health care costs

Credit Card On A Hospital Invoice
The medical expense tax deduction helps millions of middle-income taxpayers of all ages confront extraordinarily high out-of-pocket health care costs. Through this tax deduction, the federal government offsets a portion of unreimbursed medical expenses. The deduction complements other elements of the national health care financing system, such as health insurance, relieving pressure on those who fell through its cracks.
When my parents got into their 80s, sometimes I thought they were arguing because they were shouting. Then I realized they were just having trouble hearing each other. Unfortunately, this went on for some time because they did not have hearing aids. They said hearing aids were too expensive.
July is Social Isolation Month at AARP. This month, we are calling attention to the millions of older adults across the nation who lack meaningful social contacts with family members, friends or neighbors.  Why the focus on isolation?  Because social isolation is associated with bad health consequences: For example, socially isolated older adults are more likely to have heart disease, infections, depression, and premature cognitive decline. What’s more, it significantly increases the risk of death  among older adults.  In fact, one study has likened the detrimental health effects of isolation to those associated with smoking up to 15 cigarettes every day.
The June 5 release of the Medicare Trustees Report has triggered alarm bell-style media headlines. Dozens of news reports about Medicare’s worsening financial outlook have painted a bleak picture—some bleaker than others, with one boldface headline announcing, “Medicare will go broke three years earlier than expected.”
Nearly half (48 percent) of U.S. adults ages 65 and older have pre-diabetes, meaning their blood sugar levels are high enough to put them at risk for developing type 2 diabetes. Diabetes is associated with a host of health complications, including stroke, kidney disease, blindness, and even amputations of the legs and feet.
Last week the AARP Public Policy Institute (PPI) sponsored a Solutions Forum on Capitol Hill (view recording HERE)  that put the spotlight on groundbreaking research showing how much social isolation—lack of meaningful contacts with others—costs the Medicare program.
Elizabeth “Izzy” Barnett, 80, is a full-time caregiver for her husband, Bob, who has dementia. They have no children or family to help and Izzy has lost contact with friends because she is busy taking care of Bob. Izzy’s is not alone in this situation. Millions of older adults are socially isolated—in other words, they lack meaningful relationships with family and friends. Life circumstances—losing a spouse, friends, and loved ones, or retirement—put older adults at increased risk for isolation.
Implantable devices, such as hip replacements and heart valves, are a central part of medical treatment today. Americans receive about 370,000 cardiac pacemakers and about 1 million total hip and knee replacements per year. Despite how common the use of implantable devices is, little information is publicly available on the prices paid for these devices in the United States. Limited information about prices and performance of many implantable devices has raised concerns that providers, consumers and insurers may be paying too much for these devices.
Medical insurance and Medicaid and stethoscope.
The Better Care Reconciliation Act (BCRA) now under consideration in the Senate would drastically alter the Medicaid program. The proposed Senate bill would change the way the federal government currently funds Medicaid by limiting federal funding and shifting cost over time to both states and Medicaid enrollees. BCRA would subject older adults, adults with disabilities, expansion adults, and non-disabled children under age 19 to mandatory per enrollee caps beginning in 2020. State Medicaid programs would have the option to choose between block grants and per enrollee caps for non-elderly non-disabled non-expansion adults.
If you’re one of the roughly 2 million Medicare beneficiaries placed under observation each year, there’s (potentially) good news for you: You may be less vulnerable to sticker shock when you get your medical bill. But Medicare hasn’t gotten the details right just yet.
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