Senate Majority Leader Reid committed to closing senior drug 'doughnut hole'


Even as Senate Democratic Leaders huddled with White House advisors over the best way to retain maverick U.S. Sen. Joseph Lieberman's, I-Connecticut, critical 'Number 60' vote, there was reason to believe that one key provision of health care reform already has sufficient Senate support: closing the 'doughnut hole' -- or annual gap in Medicare Part D prescription coverage.

Currently, Medicare pays for the first $2,700 in drug coverage in a year, then beneficiaries pay for the amount up to $6,154, at which point Medicare Part D prescription coverage kicks back in, The Wall Street Journal reported. (Subscription required.)

The program sounds reasonable -- except that for most senior citizens, they never make it out of the doughnut hole: they don't have enough money to cover $3,454 worth of prescriptions. The net result? Many go without their prescriptions -- an intolerable and potentially life-threatening circumstance.

The House health care reform bill passed in November closed the doughnut hole, and U.S. Sen. Harry Reid, D-Nevada and Majority Leader, said he is personally "committed to closing the doughnut hole once and for all," The Journal reported.

Economic Analysis: The likely Medicare D prescription coverage improvement is just one item that demonstrates why passage of this health care reform bill is essential. There are numerous systemic flaws and gaps that are leading to all sorts of economic and budget distortions and unacceptable health outcomes. The health care reform legislation is not just a universal health care bill: it represents a very good first step toward a health care system that achieves better health outcomes for all Americans, and that reduces cost overruns in both Medicare and Medicaid.

The Medicare Part D prescription improvement also could be bullish for drug makers (but I'll await drug maker comment before evaluating individual companies): right now, there are a lot of seniors who are not buying prescriptions after they reach the $2,700 limit.

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