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NATIONAL CENTER FOR POLICY ANALYSIS
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| Medicare Reform and Prescription Drugs: Ten Principles |
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Unlike most of the nonelderly with private health
insurance, senior citizens on Medicare do not have coverage for most
prescription drugs unless the drugs are administered in a hospital.
This is unfortunate. Drugs have already made a major impact on the
health and well-being of the elderly:
- Between 1985 and 1999, residence rates in nursing homes declined by 14
percent among persons age 65 to 74, 25 percent among those 75 to 84, and 17
percent among those 85 and older.
- A principal reason for the declines in nursing home admissions was the introduction of
new drugs for stroke and depression.
- Also, in part because of access to new drug therapies, the proportion of Americans age
65 or older with a chronic disability declined from 26 percent in 1982 to 20 percent in 1999.
For the future, spending on medicines as a percent of total health
care spending is expected to grow. This should be good news, not bad news for seniors.
More than 800 new treatments are coming online for such debilitating diseases as Alzheimer's,
arthritis, osteoporosis and Parkinson's, and so are new medicines for heart disease, cancer and
stroke - the three leading killers of Americans.
Yet seniors will not be able to take full advantage of these opportunities if they cannot afford them.
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