Catastrophic Health Insurance: Hearing Before the Committee on Labor and Human Resources, United States Senate, One Hundredth Congress, First Session on S. 210 ... April 8, 1987, Volume 4

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Page 164 - The United States is the only industrialized nation in the world that has no system for guaranteeing health care for all.
Page 65 - President, Dr. Mary C. Mulvey. Providence, Rhode Island Second vice President, George j Kourpias. Washington. DC Third Vice President, Dorothy Walker. Detroit, Michigan Fourth Vice President, Everett W. Lehmann, Washington, DC Secretary-Treasurer, Jack Turner, Detroit. Michigan General Counsel, Robert J. Mozer, New York...
Page 153 - Honorable Edward M. Kennedy Chairman, Committee on Labor and Human Resources United States Senate Washington, DC 20510 Dear Mr.
Page 97 - ... protected under such an arrangement. As one pushes the cap down, the protective scope of the cap expands but the cost rises proportionately. Severely restrict the elements of liability which count toward the cap, and the plan becomes more affordable; the danger in this arrangement, of course, is that beneficiaries may wrongly assume that their total out-of-pocket liability in a given year will not exceed the cap level. As they gradually come to realize that a full range of essential medical services...
Page 104 - Americans and our nation's children. -22Finally, as we convene this morning, we do so with the realization that Congress is poised for action on catastrophic protections for older Americans. Whatever the outcome of this year's initiative on catastrophic illness, let us be scrupulously correct in characterizing to the American public what we have accomplished and, perhaps more importantly, what we have not accomplished in our efforts to come to grips with one of this country's most pressing social...
Page 149 - ... thirty years. Many elderly people have more than one health problem and may need more than one type of health care provider. Estimates indicate that some 15 to 20 percent ~ between 3 and 5 million — of our nation's more than 25 million older persons have significant mental health problems, yet they are denied adequate treatment because of the discriminatory "caps" imposed on psychiatric treatment under Medicare.
Page 86 - Under Medicare Part A, beneficiaries are required to pay a hospital deductible in each benefit period approximately equal to the cost of one day of hospital care ($520 in 1987). They are also responsible for coinsurance for days 61 through 90 equal to one-fourth of the hospital deductible. For each lifetime reserve day (days 91 through 150), beneficiaries are required to pay an amount equal to one-half the Part A deductible, or $260 per day in 1987. While there is no deductible for skilled nursing...
Page 148 - Within the past few years, exciting new breakthroughs in the treatment of mental disorders have significantly changed not only our understanding of the causes of mental disorders; but have also given us the ability to treat such disorders more effectively.
Page 39 - ... receiving coverage under Medicare, in many cases they cannot receive additional coverage from Medicaid or any other payment source (private insurance, self-pay, Title XX, etc.). For example, if patient A is receiving 3 hours of nursing care and 2 hours of aide care for 3 days a week paid for by...

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