The Oklahoman

Let’s keep Medicare Part D as it is today

- BY ROBERT BRIAN SULLIVAN Sullivan lives in Oklahoma City. Bowersox and Spradling are with Oklahomans for School Calendar Reform.

s the former chief pilot for an Oklahoma oil company, I know a thing or two about flying. I know what it’s like when you enter into a cloud right after takeoff. Your sense of direction is nonexisten­t. The only thing you have to rely on are the instrument­s to guide you safely to your destinatio­n.

What happens when those instrument­s stop working?

What if you’re forced to navigate in the world with a jumbled sense of direction?

I’d imagine this must be how it feels to have Alzheimer’s disease. Fortunatel­y, in aviation, we have sophistica­ted backup instrument­s to rely on when things fail. This is not true with Alzheimer’s.

My mother was given the diagnosis of Alzheimer’s in 2005. She died in 2015. In the beginning, she couldn’t remember the names of her grandkids; near the end she couldn’t remember to eat breakfast or get dressed. The worst thing about Alzheimer’s is that it’s finite. Even with a diagnosis of cancer there is some hope. With Alzheimer’s, it will only get worse with time, and the result is always fatal.

Currently, Medicare Part D, the prescripti­on drug benefit, is widely used by many seniors with Alzheimer’s to provide them with medication­s. But it does more than that. As it stands, the free-market component of Medicare allows opportunit­y for biopharmac­eutical companies to compete in the race for cures. And I want a cure. In 2013, a cure for Hepatitis C was introduced, an exciting developmen­t for those living with the disease. The drug came with a 90 percent cure rate, but also a whopping $84,000 price tag; however, our free-market system brought other competitor­s to the table who developed similar medication­s. Within one year, prices for the Hepatitis C medication dropped by nearly 46 percent, and today we have affordable, lifechangi­ng care for those given this diagnosis.

The free-market system with competitio­n does work. I would hope for the same to happen with Alzheimer’s.

U.S. Rep. Tom Cole, R-Moore, recently received an award from the National Alzheimer’s Associatio­n for his advocacy regarding Alzheimer’s. I’d like to thank him for being a mouthpiece on this issue, and to extend a recommenda­tion to him: The free market is always the most successful way for companies and consumers to have healthy interactio­ns.

Let’s keep the free-market component of Medicare Part D alive and abolish the notions of price controls proposed by Sen. Bernie Sanders and Co., so that advances in research can continue.

Let’s keep Medicare Part D as is so it can continue to be a pathway for medical research and ingenuity, with the deep hope that we can eventually offer a cure to the 5 million American’s living with Alzheimer’s.

Coburn still fighting

Jack Milavic (Your Views, May 14) makes the same mistake as many other Americans by relying on Congress to stop the waste, fraud and corruption in our federal government. Milavic compounds the error when he laments the loss of Oklahoma’s Tom Coburn to lead America out of its current morass.

Coburn is still fighting for us. Realizing the futility of expecting the careerists in Congress to do anything to stop the dysfunctio­n in D.C., he left the Senate in 2014 and became the senior adviser to the Convention of States Project early in 2015. He is working with this grass-roots organizati­on to promote an Article V amendments convention of states. In his new book, “Smashing the DC Monopoly,” Coburn explains why he gave up on Congress and how he now puts his faith in the American people to solve our national problems with an amendments convention.

Congress will never stop growing big government — the lifeblood of career politician­s clinging to power and perquisite­s. Milavic and others understand­ably disenchant­ed with our federal leaders should look more to Coburn and his book for answers to our national dysfunctio­n.

Potential savings for schools

One step that all local school districts could take to control future costs, eliminate waste and keep local schools is to look at the start date of instructio­n. Virtually all Oklahoma schools start instructio­n in mid-August (Oklahoma City schools begin Aug. 1). July and August are the most costly months for air conditioni­ng. Last fall the Oklahoma City school board was advised it could save $500,000 by returning to a late August start and traditiona­l school year. Incredibly, some staff and the majority of the board stated this was an insignific­ant amount. What would the overall savings be with a statewide push for later start dates? Would local districts do it on their own?

Texas, Arkansas, Missouri and other states have school start date statutes (Texas: the fourth Monday of August). In some, starting any earlier results in a deduction from state funding. Perhaps the savings on August electricit­y bills is one way Texas funds higher teacher pay. When local school boards describe savings as “insignific­ant” in a time of statewide budget cuts, it’s time for a statute on a common-sense solution.

A reason to act

As a nurse, I have seen thousands of patients come through St. Anthony Hospital over the years. No one is turned away. Every year, we navigate the ever-shifting waters of reimbursem­ent to remain afloat. But unlike many others, we serve the neediest of the needy, the poor, the homeless, the addicted and the mentally ill. Plus, we receive patients from outside the metro area. Recently, a man from rural Oklahoma came to our hospital having a heart attack. From the beginning of a heart attack, we have about 90 minutes to perform a procedure to prevent permanent damage. He came to us from an hour away, but we made it happen. He went from a 90 percent chance of dying to a 90 percent chance of living a normal life.

There is nobody to pay for the tens of thousands of dollars of care the patient received. Yet we are providing quality care. Our Legislatur­e continues to vote down bills that would help provide funding for patients like this. Less funding means lower wages. Lower wages mean fewer staff members. Fewer staff members mean slower response times. Slower response times mean a 90 percent chance of dying instead of 90 percent chance of living.

I’m not an attorney or a lawmaker. Just a nurse, for almost 40 years. But it’s clear the Legislatur­e must act so we can continue to provide quality health care in Oklahoma.

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