Wednesday, January 18, 2023

Retirees to NYC Council Members: Do Not Be ‘Bamboozled’ By Medicare Advantage - Work-Bites

 

 

 


https://www.work-bites.com/view-all/retirees-to-nyc-council-members-do-not-be-bamboozled-by-medicare-advantage


By Joe Maniscalco

Last week’s New York City Council hearing on changing Administrative Code 12-126 made two already obvious things a helluva lot clearer. They are as follows:

A.) Civil Service and Labor Committee Chair Carmen De La Rosa [D-10th District] is very invested in having her colleagues believe the mayor and the heads of the Municipal Labor Committee have the “unilateral ability” to move municipal retirees into a for-profit, privatized Medicare Advantage health insurance program.

B.) Mayor Eric Adams and the heads of the Municipal Labor Committee are hellbent on pushing city retirees into a for-profit, privatized Medicare Advantage health insurance program no matter how much evidence they’re shown the program is a disaster.

Forget that just last week, Congress Member Jamaal Bowman [D-NY] went on record with Work-Bites calling the drive to push New York City municipal retirees into a Medicare Advantage plan “a horrific attempt to save money on the backs of our city’s former teachers, nurses, and first responders who deserve access to the high quality health care they were promised.”

Former Cigna Communications Director Wendell Potter told the Jan. 9 hearing, Medicare Advantage has “bamboozled employers, unions, lawmakers and the public for years, for no other reason than to maximize profits to keep Wall Street happy. Medicare Advantage is a money making scam. And I should know — I helped sell it.”

That’s right, Wendell Potter — the former health insurance industry insider who, after years of pushing the for-profit privatization scheme on unsuspecting retirees, had his come-to-Jesus moment and is now one of the nation’s leading critics leading the charge against for-profit, privatized Medicare Advantage plans.

“I implore you not to vote in favor of hurting the city’s retirees,” Potter continued, “doing so will not make retirees healthier — but it will make the bottom line of insurance companies much healthier with the hard-earned tax dollars.”

Recently released federal audits uncovered Medicare Advantage health insurance plans cost the government nearly $12 billion in overcharges last year alone.

In December, Potter joined with Congressmen Ro Khanna [D-Calif.] and Mark Pocan [D-Wis.] in supporting the Save Medicare Act, a bill aimed at banning private insurance companies from continuing to call their for-profit insurance products “Medicare.”

“To be blunt,” Potter added, “they are stealing our tax dollars to enrich their shareholders.”

Work-Bites has already documented other more important evidence about how detrimentaleven deadly — Medicare Advantage plans can be for municipal retirees.

But not to worry, the Adams administration and the heads of the MLC still insist that will not happen here in New York City. And why not? Well…they’re “confident” it will not. Also, the heads of the MLC say they’re gonna “strategize” and “fight the industry.

This week, that kind of talk prompted one Work-Bites reader to write: “If the Aetna plan is tailored specifically for NYC retirees as was sated by OLR folks and the mayor — where are the results of the PILOT project that documents the success in NYC?”

Office of Labor Relations Deputy Commissioner Dan Pollak, told the Jan. 9 hearing that the Adams administration has already “explored many other options,” but has somehow determined, nonetheless, that a Medicare Advantage plan — in this case with Aetna — is “the best way forward.”

Pollak told the committee straight out: “This is a unique opportunity to use federal funding.” He was, of course, referring to the federal subsidies the mayor and the heads of the MLC would like to start using to pay for municipal retiree healthcare.

Municipal retirees who have mobilized in force against the campaign to push them — and all those following them into retirement — into a Medicare Advantage plan, say the city hasn’t realistically explored other money-saving options, or turned over nearly enough stones.

“You’re being asked to do something you don’t have to do,” NYC Organization of Public Service Retirees President Marianne Pizzitola told Council Member De La Rosa. “There are other ways to be able to do this rather than take away people’s health insurance under the guise of giving them choice.”

Stu Eber, chair of the Council of Municipal Retiree Organizations [COMRO] and president emeritus of the NYC Managerial Employees Association, delivered testimony saying the administration has created a “false dichotomy.”

“They are forcing you to choose between preserving Medicare as our primary medical coverage with the City paying for our supplemental coverage or imposing premiums on all members of the City health plan,” he wrote. “The attempt to rush you to vote on the amendment to Administrative Code 12-126 is just one of their tactics to force us into a Medicare Advantage plan.”

