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Friday, November 30, 2007

Shocker: Medicare Is Needlessly Expensive, Terribly Inefficient

Behold the inadequacies of government-provided health care:

Millions of people with respiratory diseases have relied on oxygen equipment, delivered to their homes, to help them breathe. A basic setup, including three years of deliveries of small oxygen tanks, can be bought from pharmacies and other retailers for as little as $3,500, or about $100 a month.

Unless, that is, the buyer is Medicare, the government health care program for older Americans.

Despite enormous buying power, Medicare pays far more. Rather than buy oxygen equipment outright, Medicare rents it for 36 months before patients take ownership, and pays for a variety of services that critics say are often unnecessary.

The total cost to taxpayers and patients is as much as $8,280, or more than double what somebody might spend at a drugstore.

The high expense of oxygen equipment — which cost Medicare over $1.8 billion last year — is hardly an anomaly.

Medicare spends billions of dollars each year on products and services that are available at far lower prices from retail pharmacies and online stores, according to an analysis of federal data by The New York Times. The government agency has paid above-market costs for dozens of items, a comparison of Medicare figures with retail catalogs finds.

For example, last year Medicare spent more than $21 million on pumps to help older and disabled men attain erections, paying about $450 for the same device that is available online for as little as $108. Even for a simple walking cane, which can be purchased online for about $11, the government pays $20, according to government data.

The interesting thing is despite these rather glaring problems, people like Ted Kennedy are actually in favor of extending Medicare coverage to all Americans.  What’s more, despite example after example showing us that government simply cannot provide health care to the masses in a way that is both cost effective and meets demand, Democrats still want to foist government-run health care on us.

John Edwards, in fact, would put you in jail for refusing to participate.

I just don’t get how so many people can be in favor of such a bad idea even in the face of overwhelming evidence proving just how bad it is.

Comments

Another thrilling installment from NYT’s favorite hero, Capt. Obvious. Color me underwhelmed.


Una Salus Victus Nullam Sperare Salutem

2Hotel9 on November 30, 2007 at 01:52 pm
Avatar for Jill

Of course this is happening! Medicare IS plagued with problems. There are plenty of elderly people suffering right now because they cant pay their increasing medicare premiums.. All the while, the major insurance companies, just sit back and collect thier money. This is exactly why AARP has set up http://www.thisissoridiculous.com so that we can all sign a petition to make our voice heard. While your there you can also read updated news, watch videos, and even e-mail your congressman to let him know how you feel. I’m working to help AARP promote better Medicare because this is an important issue that isn’t getting enough attention

Jill on November 30, 2007 at 02:57 pm

"Jill on November 30, 2007 at 04:57 pm”

And yet another twit pushing socialism.


Una Salus Victus Nullam Sperare Salutem

2Hotel9 on November 30, 2007 at 05:29 pm
Avatar for Homecare

The NY Times article by Charles Duhigg you refer to is misleading and reaches exactly all the wrong conclusions. 

The key flaw in the New York Times article is the simplistic assumption that oxygen therapy delivered to Medicare patients in their homes should cost the same as the Internet or eBay price to buy the equipment only.

Medical oxygen is a prescription drug that is highly regulated by the FDA. The typical Medicare beneficiary on home oxygen therapy is an elderly patient who suffers from chronic obstructive pulmonary disease (COPD).

Nearly three-quarters of the cost of providing oxygen therapy to Medicare patients in their homes represent services, delivery, and other operational expenses that benefit patients.  Only about one-quarter of the cost represents the oxygen equipment itself.

Congress has enacted numerous cuts to oxygen over the past decade, reducing Medicare payment rates for oxygen therapy by nearly 50 percent. Oxygen payments are scheduled to be reduced by an additional 19 percent over the next two years because of previous legislation, regardless of congressional action this year.

Long-term oxygen therapy reduces hospital admissions. The average daily cost for home oxygen therapy is approximately $7.60 in Medicare, compared to average of more than $4,600 per day in a hospital under Medicare.

In 2006, Congress dramatically changed policy for oxygen therapy by requiring Medicare beneficiaries to assume ownership and responsibility for their oxygen system after 36 months of use. Previously, the beneficiary used the equipment as long as medically necessary and an oxygen provider took responsibility for maintenance, a back-up oxygen-delivery system, 24-hour emergency service, and other services required for proper use and patient safety.

Homecare on December 6, 2007 at 03:45 pm

So, Mr Medicare Lobbyist, you actually trying to tell us that medicare is an efficient and effective medical system? Too funny! Gang, go checkout its page. I would be amazed and shocked to learn it is NOT a Hillary’08 contributor.


Una Salus Victus Nullam Sperare Salutem

2Hotel9 on December 6, 2007 at 05:39 pm
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