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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25 tell me how you could have theoretically managed your resources so you would be covered today. I think the answer is that there is no way you could have done it. Mrs. RIEGER. There is another thing I forgot about insurance. I took out two or three medical policies, and I took them to my family doctor to look over. And he said, Edith, I hate to tell you this, but with your high blood pressure, no matter what comes up, the insurance company is going to throw it right back, that it was due to your high blood pressure, and you are not going to get a thing. Senator PRESSLER. I think that illustrates another point I was going to make. I know that Governor Lamb of Colorado has written a book saying we cannot provide everything to everybody, that we have to make choices. But I think the witnesses today are very good because they illustrate that they are not getting heart transplants or that sort of thing. They are getting what all of us would hope to get-normal treatment-and there is nothing extraordinary about what is happening to these sick men that would not happen to anybody. I think all of these people are in the category of people who would not even be in Governor Lamb's extreme decisions that he says have to be made. So that it is a problem that this ong>Committeeong> has to face. We have to face up to it. A lot of Americans are in severe trouble, people working, as you are working at age 68-and I hope I will still be able to be working at age 68, even just indoor work like this, and no heavy lifting. It is a severe problem, and we have got to address it. Now, Secretary Bowen has a plan that if people were to pay $5 or $10 extra a month, a lot of these things would be covered. Of course, I do not think all your cases would be covered. I would like to see staff also give a comparison. Mr. Chairman, later can we get a little chart from staff that would show if Secretary Bowen's plan, and we will have him here Wednesday, if this were in effect, would these particular cases be covered? Would this case be covered? Would this lady be sitting here if Secretary Bowen's proposal were in effect? I Could staff answer that, or could we maybe get that later? You are an expert, Mr. Chairman. Chairman MELCHER. Well, I and Senator Kennedy introduced the bill to implement what we believe the Bowen proposal would do and what Dr. Bowen says it would do. It would not cover this circumstance in that long-term health care is not provided for. Now, whether or not it would cover Mrs. Rieger's particular case in paying for the high blood pressure medication, I would hope it would, but we need to know what the Bowen proposal would actually do, because we hope to have it on the ong>Senateong> Floor sometime this year, and we will have to know all the ins and outs of it. I am looking forward to Dr. Bowen's explanation about what his proposal will do when he testifies before the ong>Committeeong> on Wednesday. Senator Wilson. 'See transcript of January 28, 1987 joint hearing between the House Select ong>Committeeong> on Aging and the ong>Senateong> ong>Specialong> ong>Committeeong> on Aging.

26 STATEMENT BY SENATOR PETE WILSON Senator WILSON. Thank you, Mr. Chairman. Mrs. Rieger, neither you nor Mrs. Yelineck are very good witnesses in one sense-neither of you ladies look your age. And I must say I think you have evoked the admiration of the members of this ong>Committeeong> for your courage. Let me try to pick up on Senator Pressler's line of questioning. I am not quite clear from what you said-was your husband a member of any kind of a group health plan before he became incapacitated? Mrs. RIEGER. He had a Medicare supplement is all. Senator WILSON. But this was private insurance to supplement his Medicare coverage in connection with group coverage from his employment? Mrs. RIEGER. Well, it was a group coverage when he worked at the college, but after he left the college, you could take it out on an individual basis. Senator WILSON. To extend the coverage, he could continue to contribute. Mrs. RIEGER. Yes. But they just kept going up on us, and when it got to $60, I could not pay it. Senator WILSON. Sixty dollars-- Mrs. RIEGER. A month. ---Senator-WILSON. And I assume -that-you have had- no-similarkind of opportunity to participate in any kind of an employer/employee group plan? Mrs. RIEGER. No, because I was one that I was not going to have to work, you know. I was not going to work unless I just wanted to. I mean, we were out on the farm, and yes, T worked out on the farm. Senator WILSON. I understand. Mrs. RIEGER. But like I told somebody, it was not near the hard work I am doing now. Even when I was milking cows, it was not as hard as what I am doing now. Senator WILSON. I gather that notwithstanding the burdens that have been visited upon you and your husband, you still do not qualify for Medicaid. Mrs. RIEGER. Well, now, is Medicaid what picks up from his Social Security? Senator WILSON. Medicaid is available to a class that is described as "medically indigent"-those who are suffering such heavy medical costs-or I should say, those whose circumstances qualify them. It is low-income. And because your husband is not working, and because of your situation, I am not sure-- Mrs. RIEGER. Well, in the nursing home they pick up what his Social Security check does not cover, after 6 months, but now I had to take care of it. Well, that depleted everything. Senator WILSON. Let me ask this question of staff, and I do not know whether they know. Are Mrs. Rieger's circumstances such that she is entitled to Medicaid coverage? Mr. MCCONNELL. 1 think she gets Medicaid coverage-- Mrs. RIEGER. I think on my husband, that is probably what that is called.

