A month ago, my 93-year-old mother was hospitalized with terrible pain across her back. She was unable to sit or stand. There were no fractures, so after two and a half days she was discharged to a "transitional care center." She was told that since her hospital stay was less than three days and she had not had surgery, Medicare would not pay for her time in the care center. (Apparently, this is a new rule.) She also was told that her insurance company (Medica) would not cover her stay. So everything had to be out of her pocket. This amounts to $236 per day. Mom has very little savings and no longer owns a home, but lives alone in an apartment and does manage to get by on Social Security.
UCare is one of the very few insurance companies I am aware of that will waive this requirement and cover her care costs. I'm sure that all of the other insurance companies were delighted to find another avenue to save money. UCare also covers the new 3-D method of mammogram screening that is being used across the country. Many of the other insurance companies do not cover this test. And now the state of Minnesota has found a way to stick it to lower-income and elderly Minnesotans with its "competitive bidding" on HMO contracts and will drop UCare as an option for most enrollees.
Do our decisionmakers ever consider the consequences of their actions, or do they just see dollar signs? They have a responsibility to all of the citizens of Minnesota to give us as many options for our health care as possible.
Georgene Bergstrom, Edina
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The Aug. 15 editorial ("Caution needed on health plan contracts"), about how a reform that saves taxpayers' money unexpectedly shuts UCare out of Minnesota's public health program, was the extreme beginning of serious debate for a reform of the medical contracting process. It is true (of both medical treatments and provider arrangements) that "even the most promising may have harmful unintended consequences." For starters, UCare does have serious costs to the system.
Last May, two females, who later identified themselves as a registered nurse and a Somali-speaking interpreter, knocked at our door. A roommate of mine conspired with them and had a 50-year-old man who supposedly had a complicated illness sneaked into the house. The idea was to create a scenario under which this man was cared for at home by my roommate and by the ladies billing thousands of dollars to UCare.
I submit that such and many other profound incidents happen in the immigrant communities in the Twin Cities. Some may call this a consequence of a private company administering public assistance, but I call it corruption. In short, the editorial was right to suggest that the "public health program contracting merits a prudent pause to ensure that pluses outweigh minuses."
Abdiqani Farah, Minneapolis
IMMIGRATION
Citizenship clause, if properly interpreted, is not a magic key
The Aug. 17 article on the birthright citizenship issue raised by Donald Trump ("Trump sounds off on immigrants") contains a serious misinterpretation that, if left unaddressed, will hinder a long-overdue debate on this subject.