Dana Blankenhorn

Rethinking Healthcare

Reform bill launches long term care debate

By Dana Blankenhorn | Jul 20, 2009 |

For the first time Congress may be about to tackle the greatest horror its citizens can face, the problem of long term care.

I have been educated on this subject by Martin Bayne (right), who was part of the long term care insurance industry before being stricken with Parkinson’s 15 years ago.

Since then he has lived the nightmare, fighting first on behalf of the industry as Mr. Long Term Care, and as his condition deteriorated against it from a nursing home in Albany, New York.

A provision in the Senate HELP Committee bill, authored by Sen. Kennedy, includes a provision that will let people buy long term care insurance from the government, at a price averaging $65/month. The premiums would raise $58 billion over 10 years, and Democrats hope it will be revenue-neutral.

The main aims of the plan are to draw premium income from healthy people and focus benefits on keeping people at home as long as possible. The $50/day benefit is of little help if you find yourself where Mr. Bayne did early in this decade, stuck in a nursing home before your 50th birthday, but for many it will be a godsend.

Critics like Tom Hebrank, president of the Financial Planning Association of Georgia, fears people will game the system, that the benefit will be inadequate, and that most of those opting-in will be poor people requiring high levels of care.

Maybe.

George Braddock, who calls himself Long Term Care Professor, says the bill replicates products already in the market, attacks the insurance’s five-year waiting period, and thinks it will mislead people into failing to plan.

Maybe.

But most people do no planning today. And today people have to bankrupt themselves before the government will give them any help with care, even in their own homes. The bill offers a chance to automate and normalize home care, something private industry has not done.

It’s smart to plan for your future with long term care insurance. It’s also smart to provide an option that will keep millions in their homes longer, and help build a scaled industry that can give the homebound quality care at an affordable price.

For now I’m going to call this the Bayne bill. We all need to engage in this debate seriously before Mr. Hebrank, Mr. Braddock, or you end up like my friend Martin.

 
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  •  
    1

    LongTermCareInsurancePros

    07/20/09 | Report as spam

    RE: Reform bill launches long term care debate

    Great Article! This health care reform will "lull" the general public into thinking that the government will take care of all their long-term care needs. Only when you are personally involved with caregiving do you know that $50/day does not go very far.
    I agree that it is smart and responsible to plan for your long-term care needs with long term care insurance or possible a hybrid product. It will give you the opportunity to stay at home longer with good quality care.
    A great source is found at www.LongTermCareInsurancePros.com

  •  
    2

    jesseslome

    07/21/09 | Report as spam

    We Are Saddling Future Generations

    From Jesse Slome, Executive Director of the American Association for Long-Term Care Insurance.

    The new legislation does nothing more than create a new and very costly entitlement program. The writers have been very astute calling for a voluntary plan and marketing it as $65 a month. First, the Congressional Budget Office has said that's already too low. Second, that amounts to $1,500 a year for a couple.

    What will happen is too few people will sign-up. Those with health conditions will. As a result, when claims start coming in, the new government program will be significantly underfunded (but it will be established). Taking away an entitlement is next to impossible.

    Thus, it will evolve into an underfunded mandatory program. For baby boomers it's a great deal because our earning and peak tax-paying days are nearing an end. For the next generation, well sorry kids looks like baby boomers are going to sneak this one by you and leave you holding the (empty) bag.

    Certainly the issue of long-term care merits meaningful discussion.

    Jesse Slome
    American Asscciation for Long-Term Care Insurance
    http://www.aaltci.org/

  •  
    3

    Scott A Olson CLTC

    07/21/09 | Report as spam

    RE: Reform bill launches long term care debate

    This program will probably be underfunded in the long term, but it will be
    help federal revenues in the short-term.

    The best part of the bill is that it will help raise awareness in this
    country that everyone does need to plan for long-term care.

    Secondly, the provisions in the bill that allow for private long-term care
    insurance to be purchased with pre-tax dollars, will encourage more
    people to purchase private long-term care insurance to supplement the
    $50 daily benefit in the CLASS Act.

    Scott A. Olson
    www.LTCInsuranceShopper.com

  •  
    4

    dedrizen

    07/22/09 | Report as spam

    At odds with other lines in health care reform?

    I've been reading some stuff on the health care bill(s) being considered. Elsewhere, someone took the time to point out a couple things. There are provisions for government official(s) to define end of life benefits. Provisions for counseling various groups (old, dying, etc.) in end of life procedures.

    You could read these lines as caring about the suffering or aged, or you could read these as cost saving measures to get people off the system by encouraging them to "go peacefully." As for myself, if I had to guess, I would favor the latter. It really doesn't matter, government has a very bad habit of underestimating the cost and overestimating what they can accomplish. Sometimes they do alright, but looking at Social Security, MediCare, and the sort, it doesn't look promising for that $65/month.