Eber is urging the City Council members to “hit the pause button” and instead form a blue ribbon panel charged with finding alternative means of saving $600 million or more in health care costs — without imposing premiums or eliminating Medicare.

“The history of our City since 1975 proves that we can solve our problems when we all sit down together at the table and work to find solutions to our problems,” Eber wrote. "Please do not allow the Administration to force you into amending the Administrative Code that the courts have ruled protects our Medicare.”

Some retirees, as Pizzitola pointed out, are cops and firefighters whose top pay when they retired back in 1979 was $15,000.

“One of our retirees is in his early 90s,” Pizzitola said. “His pension today is $26,000 — and that’s with his variable supplement. That man can’t afford to pay a starting $200 premium in order to keep choice of senior care.

But what New York City Council members have to remember, Pizzitola added, is that when municipal workers retired, they retired with a “promise of something we would have.”

“In our summary plan books the terminology literally states something like this,” Pizzitola said, “‘The benefits that you have in your employment will continue in your retirement — until your death.’”

Commercial insurance companies have a long history of harming patients - Paying the fox to guard the henhouse - PNHP

 

Paying the fox to guard the henhouse

 

 

January 17, 2023

Dear colleague,

Commercial insurance companies have a long history of harming patients, whether they’re imposing sky-high deductibles, demanding “prior authorization” for routine treatments, or outright denying medically necessary care. Why? Because their investors demand profits, and these companies have a legal responsibility to deliver.

We’ve seen how insurance company practices have impacted workers, Medicaid managed care beneficiaries, and seniors who have enrolled in Medicare Advantage. Now—as if that weren’t enough—millions of Traditional Medicare beneficiaries will have to deal with the interference of middlemen thanks to ACO REACH.

That’s why PNHP sent a letter to Health and Human Services Secretary Xavier Becerra and Centers for Medicare and Medicaid Services Administrator Chiquita Brooks-LaSure earlier today, demanding an end to the hopelessly compromised REACH program. Our letter highlighted numerous instances of fraud and other malfeasance from companies that were nevertheless approved to administer Medicare benefits through REACH.

Over the past year, PNHP investigated a small sample of Direct Contracting Entities (the precursor to ACO REACH) and uncovered a range of bad behavior that was as unsettling as it was commonplace. For example:

  • Centene subsidiary Health Net overcharged the VA by nearly $100 million;
  • Sutter Health agreed to settle with the state of California for $575 million to resolve allegations of anticompetitive practices that led to higher prices for patients;
  • Clover Health was fined by CMS for using “marketing and advertising materials that contained inaccurate statements” about coverage for out-of-network providers;
  • Humana was accused by federal investigators of improperly collecting almost $200 million from Medicare;
  • Cigna is being sued by the Department of Justice for allegedly gaming the Medicare Advantage program to secure higher capitation payments.

This history should have taught federal policymakers a lesson: Commercial insurance companies cannot be trusted to administer public health benefits.

Read our letter to the Biden administration

How can we push these policymakers to do the right thing and finally end the Medicare REACH program? By highlighting the inexcusable behavior of these contracted companies, and building a grassroots movement that will be impossible for the Biden administration to ignore.

In the immediate term, please join us on Thursday, Jan. 26 at 8:00 p.m. Central / 9:00 p.m. Eastern for a webinar where we’ll talk more about the next steps in this fight to reclaim Traditional—truly public—Medicare.

In solidarity, 

Phil Verhoef, M.D., Ph.D.
President

PNHP NY Metro Logo


Join us today in asking NYC Comptroller Brad Lander to conduct a fiscal analysis and report of the impact of the New York Health Act on the NYC budget!

Picture of a marquee against a blue sky with the text:"Petition to Brad Lander, NYC Comptroller. Please conduct afiscal analysis and report of the impact of the New York Health Act onthe NYC Budget." The top of the marquee has a small PNHP NY Metrologo, and below the sign in small text, the Chapter's social mediaaccounts are indicated: TW @pnhpnymetro IG @pnhp_nymetro

As NYC braces for another austerity budget battle and the City seeks to shift municipal retirees off of traditional public Medicare, into restrictive, privatized Medicare Advantage plans and change the City’s administration code in an effort to offload costs, there has been too little attention to systemic solutions that will provide long lasting relief. 

