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Cancer clinics in the USA began turning away older patients as the federal mandatory budget cuts known as “the sequester” slashed Medicare reimbursements for potentially life-saving chemotherapy drugs. Ted Okon, the executive director of the Community Oncology Alliance (COA), told RIA-Novosti, “Some practises are right now being forced to send patients elsewhere for treatment. Other practises are in total disbelief, and will be hit over the head in a week or so when payment claims they put in to Medicare come back with a two-percent cut.” Okon called the sequester cuts “a blunt axe” wielded with little thought.
A study conducted by COA two weeks before the sequester cuts on Medicare took effect found that they’d force nearly three-quarters of cancer clinics to turn away new Medicare patients or send all Medicare patients to hospitals for more expensive treatment. Doctors at the Zangmeister Center, a cancer treatment facility in Columbus OH, will meet Friday to discuss how to handle the cuts, Dr Mark Thompson told RIA-Novosti, saying, “We’ll probably start directing patients to the hospital for care, but if we shift patients to hospitals for care, it’ll cost the government way more to have them treated. The last thing this country needs is moving expensive care like cancer care into an even more expensive setting, like hospitals”.
A study conducted by health care consultants Milliman for the US Oncology Network found that chemotherapy cost around 600 USD (18,970 Roubles. 462 Euros. 391 UK Pounds) per month more when administered in a hospital than when a clinic like Zangmeister or a doctor’s office provided the treatment. The Milliman study found that about 8 million of the almost 14 million Americans living with cancer are over age 65, and that around half of cancer care expenditures are for Medicare recipients.
The way Medicare reimburses doctors for cancer treatment costs is complicated. The US government typically pays back to oncologists and clinics the price of a chemotherapy drug, plus six percent to cover the costs of storage, staff needed to administer the drugs, and other expenses. However, the sequester cuts apply across the board, including to the cost of the drug. That means that, if a practice buys a drug for 100 USD (3,160 Roubles. 77 Euros. 66 UK Pounds), it only gets 98 USD (3,099 Roubles. 75 Euros. 64 UK Pounds) back. Dr Thompson said, “That puts us at risk of not being able to pay our bills. That might not seem like a big loss, but we buy millions of dollars of these drugs, and across a lot of drugs, that’s a lot of money. Oncologists can’t continue to buy drugs and to get paid less than they cost us. We’ve been trying not to shift patients (to a hospital for care), but we’re going to have to look at that now”.
Okon said that part of the problem is that few expected the sequester cuts to be applied to Medicare, saying, “Everyone was taken by surprise that this was implemented, even the government committee in charge of Medicare reimbursements. Now, we’re like deer in the headlights, and we don’t know what to make of it”.
4 April 2013
Karin Zeitvogel
RIA-Novosti
http://en.ria.ru/world/20130404/180449058/US-Budget-Cuts-Hit-Cancer-Patients.html
Editor’s Note:
Let’s keep this simple and to the point. The Republican Party has proven that its leadership and congressional delegation are soulless filth… only intent on funding pointless inordinately-expensive warmongering in foreign parts and massive tax breaks for the feckless affluent effluent. “Death Panels” exist today… and the Republican Anti-Life (but they’re Anti-Abortion!) Greedsters cheer them on. Their real (and godless) view is, “If they can’t afford their care, they should die and decrease the surplus population”. The pre-Spirits Mr Scrooge would’ve held them in contempt. He, at least, didn’t cover his greed with smarmy religious maunderings.
Orthodox people should beware the Far Righties amongst us. Paffhausen, Potapov, Webster, Dreher, Freddie M-G, Mattingly, Josiah Trenham, and John Whiteford are all cheerleaders for the Republican death angels. That leaves a nasty taste in my mouth… as it should in yours, as HH is FOR state-funded single-payer healthcare, and has said so on many occasions. It’s time to take our Church in the USA back from these troglodyte phonies. God won’t bless us until we do.
BMD
6 May 2017. Ajamu Baraka: Healthcare is a Human Right, But You Have to Fight For It!
Tags: ACA, Affordable Care Act, Ajamu Baraka, ethic, ethical orientation, ethics, Green Party, green politics, Health care in the United States, Health care reform, health care/social issues, healthcare, Medicare, moral, moral stance, morality, morals, Obamacare, Patient Protection and Affordable Care Act, political commentary, politics, Single-payer health care, United States, USA
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