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View Diary: The White House Shows its Hand and the Republicans Fold (195 comments)

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  •  Increased premiums for Medicare (4+ / 0-)
    Recommended by:
    leftreborn, tardis10, elwior, KenBee

    While raising Medicare premiums is better than raising the age for eligibility, I don't much like it.

    Expanding Means-Testing of Medicare Part B and D Premiums. Medicare is already a means-tested program, with higher-income beneficiaries paying more for Part B and Part D premiums. The current requirements affect only about 5% of beneficiaries – those with incomes at or above $85,000 a year.  The President's proposal would not only raise the income-related premium by 15%, it would also freeze the income level for higher payments at $85,000, not adjusting for inflation, cost of living, or any other such factors, until 25% of beneficiaries were paying the higher premiums. According to the Kaiser Family Foundation, if this proposal was implemented today, "rather than reached gradually by holding income thresholds constant over time," Medicare beneficiaries with incomes at or above $47,000 for individuals and $94,000 for couples would be paying higher premiums this year.  In the future, Medicare beneficiaries in the top 25% who are far from wealthy would find themselves paying disproportionately for their healthcare costs. Not only would this proposal shift more costs to people who have incomes well below the highest levels, it might lead to more people choosing not to participate in Medicare. Fewer participants in parts B and D would result in increased costs for the remaining participants.  
    Source: Center for Medicare Advocacy

    "In the end, we will remember not the words of our enemies but the silence of our friends" -Martin Luther King Jr

    by blue denim on Wed Dec 12, 2012 at 06:42:57 PM PST

    •  Devil is always in the details. This information (3+ / 0-)
      Recommended by:
      blue denim, elwior, KenBee

      is what I understood about the increase in premiums but I have to check the details.  These folks would be past their earning years and still getting a decent income that a lot of people don't even have when they're raising a family.  Medicare provides great coverage and giving it up because of a 15% rise in premiums would be unwise.

      "Those who deny freedom to others, deserve it not for themselves." - Abraham Lincoln

      by leftreborn on Wed Dec 12, 2012 at 07:28:32 PM PST

      [ Parent ]

      •  Current Medicare premiums (4+ / 0-)

        Standard Medicare premium is $104.90/ month for Part B.   For single people, it's an additional $42/month with an adjusted gross income over $85K; an additional $104.90/month with income over $107K; an additional $167.80/month with income over $160K; and $220.80/month with income over $214K.  Income limit x2 for married people.

        Yes, Medicare is a great deal.  But I think a lot of people believe they paid for Medicare while they were working.  The premiums aren't trivial.

        You might be surprised how many people are on Social Security/ Medicare and still raising a family.

        "In the end, we will remember not the words of our enemies but the silence of our friends" -Martin Luther King Jr

        by blue denim on Wed Dec 12, 2012 at 08:29:19 PM PST

        [ Parent ]

        •  Insurance is definitely not cheap. (4+ / 0-)

          People with that amount of AGI in retirement probably have a decent net worth.  They probably have other forms of insurance like long term care as well.

          "Those who deny freedom to others, deserve it not for themselves." - Abraham Lincoln

          by leftreborn on Wed Dec 12, 2012 at 09:52:51 PM PST

          [ Parent ]

          •  went from 600/mo with 4000 out of pocket (3+ / 0-)
            Recommended by:
            leftreborn, blue denim, elwior

            in other words, catastrophic insurance with no money left over for real healthcare, screening,r preventative medicine

            to

            $104 plus $127 plus $15 for the three parts of Medicare,......with NO out of pocket NONE...and have had wellness and screening and tests long needed...pointing out yet again the huge savings to be had from early buy in for Medicare that would really help those budget numbers...many low income seniors go without insurance and healthcare, and by the time they hit 65 m,any many are way behind, sometimes catastrophically, sometimes fatally behind, and all that delayed medical care now costs way more now to the Medicare payees...and the health of the individual and their community and family.

            This machine kills Fascists.

            by KenBee on Thu Dec 13, 2012 at 01:44:54 AM PST

            [ Parent ]

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