Beyond the clear quality of life and life-saving benefits, a major advantage of a universal, single-payer system is the cost-savings benefits that come with the efficiency, bulk purchasing power, and removal of private profits accompanying such a system. While the savings take place at almost all levels, they are particularly significant for lower levels of government. 

In 2018, the New York City Council passed a resolution calling on the State government to enact the New York Health Act. A fiscal and budgeting analysis from the NYC Comptroller is an opportunity for the City to investigate the extent of the cost-savings at the City level, to demonstrate an important and viable alternative to austerity, and to garner more support for the legislation moving forward.  

Please sign the petition today and share this link with your networks: www.bit.ly/ComptrollerPetition 

Thank you for joining us in struggle now and always,

Oliver Fein signature

Oliver Fein, MD
Board Chair, Physicians for a National Health Program – New York Metro

 

 

Sunday, January 15, 2023

NYC Organization of Public Service Retirees - UPDATED HEARING INFORMATION!

 

Greetings!  

The City Council hearing on Monday went very well.  We filled the Council chamber with about 250 retirees, plus we had about 300 people outside chanting, "Let us in!"  Our government liaisons were able to get the retirees into 250 Broadway so they were warm and could hear the hearing.  As people left the chamber, retirees were permitted to come across the street to the chamber to testify.

We had retirees testifying until 9 pm!  We were heard.    We were also blessed to have Wendell Potter testify with us.  Wendell, is a nationally known whistleblower in the insurance industry.  Here is his newsletter about the hearing.  

The hearing lasted almost 12  hours long.    If you want to hear the full testimony of the day click here.  HEARING VIDEO  

We have asked you all to NOT call City Council.  We are allowing them to absorb this week quietly, and we will advise you to our strategy next week.   Monday is a holiday, and we will be in meetings on Tuesday.  We will advise you of our next steps soon.   In the meantime, look back on all we accomplished together!   You wanted to be heard, and boy did they hear you!   Things are looking good...  just give us a few days..  Be hopeful!   WE ARE!   

Trust me when we say, doing nothing is the hardest thing we have been asked to do!  We understand...

Keep January 19th open, as we will update you as to the call to attend the hearing next week.  
********************************************
Target Dates

January 19th @ 1:30pm City Hall: Stated Meeting ( we do NOT KNOW if they will vote on the bill yet)

 
If you are on Twitter and Instagram, please comment and share our messages.
We also created an OPEN FaceBook Page https://www.facebook.com/NYCRetirees

And Please send your donations in to continue this fight!  We have THREE lawsuits running concurrently, and if the Mayor eliminates all health plans, we WILL have a 4th!!
 
The NYC Organization of Public Service Retirees filed a lawsuit to stop the copays in the GHI Senior Care plan that the MLC (the UFT is a majority player in the MLC) and City imposed January 2022.   WE, the retirees filed that suit! 
Thank you to all the retirees who came to City Hall and fight Goliath to save our health care!


 

***************************

Your friends, and retirees in SOLIDARITY...

The NYC Organization of Public Service Retirees
 

**************

 Donations are Needed! If the Mayor pulls the "nuclear option" we will have 4 lawsuits going on at the same time!

 

TO DONATE TO THE LEGAL FUND

Donation Instructions to Support Our Class Action Suit Against the City To Protect Our Retiree Healthcare:

We worked decades for our benefits! Let’s make sure the City and the MLC don’t take them away!

A suggested $25 Donation* will help start the fight to keep our current benefits.

*Give more if you can, and/or often!  If you cannot meet the minimum suggested donation, we appreciate whatever you can give towards this fight for our benefits.  We also added the option to make your donation recurring (monthly) as was requested. 

The fundraiser group is incorporated as a Non-Profit. ALL proceeds go to fund the organization and its legal challenge. Volunteer retirees are running this effort. 

TO DONATE, HERE ARE 4 SIMPLE WAYS!

1.Zelle using email NYCOrgofpublicserviceretirees@gmail.com

2. Make your check out to:
NYC Organization of Public Service Retirees PO Box 941
Venice, FL 34284 (our treasurer lives in FL)

3. Or click on this Paypal link:
https://www.paypal.com/donate/?hosted_button_id=Q4VWJEYVJ9HTW&Z3&fbclid=IwAR0pEOc51x9xhc-CBb8vqAIkX97Bgg1Z02f1r9gQh9S3dOsVmAdob5jBbw8

4.  We Now Accept Donations via VENMO

VENMO is a Phone App or can be used on a PC or Tablet
You can download and install the Phone App from the Android Play Store or Apple App Store. There may be fees involved using this method.