25<br />

tell me how you could have theoretically managed your resources<br />

so you would be covered today. I think the answer is that there is<br />

no way you could have d<strong>on</strong>e it.<br />

Mrs. RIEGER. There is another thing I forgot about insurance. I<br />

took out two or three medical policies, and I took them to my<br />

family doctor to look over. And he said,<br />

Edith, I hate to tell you this, but with your high blood pressure, no matter what<br />

comes up, the insurance company is going to throw it right back, that it was due to<br />

your high blood pressure, and you are not going to get a thing.<br />

Senator PRESSLER. I think that illustrates another point I was<br />

going to make. I know that Governor Lamb of Colorado has written<br />

a book saying we cannot provide everything to everybody, that we<br />

have to make choices. But I think the witnesses today are very<br />

good because they illustrate that they are not getting heart transplants<br />

or that sort of thing. They are getting what all of us would<br />

hope to get-normal treatment-and there is nothing extraordinary<br />

about what is happening to these sick men that would not<br />

happen to anybody. I think all of these people are in the category<br />

of people who would not even be in Governor Lamb's extreme decisi<strong>on</strong>s<br />

that he says have to be made.<br />

So that it is a problem that this <str<strong>on</strong>g>Committee</str<strong>on</strong>g> has to face. We have<br />

to face up to it. A lot of Americans are in severe trouble, people<br />

working, as you are working at age 68-and I hope I will still be<br />

able to be working at age 68, even just indoor work like this, and<br />

no heavy lifting.<br />

It is a severe problem, and we have got to address it. Now, Secretary<br />

Bowen has a plan that if people were to pay $5 or $10 extra a<br />

m<strong>on</strong>th, a lot of these things would be covered. Of course, I do not<br />

think all your cases would be covered. I would like to see staff also<br />

give a comparis<strong>on</strong>.<br />

Mr. Chairman, later can we get a little chart from staff that<br />

would show if Secretary Bowen's plan, and we will have him here<br />

Wednesday, if this were in effect, would these particular cases be<br />

covered? Would this case be covered? Would this lady be sitting<br />

here if Secretary Bowen's proposal were in effect? I<br />

Could staff answer that, or could we maybe get that later? You<br />

are an expert, Mr. Chairman.<br />

Chairman MELCHER. Well, I and Senator Kennedy introduced the<br />

bill to implement what we believe the Bowen proposal would do<br />

and what Dr. Bowen says it would do. It would not cover this circumstance<br />

in that l<strong>on</strong>g-term health care is not provided for.<br />

Now, whether or not it would cover Mrs. Rieger's particular case<br />

in paying for the high blood pressure medicati<strong>on</strong>, I would hope it<br />

would, but we need to know what the Bowen proposal would actually<br />

do, because we hope to have it <strong>on</strong> the <str<strong>on</strong>g>Senate</str<strong>on</strong>g> Floor sometime<br />

this year, and we will have to know all the ins and outs of it. I am<br />

looking forward to Dr. Bowen's explanati<strong>on</strong> about what his proposal<br />

will do when he testifies before the <str<strong>on</strong>g>Committee</str<strong>on</strong>g> <strong>on</strong> Wednesday.<br />

Senator Wils<strong>on</strong>.<br />

'See transcript of January 28, 1987 joint hearing between the House Select <str<strong>on</strong>g>Committee</str<strong>on</strong>g> <strong>on</strong><br />

<strong>Aging</strong> and the <str<strong>on</strong>g>Senate</str<strong>on</strong>g> <str<strong>on</strong>g>Special</str<strong>on</strong>g> <str<strong>on</strong>g>Committee</str<strong>on</strong>g> <strong>on</strong> <strong>Aging</strong>.

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