John Rother
John Rother
job likely mostly moving point seem
It doesn't seem at this point that there's likely to be legislation moving on to the president. I think our job is mostly done.
access afford aging assisted based benefits care changes choice choices community extend future good growing health highly homes improved increased issues large left limited living news nursing points population restricted term thus wealthy
The report, while being good news for many, also points out that if the issues of the growing and aging population's future long term care needs, are not addressed today, the choices will be limited to the wealthy and highly educated. Access to choices for the population at large will be restricted to those who can afford alternatives to nursing homes such as assisted living or home and community based services. Any changes must extend the benefits of improved health and increased choice to those who have been left out thus far.
beaten coming confided decided husband indeed leave point quite remember
I remember quite distinctly her coming to me quite agitated, emotionally distressed, and at that point confided to me that she had indeed been beaten by her husband and that she had decided to leave the marriage.
faster inflation prices
Drug prices are going up faster than inflation and we need to do more to keep them affordable.
care costs finance keeping per successful
Even if we're extraordinarily successful ... at keeping the per capita costs limited, there has to be some way to finance care for that many people.
coverage joining people rush
There's no need to rush in, but most people will probably be better off getting the coverage than not joining up.
ability bringing continued earnings emphasized four health individual normal pass pensions people pillars ready retirement second social terms third
We really need to think about four pillars for retirement. ... The first pillar is Social Security. The second is individual pensions or savings. The third is health insurance, very important. And the fourth, surprisingly, is the continued ability to earn, because many people are going to need to find some way of bringing in earnings after they pass normal retirement age, and we think that that should be more and more emphasized in terms of getting ready for that possibility.
four pillars retirement
We really need to think about four pillars for retirement.
certainly compared consumers explain generic good kept news previous prices reason sure switch
That was a real surprise. Generic drug prices have been kept down substantially compared to previous years. I'm not sure I can explain that, but it's certainly good news for consumers and more reason than ever to switch to a generic drug if you have that option.
family gains ordinary overall people richer rising seeing wage
We do have overall growth. But it's not translating into family income. The haves are getting richer and ordinary people are seeing their wage gains go to rising health-care costs.
across board category chronic difference hit increases involved people price seem suffer
What we find is that these price increases are pretty much across the board -- it doesn't seem to make much difference what category of drug is involved or what manufacturer. Obviously, those people that are chronically ill, and particularly those who suffer from more than one chronic illness, they are getting hit pretty hard.
among future high insurance likely negative people percent program risk seniors sign spread
If only 20 percent or even 30 percent of seniors sign up, that is every negative for the future of the program because the people most likely to sign up are the people with high drug expenses, and you don't have insurance if you don't spread the risk among people who are healthy.
people relatively seems
Right now, it seems to be relatively quiet. For people (who are enrolled in the program), it's actually working.
benefits generation investment pay paying private retired saving shifting themselves twice
Shifting to private investment wouldn't be easy. A whole generation would have to pay twice -- saving for themselves while paying benefits to those retired under the old system.