriptions, but dual eligibles now have to pay a little bit more for theirs - $1 to $3 co-pay per prescription. Rosa would owe about $30 a month in co-pays.

Rosa didn't get his medications. Instead, he got sick, was hospitalized and died. Did Medicare's red tape play a part in his death? No one is asking - yet.

The Miami Herald reports a young man is vowing to disconnect his breathing machine if Florida's Medicaid program forces him into a nursing home. He's been fighting for in-home nursing care, which is half the cost of nursing home care. Florida says it hasn't the cash to pay for in-home nursing but is happy to pay double for institutionalized care.

These stories number in the hundreds but rarely make the newspapers. Living by the decisions of state and federal governments is scary business. The only way to fight for medical rights is to become a pest, writing letter after letter and making phone call after phone call.

The "golden years" of retirement are supposed to be filled with reaping the benefits of a life of hard work. Becoming disabled shouldn't be the end of a person's civil rights.

The outrage is palpable in the elderly and disabled population. So the question is: Why are the media ignoring it?

McKee, a wheelchair user, is a freelance writer and producer. You can e-mail her at: chairgrrl@chairgrrl.com

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