Political Pitches

September 30, 2007 at 04:00 PM
Share & Print

Everyone has heard about the Bush administration's propensity to use public officials to advance its political agenda.

But it is quite another story to have this hit you in the face.

That occurred last week at America's Health Insurance Plans' Medicare & Medicaid conference when a host of administration officials used their appearances to promote the administration's agenda, terrified the attendees and mistakenly take total credit for the fact that the cost of the program is running "nearly $200 billion less than estimated."

The most blatant political pitch was by Julie Goon, special assistant to the president for economic policy.

In her ad-hoc comments, she warned her audience that Democrats in Congress have the Medicare Advantage program in their eyesight, which is true–but only to a limited extent.

But the way she handled it, including her statement that Sen. Hillary Clinton's new plan for universal healthcare would partly be financed through cuts to the Medicare Advantage program, left the clear impression to this observer that the only way her audience of people involved in the Medicare Advantage program can save it is to give campaign contributions and votes to Republican candidates.

Such is really not the case. Even such an advocate of revisions in the Medicare Advantage program as Rep. Pete Stark, D-Calif., chairman of the Health Subcommittee of the House Ways and Means Committee, has stated clearly he is not out to kill the program.

What Stark has said, as he noted at a March hearing, is that "America's Health Insurance Plans, Blue Cross Blue Shield and others have been falsely claiming that payment reductions will reduce health care access for lower- and moderate-income seniors–and decrying a goal they ascribe to me of wanting to get rid of the Medicare Advantage Plan."

But, said Stark, "… neither should we allow any Medicare provider sector to wall itself off from both scrutiny and from consideration for payment changes. Doing so would be irresponsible for this committee."

His interest stems from the fact that the Congressional Budget Office has stated that the MA program has a 12% greater cost than Medicare fee-for-service.

Both Democrats and Republicans, especially those in relatively spread-out Midwestern and Western states said that, cutting the program would hurt Medicare beneficiaries in those areas, and that insurers providing Medicare Advantage services are working efficiently and effectively to provide broad medical and wellness services to beneficiaries.

At the same time, Kerry Weems, acting administrator of the Centers for Medicare and Medicaid Services also appeared to be taking a little too much credit for the Bush administration in repeating an administration line that "Beneficiaries are saving an average of $1,200 annually on their medications, the cost of the program is nearly $200 billion less than estimated, and beneficiary satisfaction rates are between 75 and 85%. Few government programs can claim that."

No they can't, but nor can the Bush administration claim much credit beyond getting the program through a reluctant Congress.

It was the know-how of the private health insurance industry, which decided to take on the risk of making the program work, and the fact that a number of expensive medications went off patent between the time estimates of potential cost were made and the time when the program got underway that made this launch so successful.

Blatant promotion for political purposes at an informational meeting by government employees is inappropriate, especially in light of the disclosure of past marginal–at best–behavior in the past by this administration.

NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Related Stories

Resource Center