The Obama Administration did not notify Congressional supporters of the CLASS Act, a voluntary public long-term care insurance program passed with the Affordable Care Act, before pulling the plug on the idea. Advocates were left blindsided by the official announcement, though the Administration had recently released the chief actuary and shut down the offices doing the implementation of the program.
The news was a slap in the face to CLASS advocates, who knew a report was imminent but did not suspect it would be a death certificate.
“I don’t know what happened,” said Rep. Frank Pallone (D-N.J.), a champion of the program. “I didn’t find out until a half an hour before it came out.”
Pallone said HHS Assistant Secretary on Aging Kathy Greenlee told him, “This is the report. And we’re dropping it.”
The Administration was hemmed in by an amendment from former Sen. Judd Gregg (R-NH), now a Goldman Sachs executive, that the program show its fiscal solvency 75 years out. While the CLASS Act would bring in revenue in the early years of the program, under the ACA it would have depleted that money and cost the government over time. And without a mandate, some critics saw a potential adverse selection problem, where the only people using the long-term care insurance were unhealthy, leading to higher program costs.
Still, the alternative is a situation where almost nobody has long-term care insurance, many think Medicare will cover those services (they won’t), and the elderly are frequently starved of their life savings – sometimes the life savings of their children – paying for costly long-term care, before moving onto Medicaid to cover the cost of a nursing home or in-home support services. The CLASS Act meant to solve a problem that still exists and is growing worse.
There are a number of possibilities to actually fix long-term care, and the fact that the Administration doesn’t want to repeal CLASS, but just terminate it in the state it’s in, is a decent sign. You could add a long-term care benefit to Medicare, or actually underwrite the program to make sure that higher-risk individuals pay a somewhat higher premium. Or you could make the insurance premium mandatory with automatic enrollment and an opt-out. I know we’re supposed to hate mandates, but this is a government-run program we’re talking about, and if you got everyone in the risk pool you could reduce the premium to a very low level.
I think creating a 401(k) style long-term care savings account is a bad idea, as it puts all the burden on people who couldn’t possibly save enough money to pay for their long-term care. But there are ways to go about this that don’t lead to bankruptcy or hardship on sons and daughters to care for their parents. Cutting the program quickly without warning isn’t the answer. Unfortunately, we have the Congress that we have, and that means that a decent solution is a long way off.




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It seems that we have a king rather than a president. Pronouncements are made and that’s that.
Not even bothering to hide his cruelty. He is beyond evil.
Cruel AND mismanaging the relationship with even the Ds in Congress … but we knew that already.
obama is an asshat – he is just following in dur chimpfurher’s footsteps, same policies, same authoritarianism, even more spying and assaults on rights, and now proclaims he can just kill US citizens without due process.
In 2012 the nation will be held hostage – either vote for the corporate shill that was chimpy’s third term or elect a repug that wants to pick up where chimpy left off.
And we will be told that it is our fault if one of the repugs win because, you know, we should have voted for chimpy’s fourth term by electing obama instead of by allowing some crazy repug to be elected.
Just. A. Disgrace.
One problem for “the king.” Here in America, we have a referendum every 4 years.
To call obama’s endless capitulations and wholly dishonest rhetoric (public option anyone), “mismanaging” is being generous.
Not challenging your use here, congratulating you for being able to us diplomatic rhetoric.
Whatever we call it, the results are the same. And it amounts to economic terrorism directed against 99 percent of US population.
I will not be blackmailed into voting for this toad.
But it will be tweedle dum versus tweedle dee. Wall St, corporate America, and the military-industrial complex will win regardless of which lever we pull.
And if obama doesn’t win – damn, if you think the orange site, rhandi rhodes, and others were shrill this past year, just wait.
Not to mention the folks that still blame Ralph Nader for the fact the repugs stole 2 elections while the democratic party stood down.
I’m thinking having a Mormon president may not be so bad. Having a Mormon president may not be so bad….having a Mormon president may not be so bad…..you’re getting sleepy….your eyes are sooo heavy……..
