Monday, July 6, 2009

Wednesday July 1, 2009 6:00 AM -2:00 PM

I spent a lot of time on Wednesday researching the effects of Medicare and Medicaid on healthcare (in LTC facilities in particular). I can now understand why so many seniors are confused by this information. There are many supplemental programs that are included with these services which only worsens the confusion. I learned that federal Medicaid grants to states now account for the fifth largest federal budget item, after social security, defense, the federal debt and Medicare, but will soon overtake Medicare for 4th place. So many elderly depend on this form of insurance for all their medical expenses. Many cannot afford supplemental, or are just not knowledgeable regarding the information to see a need for it. Encourage any senior citizen you know to get supplemental insurance if at all possible, now! It will save them and their families from serious monetary and healthcare problems later. I read an article in my research titled, New Analysis of Bush FY 2009 Budget: Texas Medicare Cuts 4th Highest in Nation. This proposed budget and regulatory changes will cut Medicare-financed nursing home care in Texas by $104.90 million in the year ahead. Texas has slipped to 49th in the nation in terms of Medicare reimbursement rates! This information makes me very nervous. As an advocate for the elderly, how can I help to improve upon the care they need when our government cuts back on what it takes to pay for this care. Less money = less staff = less RNs (which we need desperately in LTC) = less effective treatments = more medical problems = need for more money = ongoing cycle!
I'm so frustrated!