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The 2nd HPD report - Health Policy Monitor

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Sources and further reading:<br />

Department of <strong>Health</strong>. National Service Framework for<br />

Older People. London: Department of <strong>Health</strong>, 2001.<br />

Royal Commission on Long Term Care for the Elderly.<br />

With Respect to Old Age. London: <strong>The</strong> Stationery Office,<br />

1998.<br />

Wittenberg, Raphael, et al. Demand for Long-Term Care in the<br />

UK: Projections of Long Term Care Finance for Older People<br />

until 2051. London: Institute for Public <strong>Policy</strong> Research,<br />

2001.<br />

Wittenberg, Raphael, et al. “Funding Long-Term Care: <strong>The</strong><br />

Public and Private Options.” In: Mossialos Elias et al.<br />

Funding <strong>Health</strong> Care: Options for Europe. Buckingham:<br />

Open University Press, 2002, 226–249.<br />

USA: Expansion of prescription drug coverage for the elderly<br />

In November 2003, Congress passed the Medicare Modernization<br />

Act, the largest single change in Medicare since its creation<br />

in 1965.<br />

Medicare, the federal program providing universal health care<br />

coverage for people aged 65 years or older, has not previously<br />

covered outpatient prescription drugs. <strong>The</strong> new law’s main objective<br />

is the expansion of Medicare to provide drug coverage to the<br />

40 million elderly in the United States. <strong>The</strong> age group 65 and<br />

older accounts for 14 percent of the population and for one third<br />

of drug expenditure.<br />

Nearly 25 percent of the elderly have no drug coverage; 75<br />

percent have at least some kind of assistance, though the extent of<br />

coverage varies broadly. In 2001, out-of-pocket spending for prescription<br />

drugs among Medicare beneficiaries was estimated to<br />

average €666 annually, with 27 percent paying more than €783.<br />

From 2006 on, the elderly will have several options for drug<br />

coverage. <strong>The</strong>se include employer-sponsored retiree plans, a<br />

stand-alone prescription drug plan and comprehensive plans that<br />

integrate enhanced Medicare Part A and B benefits for hospital<br />

and outpatient service.<br />

45<br />

Public Visibility<br />

Impact<br />

Transferability<br />

25 percent of the<br />

elderly without<br />

any drug coverage

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