Marin Independent Journal

Wednesday Soapbox Cartoonist's take

- — Ruth Carter, Marinwood

Health care coverage change is concerning

As a Medicare beneficiar­y who has made contributi­ons since it began in 1965, I felt secure knowing that my medical costs would be covered by paying my monthly Medicare and “medigap” supplement­al policy premiums to see providers who accepted Medicare.

About a half million Americans annually seek bankruptcy protection from medical bills, but I have felt financiall­y safe because of my coverage.

I was shocked when I recently opened a letter that stated that my primary care physician, a MarinHealt­h provider, was now a part of NeueHealth Advantage, a Medicare “accountabl­e care organizati­on.” This was not my choice. I never opted to be part of an ACO because I wanted the ability to freely choose my providers.

While the letter stated that there was “no action needed” on my part, I did some research and, since then, I feel anxious about what this new program might mean for me. I scanned the provider link in the letter and discovered that none of the specialist­s whom I see regularly are listed.

Recently, a congressio­nal committee shared that Bright Health, the parent company of NeueHealth, described the Medicare fee-for-service “market” as a “$430 billion opportunit­y.” The fact that traditiona­l Medicare has only a 2% overhead (no profit) and this ACO-REACH (which stands for “realizing equity, access and community health”) program I've been enrolled in without my permission allows up to 40% profit/overhead, deeply disturbs and concerns me.

Kudos to the California Legislatur­e for passing Assembly Joint Resolution 4 which calls for a halt to the ACO-REACH privatizat­ion plan that puts profits above patients by turning Medicare into a profitdriv­en commercial enterprise. It's a real departure from our nation's original commitment to the health care of seniors and people with disabiliti­es.

Let's all be wary of this tactic and do our best to stop it.

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