It doesn’t matter who’s president.
You’re building a really BIG cloud inside my silver lining.
Did you gete even a lLittle drousy????
Outside of the fact that mormons church leaders launched the Mountain Meadows massacre and have wholly institute sexual abuse of women (and girls), what do we really have to fear from a mormon president?
REALLY BIG CLOUD
It does in the sense that it tells us how the lies are going to be framed and provides a script to continue economic terrorism.
It also matters because it shows us the direction the rest of the national elected offices are going – like it or not, the prez does matter.
It doesn’t matter in the sense of whether we will see campaign promises kept, but it does matter in how the propaganda is catapulted and whom the other major players will be.
Actually, I passed some gas. To bad beerfart liberal isn’t here to help me understand why.
“toad” seems to me to be a very polite term too – you also must be a master of diplomacy. A great skill that I appreciate seeing put in action.
ROTFLMAO!!!! 707!!!
1857? Ya really want to start holding groups of people responsible for what they did in 1857?
Yah, so do I. So let’s hold the Rs responsible for Lincoln & the civil war.
I don’t go for the down the line malarkey, as the D guvs are going the same direction as the prez. Cuomo is to the right of Christie, for example.
In full agreement!
It’s all so pathetic. I think all the 1%ers (including Obama) are fully incompetent, at this point, if they were *ever* competent.
On the other hand, if I break a couple of ridiculous rules at my minimum wage job I risk being fired!!!
I’m with eCAHN on this. It doesn’t matter if it’s Mitty MagicUndies and the Pizza Man or ObamaFraud and What’sHisName………..until we build a real loyal opposition, we are cooked. (koched?)
As for the long-term care insurance, if the country can’t afford it (we’ve got wars we are enjoying,dontcha know), then the country can’t afford it. With the baby-boomers aging and the young college grads working as barristas, we have some work to do to simply keep this leaky ship upright.
I am not talking about votes carrying down the line. I am saying that whomever is elected will fall in line with whomever is in the white house based on whether it is their party or the other one.
It is certainly NOT meaningless, but it doesn’t mean that we get different outcomes either.
Proclamations the president doesn’t matter ignore how the propaganda is catapulted and how the framing changes but the issues do not.
I am not afraid of Obama losing anymore. We will have a D opposition if an R wins. That will be a huge step forward.
AND if things go downhill faster, well, we’re closer to getting things turned around.
Yes, it would be good if the Ds would turn things around now before it gets worse … BUT THEY WON’T. They don’t even care about providing support for our elders. No, they insist, like the Rs that this add to the bankrupting of the 99%.
badger@22:
And this matters why?
Wouldn’t it be nice if people woke up and said, finally, well, …. if we can’t afford, as a country, caring for our elders, then we CAN’T AFFORD THESE EFFING WARS, either. Also. Evil fools!
Yes not voting for a killer, a liar and no disrespect to toads just say he is a low life picking the low lying fruit old sick people now. Gah!
Off to Occupy SLO.
good grief, you like to attack attack attack, don’t you.
It does say something about the moral authority that underlies the church at its very conception though, doesn’t it?
I am not saying hold them accountable, I am pointing out that if you look at the history of this “religion” you see hypocrisy that makes the hundreds of years of papel abuse seem like the ultimate higher authority.
Perhaps the reason you and I, while largely agreeing on the big issues, don’t see some things eye-to-eye is that there are very subtle colorations in issues that some do not see and refuse to acknowledge.
Please stop attacking by misrepresenting my posts.
If we are going to succeed in fighting it, we need to understand it.
I agree – we get the same outcome, but our strategies to organize and get others on board changes with the framing in the mainstream media.
Um, righto. Just like “we” did when W was prez.
Obama got his “W” that was all he wanted.
He didn’t care what was in it when is passed and doesn’t care what happens to it now.
Actually helping people was never a goal.
EXACTLY! THANK YOU!
And this gets back to the framing I keep talking about. The two parties promote the same economic terrorism because they DON’T want us asking this question.
