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Considering that the Medicare Part D drug benefit was unveiled, it has proven to be even far more confusing and inefficient than its critics predicted. Even seniors who have been able to register for the program must nevertheless struggle with a $three,000 gap in rewards coverage and a hefty monthly premium. Currently the government has had to alter the plan: The Centers for Medicaid and Medicare Services reversed an earlier selection prohibiting new Medicare prescription drug plan recipients from participating in free or subsidized drug programs sponsored by pharmaceutical manufacturers. But we can't stop there. The reversal fails to count the full value of these prescriptions toward seniors' $3,000 obligation, an expense that could place a lot of in the poorhouse. The Bush administration claims that its new benefit is a excellent deal for men and women who are not eligible for Medicaid. But most men and women will pay not only a $250 deductible, but also 25 percent co-insurance on the next $2,000 in covered drug costs. And add roughly $32 a month per individual for a monthly premium. yaz side effects In addition, the new Medicare strategy requires each senior to cover 100 percent of the expenses over $2,000 until catastrophic coverage kicks in at $5,100. We can and need to close the holes that might ruin seniors' fiscal wellness as they attempt to preserve their physical wellness. Private businesses are currently taking action. A group of pharmaceutical businesses announced a plan named "Bridge Rx," which will aid seniors trapped in the $three,000 hole afford their medicines. Seniors will get drug discounts of at least 50 percent in exchange for a 15 percent co-spend. Washington should also act by letting those who qualify for subsidized pharmaceutical manufacturer applications like Bridge Rx - but who concurrently pay a monthly Part D premium - count the complete value of their medications' formulary price tag toward the $3,000 gap. The purpose of the Medicare prescription drug program was to help seniors, not generate income for insurers and pharmacy benefit managers. It really is time to deliver on the promises that were created.