The list of things I don’t understand continues to grow. Two columns in 2019 covered this topic, so I refreshed my memory on what was mentioned. One area that continues to puzzle me is silent letters. Why waste ink and effort on something almost useless?
A combination of wasted ink and effort brings to mind Medicare Summary Notices. My November statement is a good example. Essentials could have been covered with one sheet of paper instead of three. Using front and back, as they thankfully do, would have resulted in two printed pages rather than six.
I assume the other 66 million people on Medicare receive similar mailings. My six pages pertained to a single provider and one date of service. Someone with significant health issues would get a much thicker package. The totality of such notices amounts to an unfathomable waste of paper, ink, labor, and mailing costs. So what do we do?
First, reduce the font size. The font used is several times larger than necessary for most readers. Surprisingly, however, the notice states I have the right to receive it in large print! Super-sized editions would be bigger than some books. Perhaps Medicare considers that a novel idea.
Secondly, there’s a lot of information that could be omitted or only provided annually. Page two, for example, includes four disclosures that come with each summary. After five years on Medicare I’ve never had a need for them. And on page four of my recent report are instructions in oversized print on how to appeal denied claims. Rather than repeat that in every mailing, it should be adequate to provide a phone number to request details.
But wait, there’s more. The last two-sided page is also a standard part of each summary. Short paragraphs in fourteen languages explain my right to get help in those languages at no cost. Perhaps there should be exceptions, but I tend to think if you’re getting Medicare benefits you should learn English or be responsible for interpretation costs. Automated translation is probably available at minimal or no cost.
Certainly there’s room for debate on such matters, as there should be. Former President George W. Bush described himself as a compassionate conservative, which I believe is the correct approach to politics and policy. My point is we’re wasting money while ignoring simple solutions.
Medicare reimbursement is another area sorely in need of better oversight. A minor illustration is the CPAP device I use for sleep apnea. It has tiny filters which are considered “add-ons,” meaning something else has to be ordered to get them. I’m stockpiling supplies I don’t need just to get filters. That shouldn’t be allowed.
More concerning, however, are ongoing revelations about fraudulent Medicare claims. Known losses have amounted to megabucks, plus there’s no telling how much fraud goes undetected. Surely someone is capable enough and honest enough to address the issue. I don’t understand why the same problems keep resurfacing.
Reports of blatant fraud have been found under both Democratic and Republican administrations. And Medicare is just one small part of our federal government that makes headlines for the wrong reasons. I don’t understand why we keep electing the same people to work on the same problems they’ve made no progress in solving.
Decades ago a man from Perry, Georgia, named Gordon Scarborough was giving out bumper stickers that read, “Don’t re-elect anybody.” At the time that struck me as a bit extreme, but his point was valid. If people holding office aren’t getting the job done, maybe we should give someone else a try.
I don’t understand why elected officials and career administrators continue to ignore areas that obviously warrant attention. I have no expertise in such matters, but those who do seem content with a broken system. That indicates a problem with attitude or aptitude or both. Medicare is regrettably just one example within our massive government and its agencies.
Perhaps I’ve wasted ink and effort covering a topic I know little about. A man who doesn’t understand silent letters can’t expect to have a full grasp of Medicare or politics. But if any of my statements are inaccurate, please note there’s a simple explanation. The list of things I don’t understand continues to grow.