But each side promotes it from a slightly different angle and to different people, their party’s respective base.
The media picks up on the sideshow and no one asks the most important question of all.
It does matter who is in the white house because they provide the framing for an intellectually dishonest dialog where no one asks rational questions like yours.
reader@25:
I think the country/people are saying No More Wars/Bring the Troops Home…….I just don’t think our overlords give a shit. But, hey, let’s see if OWS can keep stirring the pot. Occupy! If you (anyone reading, not just reader!) haven’t joined an occupation or sent some kind of support, why not?
They don’t have to give a sh!t if the dialog is about the discourse between Ds and Rs instead of what the people want.
God’s truth! I am completely confounded by the choices for the Imperial
PotentatePresidency. Ordinarily the optionsmerely suckbut this time around they are pathetic. This election will present us with the most unpalatable choices of my lifetime.I think that every religion is pretty much the same in that regard: authoritarian, abusive, warmongering. Nothing special about Mormonism. Others have been at it a lot longer.
When I worked on Wall St I had plenty of interaction with Mormons. Visited their money managers in the big office bldg in SLC every ski season (heh), and there were plenty of Mormon high net worth clients in SoCal. Also saw the stepford wives, stepping stone blond kids in abundance on the ski slopes, and had long discussions with a couple of workers (ski instructor, manager at the lodge) who had left the faith who explained, among other things, how clannish it is and how ostracized they were while still living in Utah. Both moved to more cosmopolitan environments within a couple of years.
So I have a negative impression about Mormonism. But no more negative than the Catholic church in which I was raised. Different but the same.
Your welcome to your opinions – I will point out that mormons actually try to keep everything about their religion a secret. In the eyes of some, this is more than “curious” when a group proclaims to have a direct hotline to God.
There is a difference in this regard, I can easily find out what Catholics and other mainstream Christian religions do (officially), but try to ask a mormon about their magic underwear.
Guess even mormons all know its all too creepy to discuss – my local priest, however, will openly discuss anything about the Catholic faith (note: I am not Catholic).
R.C.s today may be substantially diff fr what they were a half century ago when I was R.C. *g*
What does he (the priest) say about the church protecting pedophiles?
He talks about it – doesn’t ask me if I am a member and then shut up if tell him I am not catholic.
Please don’t join the economist guy in flaming based on misrepresenting posts – I have been a lurker here long enough to know who the disagreeable people are.
I don’t call them out, but sometimes they can’t resist self-identifying themselves.
Oh, I nearly forgot. My brother & his family live near Hill Gomarah, which I have visited several times. I think it is used only once/year, since the 2-3 times I’ve been there we were the only visitors. Last I was there, the visitors’ center shown on the website didn’t exist (maybe 10 years ago). Creepy place to be allegedly so impt to the religion yet so abandoned except for once/year when they have a big festival.
As for secrecy, phone them & just ask. As a teen, I was curious, so I called up the local (Buffalo NY) chapter and they showed up with a free Book of Mormon & were willing to answer any Q we had. Last time I was at the visitors center in SLC, they had a sign up sheet where you could declare whether you wanted a protelytizer to show up at your door or not. Guessing they figured out showing up at your door uninvited was NOT the best way to gain converts.
They may be secret about some of their practices, but they are eager to convert (part of every Mormon boy’s requirements) so you might be able to find out more than you ever wanted to know.
I read a couple of paragraphs of book of Mormon, thought about the gold tablets that they were inscribed on that Joseph Smith conveniently “lost” and consigned it all to the trash heap of history. About the same time as I did for the myths perpetrated by Catholicism.
Ooops forgot website url http://www.hillcumorah.org/
OT, but saw this 2 min video and wanted to ask, what garbage did YOUR children eat for their school lunch today
No mormon every talks to me – never any attempt to convert. Perhaps I come across as someone they can’t snooker.
I stand by my statement, just because we can find hypocrisy and bad things in other faiths does not mean they are all the same.
Obviously, from your view, they are all very bad and I would never post any response about that nor most other things you post here because we largely agree.
