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The Business of Health Care Report
Strengthening Medicare - March 2004


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Doug Hawthorne, President and CEO of Texas Health Resources I'm Doug Hawthorne, President and CEO of Texas Health Resources, with "The Business of Health Care Report" on News Radio 1080 KRLD.

Today, I'd like to talk about Medicare.

For years, America's seniors have been promised a Medicare program that gives them access to affordable prescription drugs. Last December, President Bush and Congress finally delivered a comprehensive Medicare reform law that has the potential to improve senior health care.

According to White House estimates, beginning in June, 40 million seniors and disabled Americans will save 10 to 25 percent of the cost of most medicines through a drug discount card provided under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.

By 2006, when the drug benefit is fully phased in, the White House predicts that seniors without drug coverage today will see their drug spending cut in half, while those with lower income and high catastrophic drug costs will get substantial government financial help.

Despite its benefits, however, the law comes with a hefty price tag. The Congressional Budget Office estimates the cost of the Medicare drug benefit alone to be $395 billion over the next 10 years, while the Bush administration estimates the cost to be closer to $535 billion.

While the new law reinstates some prior Medicare reductions to physicians with increases of 1.5 percent in 2004 and 2005, physicians are again likely to face cuts in 2006. Without changes to the law, the American Hospital Association and American Medical Association predict providers may reduce the number of Medicare patients served, eliminate services, discontinue charitable care, or close their practice to Medicare patients.

So while aspects of the new legislation are good, America must not allow Congress to continue to balance the Medicare budget on the backs of health care providers. If such is the case, consumers will be the losers rather than the beneficiaries of reform.

For Texas Health Resources and its family of hospitals - Harris Methodist Hospitals, Presbyterian Healthcare System and Arlington Memorial Hospital - I'm CEO Doug Hawthorne with "The Business of Health Care Report" on NewsRadio 1080 KRLD.

Sources:

Medicare Prescription Drug, Improvement, and Modernization Act of 2003

The White House, Fact Sheet: Medicare Prescription Drug, Improvement, and Modernization Act of 2003
http://www.whitehouse.gov/news/releases/2003/12/20031208-3.htm

Congressional Budget Office, Comparison of CBO and Administration estimates of the effect of H.R. 1 on direct spending, February 2004
http://www.cbo.gov/showdoc.cfm?index=4995&sequence=0

Executive Office of the President, Office of Management and Budget
http://www.whitehouse.gov/omb/budget/fy2005/hhs.html

Doug Hawthorne

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