Our ID is: @NYCRetirees


If you are on this list, it is because you subscribed to hear what we are doing as an organization that represents all NYC Municipal workers in protecting their Health benefits in retirement.   Currently, we have a FACEBOOK page located here:  https://www.facebook.com/groups/888622578669131

If you are not on FACEBOOK, we will be updating you here. And Check our website for FAQ www.nycretirees.org

Thank you for signing up for our newsletter and pass this to a friend to sign up too!

Yes, Biden and Dems are also austerity minded - Majority Report Sam and Emma with Ryan Grim take a deep dive into Dem Party political scene



 

https://www.youtube.com/live/4nxEOpYQrdI?feature=share&t=1558

 

Friday, January 13, 2023

Marc Kagan: Is Adams’ Medicare Advantage ploy ‘a game of chicken?’ - The Chief

 

The solution Marc Kagan's union, the PSC, has proposed

Here it is, from Kagan’s article in The Chief, in a nutshell:


“The Professional Staff Congress, which represents faculty and staff at CUNY, told the Council that Adams, like Bloomberg and de Blasio before him, could temporarily draw on reserves the city holds in what is mysteriously called the Retiree Health Benefit Trust, but which is essentially a rainy-day fund. That fund currently has over $8 billion in it.   

“The PSC proposes that the fund’s assets be used to preserve the current Medicare/Senior Care plan for three years. During that time, stakeholders — the City, the unions and retiree groups, and perhaps even insurance companies and hospital systems — could then develop a new, more sustainable method of paying for health care. Largely, the PSC’s proposal suggests using the city’s tremendous bargaining power to drive down hospital systems’ exorbitant charges and cut insurance company profits. There’s of course no certainty this would work, but the ticking clock would at least create political pressure to overturn the unacceptable status quo in which health-care costs continue to spiral out of sight.”

   

Is Adams’ Medicare Advantage ploy ‘a game of chicken?’

Posted Wednesday, January 11, 2023 12:11 am
BY MARC KAGAN

About midway through Monday’s City Council hearing on Mayor Eric Adams’s demand that a Medicare Advantage plan become the only no-premium healthcare option for municipal retirees, Council Member Lincoln Restler (D-Greenpoint) pondered out loud, “Is this all a game of chicken?” He was referring not just to the high stakes of this “game,” but the way retirees are being told that if they don’t swerve now — stop fighting, and accept the diminishment of their health benefits as inevitable — they will lose all chance to buy (at upwards of $2500 a year) their current, and better, medical plan.   

Adams’s cynical attempt to load the dice so that they always come up snake eyes for retirees was evident in the pleas of a handful of cancer victims so desperate to stay out of Medicare Advantage that they demanded Council members change the law so they could pay for the Medicare/Senior Care plan they currently get for free.  

Yet hundreds of other retirees urged the Council not to blink in this showdown with Adams. And one union put forward its own plan to preserve the current health benefit system for up to three years, giving the city, unions and retirees a chance to build a better mousetrap.      

Many readers of The Chief are no doubt already familiar with the bare bones of Adams’s attempt to strip retirees of existing health benefits. It started a decade ago, when the United Federation of Teachers convinced the Municipal Labor Committee (where it is a heavyweight, since votes are weighted by membership numbers) to raid the city’s Health Stabilization Fund to partially fund a contract.  

The MLC also committed to find medical cost savings at each contract round. At first, these were relatively painless: purging the rolls of ineligibles. Then came increased deductibles and copays. And now, in what some bookkeeper must have thought was a clever idea, Adams wants to shift 65-and-over retirees from their traditional Medicare/Senior Care plan (for which the city covers supplemental costs) to a Medicare Advantage setup, where the Feds would effectively pick up the costs. The savings amount to about $600 million a year. That seems like a lot until you consider it’s just 5 percent of all municipal employee health-care costs. It’s also far less than the $1 billion in annual costs Adams apparently sees no political benefit in trying to recoup from religious school-special education scams.   

