HEARING - U.S. Senate Special Committee on Aging
HEARING - U.S. Senate Special Committee on Aging HEARING - U.S. Senate Special Committee on Aging
103 Itmr 4 COMMENTS OF CONSUMERS UNION* ON CATASTROPHIC ILLNESS EXPENSES (DEPARTMENT OF HEALTH AND HUMAN SERVICES REPORT TO THE PRESIDENT) January 8, 1987 INTRODUCTION AND SUMMARY Catastronhic Illness Expenses (Department of Health and Human Services Secretary Bowen's Report to the President) (hereinafter, the Report) identifies three important segments of the health care problem facing Americans -- the need for, 1. acute care catastrophic protection for the elderly; 2. long-term care protection alternatives; and 3. catastrophic health expense protection for the general population. The Report recommends (among other things): 1. restructuring the Medicare program to provide catastrophic protection for the elderly with an actuarially sound additional premium; 2. providing incentives through the tax system for savings earmarked for long-term care expenses and for the purchase of long-term insurance; and 3. encouraging state initiatives to extend catastrophic insurance protection to the general population. *Consumers Union is a nonprofit membership organization chartered in 1936 under the laws of the State of New York to provide information, education and counsel about consumer goods and services and the management of family income. Consumers Union's income is derived solely from the sale of Consumer Reports, its other publications and films. Expenses of occasional public service efforts may be met, in part, by nonrestrictive, noncommercial contributions, grants and fees. In addition to reports on Consumers Union's own product testing, Consumer Reports, with approximately 3.5 million paid circulation, regularly carries articles on health, product safety, marketplace economics and legislative, judicial and regulatory actions which affect consumer welfare. Consumers Union's publications carry no advertising and receive no commercial support.
104 - 2-- Consumers Union suV orts the recommendation to restructure Medicare Part B to provide for catastrophic protection for the elderly, financed by an additional premium. The proposal will greatly benefit the elderly with the most severe medical expenses, and is funded, appropriately we believe, by all beneficiaries. However, Consumers Union disagrees with several policies contained in the Report. Section I of the following comments describes the inappropriateness of using the private Medicare supplement insurance market as a model for long-term care insurance. In this section, we both explain why some of the Report's recommended options are not desirable and identify further options that should have been considered. Section II takes issue with the Report's reliance on the tax system as a mechanism to subsidize the savings plans and the purchase of long-term care insurance policies. Section III describes why the Report's treatment of the under age 65 population is inadequate. I. THE PRIVATE "MEDIGAP" MARKET HAS NOT WORKED WELL AND SHOULD NOT SERVE AS A MODEL FOR THE LONG-TERM CARE INSURANCE MARKET. The Report attempts to form a "partnership" between the private sector and the government, similar to the medicare/medigap dichotomy, to facilitate access to long term care insurance. In pursuing this partnership, the Report: (A) fails to acknowledge or give adequate weight to the private market's shortcomings; (B) recommends options that are destined
- Page 55 and 56: 52 - 4 - CATASTRIPC PROTECTION IiDE
- Page 57 and 58: 54 -6- MiCIGAP INSJRANCE: A RPL1C/P
- Page 59 and 60: 56 To ensure that all of these cont
- Page 61 and 62: 58 - 10 - The HJAA also endorses Me
- Page 63 and 64: 60 - 12 - Finally, given that Congr
- Page 65 and 66: 62 - 14 - A recent HLAA survey of o
- Page 67 and 68: 64 Chairman MELCHER. Senator Heinz.