There is no reason to create conflict when none really existed. To some of us, “All of them do it” is not a good argument for anything, especially when it is possible to find differences in their willingness to be open about it.
What the local priest says doesn’t matter – I don’t have to pass a litmus test to have the conversation.
That’s admirable of him.
I’m not piling on, I just don’t see the point of singling out one religion when almost all have things to hide. The Mass is written in Latin for a reason…
No one is singling out one religion – and if read the thread, you would know why there is a reference to mormons and that it has has nothing to do with singling them out.
But bringing in every other negative perspective about religion certainly can be construed as piling on.
Spend enough time here, there are a few that just attack and attack – I think someone must not have liked the fact that I once (without attacking) tried to point out some contradictions in an economic theory that was presented in a thread as an absolute fact/law, just like gravity.
peace
OK.
We have very diff experiences, and your characterization of my “all of them do it” wrt religions, which I would not dispute, comes from quite a bit of personal investigation, which I have tried to detail wrt Mormonism. I am extremely anti-religion, but have done a lot of reading/talking about many religions bc I am so curious why religions hold such a tight grip on so many people.
Perhaps we can let it go at that.
I think you referred to me as ‘guy’ above. I’ll take that as a compliment but for future ref, it’s ‘gal.’ *g*
mighty kind of you – you’re the healer now – thanks
I can hear the “screeching of the Lamms.”
Really, old people, why the fuck don’t you just die? It’s for the good of the country. We can’t afford to help you live out your last days with dignity.
This is a HUGE problem and for all you younger people, it will be an even BIGGER problem in the next decade. Watcha gonna do when Mam and Pap can’t walk to the toilet anymore, or walk at all for that matter? Can you or they afford to pay for 24/7 supervision or transportation to doctors appointments? Get ready to choose which sibling will be the in house caregiver for the parent(s).
If you’re wealthy, you can pay for care, if you’re destitute, Medicaid will put you in a home where the smell of urine greets you in the morning. If you’re in the middle, you’re SOL.
Of course, we could just stick the elderly on ice floes–if there are any left.
My most hopeful outcome is to die soon. My 3 score & 7 are plenty enough for me.
It can’t be said enough – Obama, what a schmuck
I read all the way to here and see that the theme of the posting was totally disrupted. I had to go all the way back to the beginning to see what the original idea was.
I never thought Obama would cave this much, but Obama is bascially repealing part of his own health care plan in order to avoid any confrontation with the GOP.
Man, what a (fill in the blank).
I may be, and probably am, senile and imagining this, but I remember that eliminating the CLASS program was part of Obama’s original budget cut proposal back during the debt extension negotiations.
You are living up to your name with that guess. It’s sounds like something Obama would do. Anything to appease the GOP, even if it means tossing his own health care plan.
Oh please. I don’t care what congress you get, the parties are there to block or at the very least minimize change.
We also have a president who stands in the way of the pitchforks, ever heard of that guy?
Stop badgering the mormon religion.
In this country people have freedom of religion. There is not supposed to be a litmus test for political office.
I grew up Lutheran, joined a Baptist church and attended many a Catholic service including being married in their church. When I try to have a conversation about the injustice and war with the local Catholic priest here in western WA state, he refuses to see me despite my wife having attended his services. So, please don’t generalize your experience to the rest of us.
If mormons have secrets, that’s between them and their god and church. And if you really want to know the secrets which I imagine you already know, it really doesn’t take a lot of digging on youtube. If you can’t find something let me know. There’s a really lengthy discussion from a former mormon letting out all the “secrets” on an ACA Atheist Community of Austin video.
I’m agnostic now. I consider all religions pretty primitive expressions, sorry. Some I even consider to be outright dangerous and that includes mainstream greed embracing US churches.
I don’t think that’s quite right. A common narrative has been that ACA will get whittled down to the mandate. I realize there are multiple, but I suspect we aren’t done seeing it carved down.
Get off it. Oh yes you were.
And you can include me in those who take offense easily to stupid things people say.