Tuesday, April 09, 2002

Many on Medicaid Lack Drugs, Study Says The study was based on a survey of 39,000 adults, including nearly 1,800 on Medicaid. By most measures, it said, Medicaid recipients and people with private insurance have similar access to medical care. But, it said, prescription drugs appear to be an exception; some Medicaid recipients have almost as much difficulty as the uninsured in obtaining medications. Twenty-six percent of Medicaid beneficiaries ages 18 to 64 reported that they could not afford to get all their prescriptions filled in the last year, the report said. That was just slightly less than the 29 percent of uninsured people who reported similar difficulty. By contrast, 8 percent of people with employer-sponsored health coverage and 8 percent of elderly people with Medicare said costs prevented them from obtaining medicines. (Medicare generally does not cover prescription drugs outside the hospital, but about two-thirds of Medicare beneficiaries have drug coverage from other sources.) Len M. Nichols, vice president of the Center for Studying Health System Change, said, "The findings are surprising because Medicaid is expected to ensure access to affordable care for the poorest and sickest Americans." http://www.nytimes.com/2002/04/09/health/09DRUG.html?todaysheadlines&pagewanted=all

Many on Medicaid Lack Drugs, Study Says States have become so aggressive in trying to control Medicaid spending on prescription drugs that many Medicaid recipients do not get all the drugs prescribed for them, researchers said today. Although Medicaid covers prescription medicines in every state, one-fourth of patients enrolled in the program reported that they could not afford to fill some of their prescriptions in the last year, the researchers said. In an environment of rapidly rising drug prices, they said, states' cost-control efforts were the leading factor. http://www.nytimes.com/2002/04/09/health/09DRUG.html?todaysheadlines&pagewanted=all

Sunday, April 07, 2002

Affluent Avoid Scrutiny on Taxes Even as I.R.S. Warns of Cheating The government looks for tax cheating by wage earners far more carefully than it looks for cheating by people whose money comes from their own businesses, investments, partnerships and trusts. This is true despite many warnings by federal tax officials that cheating is becoming far more common among affluent Americans. Even as Congress finances a crackdown on tax cheating by the working poor, it is appropriating little money to detect abuses by people, usually among the wealthiest Americans, who do not rely entirely on wages for their income. Executives at the Internal Revenue Service have mentioned this discrepancy in several reports to Congress. They have not focused attention on how little they can do about it. But an examination by The New York Times of I.R.S. statistics including audit rates and staff deployment figures, as well as interviews with current and former I.R.S. officials, shows that the agency can identify at best only a tiny percentage of the cheats and pursue even fewer of them. That the I.R.S. audits the working poor more frequently than wealthy people is well known. What has not been discussed is that the agency does not track nonwage income as closely as wage income � and in some cases does not verify it at all, even as the I.R.S. says that cheating on nonwage income is rising. http://www.nytimes.com/2002/04/07/business/07TAX.html?todaysheadlines&pagewanted=all