Oh, and by the way, these Medicare Advantage plans provide worse health care — fewer doctors participate in them, and the insurance companies that run them bulk up their profits by denying expensive medical procedures. They make sick retirees jump through hoops precisely when their medical conditions make this most torturous. No wonder retirees, and retiree organizations, have been up in arms. Using the courts, and pointing to current provisions of the city administrative code that effectively block the city from charging for the existing plan, they have so far prevented the city from implementing its plan. A judge told Adams he could provide a Medicare Advantage plan and try to entice retirees into it. Except, of course, Adams knows there would be few takers.  

So, lacking a carrot, Adams has gotten out the stick. That’s what led him to the City Council, which he has enlisted to change existing law so as to allow the city to charge for Medicare/Senior Care, which is currently free. If you don’t give up resistance, he thunders (at retirees and the Council), I’ll simply abolish all alternative plans, at any price. You’ll be stuck with Medicare Advantage. Hence, Restler’s “game of chicken.” 

Ominously, Adams’ proposed amendment will also open the door to major changes for current municipal employees. City law now mandates a single free “base” plan — the Emblem plan — to which upwards of 70 percent of all active workers belong. That plan’s benefits and costs are negotiated between the City and the MLC. But Adams’s proposal would open the way for multiple “free” plans — in theory, one for every union. That’s dangerous. Some unions will be tempted to cut health-care costs and benefits to fix a big problem — say, a work rule it desperately needs changed, or a membership rumbling about low pay. My old union, TWU Local 100, did that in 1999, creating such a crisis that a new union leadership had to agree to a subsequent wage freeze to set things right. By then, the people who had caused the problem were sunning themselves on sandy shores — except for the ones that went to work for management! 

Unfortunately, most of the bigger municipal unions have become Adams’s cheerleaders in this ploy, afraid he will simply refuse to negotiate new contracts — like Mike Bloomberg did during his third term. Most retirees, after all, do not have the right to vote in union elections. It turns out they are dispensable. They tell retirees the Medicare Advantage plan is really, really good. They tell actives that retirees are to blame if they don’t get raises. Of course, even if they are successful in helping Adams twist the Council’s arm, this is just a temporary solution. In three years, they will be looking for another way to cut benefits, another pool of victims, perhaps new hires, or people with high prescription costs, or lots of dependents.   

One union, though, has rejected this blame game and put forward an ambitious alternative plan. The Professional Staff Congress, which represents faculty and staff at CUNY, told the Council that Adams, like Bloomberg and de Blasio before him, could temporarily draw on reserves the city holds in what is mysteriously called the Retiree Health Benefit Trust, but which is essentially a rainy-day fund. That fund currently has over $8 billion in it.   

The PSC proposes that the fund’s assets be used to preserve the current Medicare/Senior Care plan for three years. During that time, stakeholders — the City, the unions and retiree groups, and perhaps even insurance companies and hospital systems — could then develop a new, more sustainable method of paying for health care. Largely, the PSC’s proposal suggests using the city’s tremendous bargaining power to drive down hospital systems’ exorbitant charges and cut insurance company profits. There’s of course no certainty this would work, but the ticking clock would at least create political pressure to overturn the unacceptable status quo in which health-care costs continue to spiral out of sight.  

Eighty years ago, Mayor Fiorello La Guardia created the nation’s first municipal public-private healthcare initiative — what we now know as HIP. With the growth of hospital and insurance giants, that model no longer works. But who’s to say that we can’t be just as bold and foresighted as he was, if we put our collective minds to the problem?

Marc Kagan is a PSC delegate and adjunct lecturer.

 

 

 

A Scam of the Century: What’s Wrong with Medicare Advantage? Everything

 

 

What’s Wrong with Medicare Advantage?

 
protest outside City Hall. Photo by Gloria Brandman.

https://indypendent.org/2022/10/whats-wrong-with-medicare-advantage/

Medicare Advantage is a program offering private health-insurance plans as options to replace traditional Medicare. Unlike traditional Medicare, plans are not paid for services rendered, but are paid up-front and can profit from denial of care. They can offer extra benefits, including dental and drug benefits, but they use limited networks of physicians and hospitals, and they can restrict care with prior authorizations and formulary restrictions. 


Since payment per-person based on average cost would severely over-pay for the healthy and under-pay for the sick, this method of payment creates incentives that worsen disparities in care. Medicare attempts to correct for this with risk adjustment (paying more for higher risk than lower risk beneficiaries), but risk adjustment cannot be made anywhere near accurate enough to avoid over-paying for the healthy and under-paying for the sick. Medicare Advantage plans therefore use strategies to sign up healthier beneficiaries and discourage sicker ones, so as to secure a healthier than average pool of beneficiaries while getting paid as if their beneficiaries had average health risks, and profiting from the difference.