- Page 69 and 70: 66 Mr. SHAPLAND. I think we are in
- Page 71 and 72: 68 Those problems are real problems
- Page 73 and 74: 70 Mr. SHAPLAND. Oh, no. There are
- Page 75 and 76: 72 comprehension, and it is growing
- Page 77 and 78: 74 that educational process, and we
- Page 79 and 80: 76 So we have supported and activel
- Page 81 and 82: 78 Mr. SHIAPLAND. How much would nu
- Page 83 and 84: 80 rently being offered by the indu
- Page 85 and 86: 82 Recently, Karri Lynn has started
- Page 87 and 88: 84 Mr. Chairman and Members of the
- Page 89 and 90: 86 standards for voluntary certific
- Page 91 and 92: 88 non-group subscribers of reporti
- Page 93 and 94: 90 We believe a new federal program
- Page 95 and 96: 92 However, public awareness is nee
- Page 97 and 98: 94 Item 3 Testi~ony of GAIL SHEARER
- Page 99 and 100: 96 to Secretary Bowen's proposals c
- Page 101 and 102: 98 -4- most-states do not monitor t
- Page 103 and 104: 100 Catastrophic Protection within
- Page 105: 102 - a - participants and in part
- Page 109 and 110: 106 29), but fails to acknowledge t
- Page 111 and 112: 108 explore all alternatives to lon
- Page 113 and 114: 110 adds to the complexity of Medic
- Page 115 and 116: 112 - 10- Consider first the propos
- Page 117 and 118: 114 - 12- insurance premiums and me
- Page 119 and 120: Consunmer Unon Pubtishcr of Consume
- Page 121 and 122: FOR RELEASE AT 9:00 P.M. H2ST) TUES
- Page 123 and 124: 120 Itema I CENTER FOR MEDICARE ALw
- Page 125 and 126: Page 3 122 aide services, however,
- Page 127 and 128: Page 5 state treasuries." 124 Judge
- Page 129 and 130: 126 462 6485 New Developments 10,05
- Page 131 and 132: 128 462 6-85 New Developments 10,05
- Page 133 and 134: 130 462 6-85 New Developments 10,05
- Page 135 and 136: 132 10,930 New Developments tI.PZ ;
- Page 137 and 138: 10,932 134 New Davelopments 492 346
- Page 139 and 140: 136 10,934 New Developments It! ;6
- Page 141 and 142: 10,936 138 New Developmenlt I. Thc
- Page 143 and 144: 140 10,938 New Development. 492 S-8
- Page 145 and 146: 10,940 142 New Developments i92 586
- Page 147 and 148: ATroR EYS -HARLES C. -ULiIN JUDITH
- Page 149 and 150: 146 reformed its decision-making pr
- Page 151 and 152: 148 : 14 2i57 New Developments 13,1
- Page 153 and 154: ~ 150 a>, rsn Cdw ~w (e d rum 0A7,.
- Page 155 and 156: 152 All Of these figures are based
103<br />
Itmr 4<br />
COMMENTS OF CONSUMERS UNION*<br />
ON CATASTROPHIC ILLNESS EXPENSES<br />
(DEPARTMENT OF HEALTH AND HUMAN SERVICES<br />
REPORT TO THE PRESIDENT)<br />
January 8, 1987<br />
INTRODUCTION AND SUMMARY<br />
Catastr<strong>on</strong>hic Illness Expenses (Department of Health and<br />
Human Services Secretary Bowen's Report to the<br />
President) (hereinafter, the Report) identifies three important<br />
segments of the health care problem facing Americans -- the need<br />
for,<br />
1. acute care catastrophic protecti<strong>on</strong> for the elderly;<br />
2. l<strong>on</strong>g-term care protecti<strong>on</strong> alternatives; and<br />
3. catastrophic health expense protecti<strong>on</strong> for the<br />
general populati<strong>on</strong>.<br />
The Report recommends (am<strong>on</strong>g other things):<br />
1. restructuring the Medicare program to provide<br />
catastrophic protecti<strong>on</strong> for the elderly with an<br />
actuarially sound additi<strong>on</strong>al premium;<br />
2. providing incentives through the tax system for<br />
savings earmarked for l<strong>on</strong>g-term care expenses and for<br />
the purchase of l<strong>on</strong>g-term insurance; and<br />
3. encouraging state initiatives to extend catastrophic<br />
insurance protecti<strong>on</strong> to the general populati<strong>on</strong>.<br />
*C<strong>on</strong>sumers Uni<strong>on</strong> is a n<strong>on</strong>profit membership organizati<strong>on</strong><br />
chartered in 1936 under the laws of the State of New York to<br />
provide informati<strong>on</strong>, educati<strong>on</strong> and counsel about c<strong>on</strong>sumer goods<br />
and services and the management of family income. C<strong>on</strong>sumers<br />
Uni<strong>on</strong>'s income is derived solely from the sale of C<strong>on</strong>sumer<br />
Reports, its other publicati<strong>on</strong>s and films. Expenses of<br />
occasi<strong>on</strong>al public service efforts may be met, in part, by<br />
n<strong>on</strong>restrictive, n<strong>on</strong>commercial c<strong>on</strong>tributi<strong>on</strong>s, grants and fees.<br />
In additi<strong>on</strong> to reports <strong>on</strong> C<strong>on</strong>sumers Uni<strong>on</strong>'s own product testing,<br />
C<strong>on</strong>sumer Reports, with approximately 3.5 milli<strong>on</strong> paid<br />
circulati<strong>on</strong>, regularly carries articles <strong>on</strong> health, product<br />
safety, marketplace ec<strong>on</strong>omics and legislative, judicial and<br />
regulatory acti<strong>on</strong>s which affect c<strong>on</strong>sumer welfare. C<strong>on</strong>sumers<br />
Uni<strong>on</strong>'s publicati<strong>on</strong>s carry no advertising and receive no<br />
commercial support.