HEARING - U.S. Senate Special Committee on Aging

HEARING - U.S. Senate Special Committee on Aging HEARING - U.S. Senate Special Committee on Aging

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SPECIAL COM[MI'ITEE ON AGING JOHN MELCIIER, Montana, Chairman JOHN GLENN, Ohio JOHN HEINZ, Pennsylvania LAWTON CHIhLES, Florida WILLIAM S. COHEN, Maine DAVID PRYOR, Arkansas LARRY PRESSLER, South Dakota BILL BRADLEY, New Jersey CHARLES E GRASSLEY, Iowa QUENTIN N. BURDICK, North Dakota PETE WILSON, California J. BENNETT JOHNSTON, Louisiana PETE V. DOMENICI, New Mexico JOHN B. BREAUX, Louisiana JOHN H. CHAFEE, Rhode Island RICHARD SHELBY, Alabama DAVE DURENBERGER. Minnesota HARRY REID, Nevada ALAN K. SIMPSON, Wyoming MAX 1. RICHTMAN, Staff Director STEPHEN R MCCONNELL, Minority Staff Director CHRISTINE DRArroN, Chief Clerk (11)

CONTENTS Opening statement by Senator John Melcher ............................................................ 1 Statement by: Senator Quentin N. Burdick ......................... ....................................... 2 Senator Larry Pressler ................................................................ 3 Senator John Heinz ............................................................... 4 Senator Pete Wilson ............................................................... 26 Prepared statements of: Senator David Pryor ............................................................... 5 Senator Charles E. Grassley ............................................................... 6 CHRONOLOGICAL LIST OF WITNESSES Yelineck, Joan, Beaver Dam, WI ............................................................... 7 Reiger, Edith, Alva, OK ............................................................... 18 Fish, Helen, Newport, MI ............................................................... 29 Shapland, Robert, vice president, Mutual of Omaha Insurance Co., representing the Health Insurance Association of America ................................................. 41 APPENDIX Item 1. Testimony of Marianne Costlow, St. Michael, PA ....................................... 81 Item 2. Testimony of Mary Nell Lehnhard, vice president, Blue Cross and Blue Shield Association, re: Coverage of the Elderly's Catastrophic Health Care Expenses .............................................................. 83 Item 3. Testimony of Gail Shearer, manager, policy analysis, Consumers Union............................................................................................................................. 94 Item 4. Comments of Consumers Union on "Catastrophic Illness Expenses" the Department of Health and Human Services Secretary Bowen's report to the President ................................................................ 103 Item 5. Additional comments by Gail Shearer, manager, policy analysis, Consumers Union ............................................................... 116 Item 6. White House fact sheet entitled "The President's Initiative on Catastrophic Illness Coverage ................................................................ 118 Item 7. Testimony of Judith Stein Hulin and Charles C. Hulin, co-directors of the Center for Medicare Advocacy, Inc., entitled "Pressing Concerns About Medicare: The Patient Advocate's Perspective," with attachments ................... 120 Item 8. Additional information as requested at hearing from Robert Shapland, vice president, Mutual of Omaha Insurance Co ........................................... 1,50 (III)

SPECIAL COM[MI'ITEE ON AGING<br />

JOHN MELCIIER, M<strong>on</strong>tana, Chairman<br />

JOHN GLENN, Ohio JOHN HEINZ, Pennsylvania<br />

LAWTON CHIhLES, Florida WILLIAM S. COHEN, Maine<br />

DAVID PRYOR, Arkansas LARRY PRESSLER, South Dakota<br />

BILL BRADLEY, New Jersey CHARLES E GRASSLEY, Iowa<br />

QUENTIN N. BURDICK, North Dakota PETE WILSON, California<br />

J. BENNETT JOHNSTON, Louisiana PETE V. DOMENICI, New Mexico<br />

JOHN B. BREAUX, Louisiana JOHN H. CHAFEE, Rhode Island<br />

RICHARD SHELBY, Alabama DAVE DURENBERGER. Minnesota<br />

HARRY REID, Nevada ALAN K. SIMPSON, Wyoming<br />

MAX 1. RICHTMAN, Staff Director<br />

STEPHEN R MCCONNELL, Minority Staff Director<br />

CHRISTINE DRArroN, Chief Clerk<br />

(11)

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