The Centers for Medicare & Medicaid Services (CMS) added diagnoses to the risk adjustment formula in 2004 in an attempt to make it more accurate, but this only improved its predictive accuracy from 1% to 12% and introduced a major opportunity for Medicare Advantage plans to game the formula by “upcoding,” which means choosing more specific or severe (and more highly paid) diagnosis codes than would be required for purely patient care purposes and sometimes fraudulently adding irrelevant or non-existent diagnoses. According to one expert estimate, the cost to Medicare of aggressive diagnostic coding by Medicare Advantage plans and the failure of CMS to correct for it will reach several hundred billion dollars in coming years.

Medicare Advantage plans have achieved profitability largely by gaming their risk pools, up-coding and blunt restrictions on care, including issuing millions of inappropriate denials for care that met Medicare coverage rules and minimally, if at all, by improving care. Typical administrative costs for Medicare Advantage plans, including profits, have been in the 15-20% range, compared to around 2% for traditional Medicare prior to the Affordable Care Act.

It would be far more cost-effective for CMS to improve traditional Medicare by capping out-of-pocket costs and adding improved benefits within the Medicare fee-for-service system than to try to indirectly offer these improvements through private plans that require much higher overhead and introduce profiteers and perverse incentives into Medicare, enabling corporate fraud and abuse, raising cost to the Medicare Trust Fund, and worsening disparities in care. 

These problems are not correctable within the competitive insurance business model, and the Medicare Advantage program should be terminated.

Stephen Kemble, MD is a Board member and chair of Policy Committee for Physicians for a National Health Program (pnhp.org).


 

Read also: Broken Promise: Mayor Plans to Shift 250,000 Retired City Workers Privatized Health Insurance and Why Bernie’s Medicare Expansion Plan Got Snuffed Out

Why Republican Politicians Still Hate Medicare - Krugman NYT

 We might ask why Mulgrew hates Medicare


Why Republican Politicians Still Hate Medicare

 

https://www.nytimes.com/2023/01/12/opinion/why-republican-politicians-still-hate-medicare.html

 

4 min read

Opinion Columnist

The Republicans who now control the House will soon try to slash Social Security and Medicare. They plan to achieve this by holding the economy hostage, threatening to create a financial crisis by refusing to raise the federal debt ceiling. The interesting questions are why they want to do this, given that it appears politically suicidal, and how Democrats will respond.

Before I get into the puzzles, let me start by pointing out that the plot against the social safety net isn’t a conspiracy theory. The general shape of the scheme has been widely reported for months. The arithmetic is also clear: It isn’t possible to achieve huge reductions in the budget deficit, while at the same time depriving the I.R.S. of the resources it needs to go after tax cheats, without deep cuts in popular social programs.

And beyond all that, we now have it in black and white — well, blue on blue. CNN has obtained a screenshot of a slide presented at a closed-door Republican meeting on Tuesday. The first bullet point calls for balancing the budget within 10 years, which is mathematically impossible without deep cuts to Social Security, Medicare and Medicaid. The second calls for reforms to “mandatory spending” — which is budget-speak for those same programs. And the final point calls for refusing to raise the debt limit unless these demands are met.

So the plan isn’t a mystery. I would add only that if Republicans try to assure currently retired Americans that their benefits wouldn’t be affected, this promise isn’t feasible — not if they’re serious about balancing the budget within a decade.

But where is this determination to gut programs that are crucial to well over 100 million Americans coming from? These programs are, after all, extremely popular — even among Republican voters.

It’s true that self-identified Republicans say that they are vehemently opposed to “socialism.” But when an Economist/YouGov poll asked them which programs they considered socialistic, none of the big-ticket items made the cut. Social Security? Not socialism. Medicare — which is, by the way, a single-payer national health insurance program, which we’re often told Americans would never accept — also isn’t socialism.

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Unfortunately, that poll didn’t ask about Medicaid, a program targeted at lower-income Americans that many Republicans consider a form of “welfare.” Even so, a Kaiser Family Foundation survey found far more Republicans approving of Medicaid than disapproving.

