> RoMunn wrote:
>
> The irony is that cuts in medicare could mean no more re-attaching
> fingers for retired people who don't need those fingers to work
> anymore.
>

HA!  That was pretty funny.

But to be specific about the "cuts in medicare" ...

(1.) Since the government sets prices if they want to cut medicare
they just cut prices or ration care which, at current growth rates,
will HAVE to be done.  But, technically, there's nothing under
proposal that'll ration medicare.  today.

(2.) The cuts are to medicare advantage (nee part c) which is the
genius (imo) Public/Private partnership which is ~25% of medicare.

The way it works is that private insurance takes over the care of a
medicare patient and the patient can choose extra features many of
which increase the premium.

So, for example, someone might like a yearly physical which medicare
does not cover.  So they pick a medicare advantage plan that includes
a yearly physical for no charge greater than what they'd pay for
standard.

Or the patient doesn't want to bear the risk of greater than 60 days
in the hospital which medicare doesn't pay for (see below).  So they
add catastrophic coverage to their plan.

Or they want the help of a personal administrator to help them
navigate the bureaucracy.  So they add that their plan.

There's features, for example, that include a 7/365/24-hour nurseline
where a member can call to ask questions about care, concerns, and/or
treatment.

Obama is proposing to cut the Medicare Advantage plans.

And, trust me.  NOBODY  on this list - including Judah - would be
happy with core Medicare.

>From Medicare.org:
-----------------------------------
Medicare Part A coverage is tied to a benefit period of 60 days for a
spell of illness. A spell of illness benefit period commences on the
first day of your stay in a hospital or in a skilled nursing facility
and continues until 60 consecutive days have lapsed and you have
received no skilled care. Medicare does not cover care that is or
becomes primarily custodial, such as assistance with bathing and
eating.

Your benefit period with Medicare, the spell of illness, does not end
until 60 days after discharge from the hospital or the skilled nursing
facility. Therefore, if you are readmitted within those 60 days, you
are considered to be in the same benefit period. On the other hand,
Medicare considers it a new spell of illness if you are readmitted
more than 60 days after discharge. The good news is that this means
that if you are readmitted within 60 days, you are not charged another
deductible;

the bad news is that your previous admission is tacked on to the
second one in calculating the percentage amount Medicare will cover,
since Medicare full coverage is only for 60 days.

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