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Saturday 15 October 2011

U.S. Does Not Start The Long-term Care Insurance

U.S. Does Not Start The Long-term Care Insurance
U.S. Does Not Start The Long-term Care Insurance
U.S. Does Not Start The Long-term Care Insurance
U.S. Does Not Start The Long-term Care Insurance
U.S. Does Not Start The Long-term Care Insurance
U.S. Does Not Start The Long-term Care Insurance
U.S. Does Not Start The Long-term Care Insurance


A long-term disability care led to the FDA inspection of Senator Edward Kennedy before his death, was canceled as economically unsustainable by Health Secretary Kathleen Sebelius.

Republicans against the so-called Class Act, which created the program. It 'is currently suspended, Sebelius said today's statement, because the program is unlikely to generate sufficient revenue to pay for his benefits.

Democrats led by Kennedy created the plan to help people with disabilities of illness or accident. Paying premiums on the job, the beneficiaries would be eligible after five years for at least $ 50 per day in the direction of health services and support provided at home. The program was presented as to pay for itself.

"I do not see a realistic way forward for the implementation of the class at that time," Sebelius said in a letter to congressional leaders.

Republicans celebrated the demise of the program, calling it misguided policy used as a ploy to reduce the estimated financial cost of health law. At that time, the Congressional Budget Office subtract $ 70 billion the cost of using the law to the class - what the community support services and assistance to Live - contributing to $ 143 million in total savings, as program premiums are greater than the benefits of its first decade.

The program "was destined to fail in the real world," said Sen. Mitch McConnell of Kentucky, senior Republican section of the declaration.

Saving program

Proponents of the program, said it can be saved.

"Where our position was and continues to be, they have the power to move forward and turn Rubik's Cube until a solution presents itself," Connie Garner, executive director of the advanced class, said in a telephone interview before the announcement Sebelius. His group represents nursing homes, organizations of disabled and elderly AARP lobby to push for its implementation.

Representative Frank Pallone, New Jersey, a Democrat who was one of its key supporters in the House, said the Obama administration was "wrong to abandon" it.

"To abandon it is simply not an option," he said in a statement. "If the program will be improved, let us find a way to do it."

The necessary changes

The government could make 95 percent of the changes needed to help solve the program without the action of Congress, says Garner.

Senator Kent Conrad, Democrat of North Dakota described an early version of the "Ponzi scheme". Later, he supported a law that created it. Classes Republicans, the seizure of this statement is ridiculous is just too expensive that it would cost more than it took in premiums.

The demise of the program was "sad but not surprising," said Paul Van de Water, an insurance specialist and budget at the Center on Budget and Policy Priorities, a nonprofit research, whose studies are often democratic political support.

"The goal here was good," he said in an interview. "But the program is written in the law was too narrow."

Health Act requires the class to keep themselves as the beneficiary, the awards without the support of taxpayers, said Van de Water, and Sebelius can not proceed unless the actuarial analysis has proven to be financially stable 75 years.

The program did not meet that bar, said Kathy Greenlee, assistant secretary of aging in the Department of Health and Human Services, in a note to the secretary.

Actuary estimates

The Chief Actuary of the Centers for US Medicare and Medicaid Services, Richard Foster, predicted in an April 2010 Report that the program cost the federal government more than it took to begin in 2025.

Because it is voluntary, the class facing a "problem with adverse selection," where the only people who need insurance, or think they will, they would join, he said.

Sebelius telegraphed the death of the program in February, when he said that the Senate Finance Committee hearing, that the class "does not start if it can not be sure it is solvent and viable in the future."

The spokesman for his department, Richard Soria, confirmed during the past month, that the class was a rope, said that "it is an open question whether the program is implemented."

Republican Reaction

Republicans in Congress plan to study the program and Democrats used to "blow the estimated savings and mask the true costs" of health law, said Debbee Keller, spokesman for the chairman of the House Energy and Commerce Committee, Rep. Fred Upton of Michigan, whose panel has jurisdiction. "Everyone has seen the writing on the wall that this program is not sustainable, but the administration has continued to keep up with the program until such notification."

The completion of the program can add to the deficit. The Congressional Budget Office estimated in February that the total savings in the health law will be $ 210 million in 10 years, whose accounts of the class  86 $billion.

Senate Appropriations Committee approved a fiscal 2012 spending legislation for the Department of Health on September 21 that eliminated the funds to enact the class, saying it was not clear if that's the procedure. Obama had requested $ 120 million for the program.

Kennedy died in August 2009, the Health Act signed by Obama in March 2010.

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