One reason even Republicans support major social programs may be that G.O.P. support comes disproportionately from older voters — and most of America’s social spending goes to seniors. This is obviously true for Social Security and Medicare, which kick in primarily when you reach a minimum age. But it’s even true for Medicaid: Most of Medicaid’s beneficiaries are relatively young, but almost two-thirds of the spending goes to seniors and the disabled, many in nursing homes.

The attitude of the Republican rank and file, then, seems to be that big government is bad — but when we get down to specifics, don’t cut you, don’t cut me, cut that fellow behind the tree. Which means that the priorities of the new House majority are wildly out of line with those of its own voters, let alone those of the electorate as a whole.

And history says that attacks on the safety net come with a heavy political price. George W. Bush’s attempt to privatize Social Security in 2005 surely played a role in the Democratic takeover of Congress in 2006; Donald Trump’s attempt to kill Obamacare helped Nancy Pelosi regain the speakership in 2018.

So where is the push to gut Social Security and Medicare coming from? Ronald Reagan left the White House 34 years ago. The modern G.O.P. seems much less animated by small-government ideology than by the desire to wage culture war. And there’s no necessary connection between culture war and right-wing economics. For example, France’s anti-immigrant National Rally has, in effect, staked out an economic position somewhat to the left of the Macron government.

Put it this way: Advocating a welfare state for white people might well be politically effective. But in America, it’s a road not taken.

Here’s what I think is going on: Even now many, perhaps most Republicans in Congress aren’t culture-war zealots. Instead, they’re careerists who depend, both for campaign contributions and for post-Congress career prospects, on the same billionaires who have supported right-wing economic ideology for decades. They won’t stand up to the crazies and conspiracy theorists, but their own agenda is still tax cuts for the rich and benefit cuts for the poor and middle class.

And the culture warriors go along because they basically aren’t interested in policy substance.

I’m not completely sure that this analysis is right. But all indications are that at some point this year the Biden administration will have to deal with a full-scale effort at economic blackmail, a threat to blow up the economy unless the safety net is shredded. And I worry that Democrats still aren’t taking that threat seriously enough.

 

 

 

 

 

 

 

The AFT’s shift on Medicare Advantage and privatization of Medicare

 

The AFT’s shift on Medicare Advantage and privatization of Medicare

https://docs.google.com/document/d/1Vhv4a2ohYJ0C6KVA-EIukQYUAf2JdQx1-lN_c0kWEfY



  1. Clearly AFT/UFT/NYSUT has an anti-privatization of Medicare and anti-Medicare Advantage position - pre-ascension of Weingarten as AFT president, circa 2007-2008  



https://www.nysut.org/~/media/files/nysut/

members/retireeorganizer/organizer0712.pdf?la=en


https://unionsforsinglepayer.org/files/union_endorsers/

Resolutionfor676reaffirmedbyNYSUT.doc


https://www.nysut.org/news/2014/april/ra-2014/donahue-we-fight-back-with-one


https://www.uft.org/chapters/retired-teachers-chapter/

retired-teacher-chapter-resolutions/

stop-privatization-medicare


https://www.uft.org/chapters/retired-teachers-chapter/

retired-teacher-chapter-resolutions/

opposition-further-privatization-medicare-part-b-premium-support

https://www.aft.org/resolution/repeal-and-replace-2003-medicare-law


https://www.aft.org/resolution/improving-medicare


Sandra Feldman - This is our stand on all privatization 

https://web.archive.org/web/20040421190827/http://www.aft.org/stand/previous/

1999/0399.html



In NYC, They’re Lining Up Left & Right To Defeat Medicare Advantage - Work-Bites

 

In NYC, They’re Lining Up Left & Right To Defeat Medicare Advantage

 

 https://www.work-bites.com/view-all/in-nyc-theyre-lining-up-left-amp-right-to-defeat-medicare-advantage

 

By Joe Maniscalco

You know your for-profit, privatized Medicare Advantage health insurance plan really sucks when right-wing Republicans and left-wing Democrats actually unite to defeat its imposition on municipal retirees.   

But that’s exactly what’s going on in New York City right now, where members of the City Council’s Common-Sense and Progressive caucuses are joining forces to oppose the new bill aimed at changing a section of the Administrative Code protecting municipal retirees and their traditional Medicare health insurance coverage.

“This is a bipartisan issue,” New York City Council Member Chi Ossé declared just prior to the start of a hearing on the bill at City Hall on Jan 9. “We as workers of the city that represents retirees know that this is a cruel act.”