  •  
    5

    JJMMWGdP

    07/22/09 | Report as spam

    Jim

    The White House Chief of Staff's brother authored a white paper exploring how abortion and euthanasia could be tools for reducing the spend on government health care. How long till we build a Hadamar center and help rid society of "life unworthy of life"?

  •  
    6

    K1FDH

    07/24/09 | Report as spam

    RE: Reform bill launches long term care debate

    Here is some important info from Betsy McCaughy on her website -
    http://www.defendyourhealthcare.us/home.html

    "Start with Dr. Ezekiel Emanuel, the brother of White House Chief of Staff Rahm Emanuel. He has already been appointed to two key positions: health-policy adviser at the Office of Management and Budget and a member of Federal Council on Comparative Effectiveness Research."

    "Emanuel bluntly admits that the cuts will not be pain-free. "Vague promises of savings from cutting waste, enhancing prevention and wellness, installing electronic medical records and improving quality are merely 'lipstick' cost control, more for show and public relations than for true change," he wrote last year (Health Affairs Feb. 27, 2008)."

    "Savings, he writes, will require changing how doctors think about their patients: Doctors take the Hippocratic Oath too seriously, "as an imperative to do everything for the patient regardless of the cost or effects on others" (Journal of the American Medical Association, June 18, 2008)."

    "Yes, that's what patients want their doctors to do. But Emanuel wants doctors to look beyond the needs of their patients and consider social justice, such as whether the money could be better spent on somebody else."

    "Many doctors are horrified by this notion; they'll tell you that a doctor's job is to achieve social justice one patient at a time."

    "Emanuel, however, believes that "communitarianism" should guide decisions on who gets care. He says medical care should be reserved for the non-disabled, not given to those "who are irreversibly prevented from being or becoming participating citizens . . . An obvious example is not guaranteeing health services to patients with dementia" (Hastings Center Report, Nov.-Dec. '96)."

    "Translation: Don't give much care to a grandmother with Parkinson's or a child with cerebral palsy."

    See more at http://www.defendyourhealthcare.us/home.html

  •  
    7

    pizzaman7

    07/30/09 | Report as spam

    Anything but Government Run Care

    There seems to be some well qualified people who left comments here. I wanted to add a couple comments myself.

    I like this excerpt from this article: "Democrats hope it will be revenue-neutral." Translation: they have done no planning and it will not be revenue neutral. It will be good publicity that something gets passed and then the rubber hits the road and this turns into another unfunded entitlement program that will add to our out-of-control deficit.

    Who is going to play God ? We all have a right to live as long as we want. Don't give me this crap about "what is good for the community". If you have worked hard your whole life, exercised, ate healthy, etc, then you should reap the rewards and live life to its fullest...especially if you have been paying into the system.

    I am all for reform as long as certain common sense practices are followed. Congressman Paul Ryan has it right. He understands and is offering better options than the Democrats are.

  •  
    8

    grinrevere

    08/11/09 | Report as spam

    Cost Effective Healthcare Legislation

    Somehow this article and discussion has left out of the
    discussion that the house biill HR 676 which will finally be
    debated on the house floor and voted on. It covers everyone
    and is cost neutral for enhanced care through a medicare like
    system for everyone and includes medical, dental, vision,
    chiropractic, long term care and other benefits. The bill and
    details as well as analysis are on Physician's for a National
    Healthcare System. Studies found more people are satisfied
    with medicare than with their private insurance plans---
    understandably since over 60% of people go bankrupt for
    medical reasons and 75% of those HAD insurance (or thought
    they did until it didn't cover them adequately when they got a
    catastrophic illness.

    In addition, "Establishing a national single-payer style
    healthcare reform system would provide a major stimulus for the
    U.S. economy by creating 2.6 million new jobs, and infusing
    $317 billion in new business and public revenues, with another
    $100 billion in wages into the U.S. economy, according to the
    findings of a groundbreaking study released today. It may be
    viewed at www.CalNurses.org. The number of jobs created by
    a single-payer system, expanding and upgrading Medicare to
    cover everyone, parallels almost exactly the total job loss in
    2008."

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Dana Blankenhorn

Dana Blankenhorn has been a business journalist for nearly 25 years and has covered the online world professionally since 1985. He founded the Interactive Age Daily for CMP Media, and has written for the Chicago Tribune, Advertising Age's "NetMarketing" supplement, and dozens of other publications over the years.

Dana Blankenhorn

Dana Blankenhorn has been a technology reporter since 1982, a business reporter since 1978, and a writer for as long as he can remember. His Schwab IRA has a few tech stocks in it, most notably some Intel and Applied Materials bought over 10 years ago. But the vast majority of his tiny fortune (emphasis on the word tiny) is invested in mutual funds. He presently writes for no one else but ZDNet, SmartPlanet and himself. But if you've got an opportunity let him know. If he takes the gig he"ll first add it to this disclosure page.
Rethinking Healthcare examines innovation in the health care industry covering topics such as electronic and personal health records, treatment, privacy, regulation and using information technology to manage and monitor chronic conditions.