Progressive Caucus Co-Chair Shahana Hanif [D-39th District] was right there to back up her left-leaning colleague’s sentiments, denouncing Democratic Mayor Eric Adams and his administration’s “callous attempt to strip existing healthcare coverage from thousands of our retirees.”

But Council Members Joann Ariola [R-32nd District], David Carr [R-50th District] and Vickie Paladino [R-19th District] — all members of the Republican Common-Sense Caucus — were right there, too.

Ariola even brought a hand-truck loaded up with boxes of printed emails from thousands of constituents urging City Council members to vote no on amending Administrative Code 12-126, and allowing Mayor Eric Adams and the leaders of the Municipal Labor Committee — Michael Mulgrew, Henry Garrido and Harry Nespoli [MLC] — to usher in a Medicare Advantage plan.

 




“I have been at the forefront and leading this march to support our retirees, and will not let go, I will not let up,” Ariola said. “Our retirees deserve the retirement benefits and healthcare benefits that they were promised and it is our job as their elected officials to make sure that remains intact.”

Carr praised municipal retirees for their “decades-long careers of public service as city workers” and said they “deserve every penny that they get in healthcare coverage.”

“They already have to pay thousands of dollars per year in co-pays,” the Staten Island legislator said. “Many of them are on fixed incomes; they cannot afford to pay more in premiums per year, per month, per person. It’ll simply break the bank.”

Paladino said the Common-Sense Caucus stands in “total unity with our retirees” and that she, too, has received thousands of emails from constituents “begging us to keep their healthcare intact.”

“They gave all — thirty years, forty years — they lived through the best of times and worst of times,” she said. “These are our senior citizens; the most vulnerable of our population — do not mess around with their healthcare. They worked too hard and too long. Leave them alone.”

 

New York City Municipal retirees would have already been pushed into a Medicare Advantage health insurance plan long ago had they not organized — as the experienced and battle-hardened trade unionists they are — into several groups and fought back both in the courts and on the streets against the city’s plans.

Marianne Pizzitola is head of the NYC Organization of Public Service Retirees.

“We know that the City Council is under pressure and they’re being lied to and fed propaganda by the city, OMB, OLR — and, unfortunately, our former unions — to use the value of our healthcare to collectively bargain their raises today,” she said.

Pizzitola referenced “everything that is going on around the country where people are being told about the disadvantages of Medicare Advantage — all of the reports from the Health and Human Services Office of the Inspector General where they say they’ve delayed and denied care wrongfully through prior authorizations.”

“Where the unions today don’t seem to think that will be a problem for this population — and that is an issue — being able to put that type of burden on someone to have to absorb when we’re in our 70’s, 80s, 90s or disabled — is completely abhorrent,” Pizzitola said.

Work-Bites already reported that when municipal retirees in Delaware challenged that state’s campaign to push them into a Medicare Advantage plan, they discovered the scheme contained some 2,030 pre-authorizations.

“That should not be something that is put on [retirees],” Pizzitola said. “We earned our rights. We earned our benefits, we paid for them. We gave up years of wages. We gave up benefits to have what we have in retirement in the form of deferred compensation. These people shouldn’t have to worry in retirement, to literally organize and come out and defend themselves.”

What’s really helping to drive the city’s push for Medicare Advantage, according to Pizzitola, is federal money.

“We know they are trying to privatize our Medicare by putting us into Medicare Advantage plans because of the federal subsidies,” she said. “The city told the MLC that if they put retirees into this privatized Medicare Advantage plan, they would take the value of our plans and apply it toward their stabilization fund or for their collective bargaining. Retirees should not be sold off like cattle.”

Sarah Shapiro, a retired UFT teacher and organizer with the Cross-Union Retirees Organizing Committee, later thanked god for “the real progressives” and “the republicans who are not afraid to come out strongly for not going back on promises made to all municipal retirees.”

 

 

 

 

 

 

Thursday, January 05, 2023

Boeing - From engineering to finance - BREAKING POINTS

 This is an important video about another industry that has suffered from deregulation and the allowance of growing monopoly. Boeing, run by engineering people, merged with a competitor in the 1980s and the cultures were very different. McDonald-Douglas was more about money -- focused on bottom line. The latter won out. They moved the HQ away from Seattle where the engineers were based to Chicago so they could focus on the financials. Quality and oversight suffered.