Key Medicare benefits are being stripped away, and patient care is being handed over to profit-driven corporations.
On June 25, 2025, in an unprecedented move, Dr. Mehmet Oz and Robert F. Kennedy Jr., through the Centers for Medicare & Medicaid Services (CMS), announced that Original Medicare will now require prior authorization for a list of 17 services.
This marks a major shift—and a serious rollback of a key protection retirees have relied on for decades.
What’s Changing?
With my wife Suzie away visiting her dad in Spain, I’ve been keeping myself busy, and I must say I’ve had a pretty active few days! On Wednesday, I played two hours of pickleball in the morning and then did a 5k fun run with my grandson in the evening. Thursday saw me walking the shoreline of Belfast Lough from Bangor to Holywood – about 12k. Then on Friday, after driving to my holiday home on the North Coast,
This is a decision I had to make several years ago when I turned 65. I started out with a no premium five star local Advantage plan to take “advantage” of the free perks for the first year, then switched to traditional Medicare with a plan G supplement, the most expensive plan. To most this would seem quite contradictory, but let me explain my reasoning. Medicare allows first time enrollees to trial an Advantage plan for up to a year,
Some people’s recent experience with the Social Security and Medicare sign-up process has been smooth. Mine for Medicare? Not so much.
I turned 65 in November 2024 and wanted Medicare Part B to start January 1, 2025. Medicare.gov says that if you apply in the month after your birthday, Part B will start the following month. Perfect! I filed for Medicare on the Social Security site on December 2nd and even included a note that I wanted Part B coverage to start January 1.
This past weekend I did the 200k Ride To Conquer Cancer.
On Saturday we rode from Toronto to Hamilton and on Sunday from Hamilton to Niagara Falls.
I knew it was going to be hard because I had only done one 100k training ride so far this year because of the bad weather we were having.
Also I suffer from bad allergies as well as exercise induced asthma and the day before it looked like it was snowing here due to all the white fluff in the air never mind the smoke from the forest fires out west.
Are doctors overpaid?
That’s a tricky question for several reasons. Getting good data is hard and mostly based on surveys, there are variations across the country and among specialists plus few doctors work a 40 hour week.
If you are a patient and your doctor provides life saving care, I suspect what they earn doesn’t matter, it wouldn’t to me. In any case, chances are you aren’t paying the bill yourself.
After looking at the data from several sources,
Great article in the WSJ about aging. I hope the link below is non paywall.
https://www.wsj.com/health/wellness/americans-in-their-80s-and-90s-are-redefining-old-age-5f8ae8a6?st=JfYzbJ&reflink=desktopwebshare_permalink
I woke up this morning at 4, wide awake and couldn’t sleep. I laid there reading google news on my phone. Finally I got out of bed and made it out into the living room. It was pitch black outside, yet my path through the house was well illuminated by little, mostly blue lights. About 30 of them. Smoke and carbon monoxide detectors, routers, scanners, label maker, alarm clocks, microwave, coffee maker, toaster oven, range, bathroom nightlights,
Love and heartbreak are human experiences. Heartbreak is not restricted to the end of a relationship. It can be unrequited love, the death of a loved one, divorce, unmet expectations we have of another. Or other severe emotional conditions.
Harvard Medical School recently published an article about a phenomenon known as Broken Heart Syndrome. It is a real condition known as Stress Cardiomyopathy or Takotsubo syndrome, and can be deadly. But most people recover quickly without any long lasting effects.
Three Points
It’s a simple lesson I learned when I piloted an 18 wheeler in order to make ends meet while getting my business up and running. If you ever stood next to semi-trailer truck you would have noticed that the last step into or out of the tractor is a doozy. I wouldn’t be surprised to learn that HD’s resident physical therapist Ed Marsh treated a few injuries that occurred when a driver fell getting out of his truck.
I’m not so good in the genre of Rapper or hip hop singers, but I don’t let that deter me when my mind is in tune with a good word puzzle. Yes, I’m hooked on the NYT word game Connections.
Chances are you played or, at least heard of the New York Times “cult”puzzles. Over the past few years, Wordle became a staple as part of millions of peoples daily routine, and I highly recommend the addictive Connections as a new challenge for word puzzle aficionados and word mavens.
I’ve recently observed cases where family and friends undertake serious medical interventions with not the best outcomes. These interventions seem well intentioned to rehab issues, but I now wonder if they sometimes are a money grab when potentially better health outcomes might exist. In fairness to the Doctors, we want instant and complete resolution to sometimes niggling health issues – many caused by our own lifestyles or basic aging.
Here are a few observations:
My uncle had his prostate removed in his late 70’s,
Back in the 1960s I processed health insurance claims. Employees came to me with their receipts and I helped them put a claim together and then submit it for payment.
One day an employee presented a receipt from a hardware store- for rat poison. I thought it was a mistake or a joke. I almost laughed. However, he was quite serious. Rat poison is a blood thinner and it was prescribed by his doctor. Unfortunately, it wasn’t eligible for reimbursement.
The signs of this looming crisis are everywhere. Expensive home care, long term care and end of life care are going to be the biggest challenges facing baby boomers.
There are over 69 million baby boomers, 21% of the US population, holding 50% of wealth. Unfortunately, most are unprepared to face this crisis. I find that in my retirement community, most have not investigated options to provide for such care and have shown little interest. They say they will handle it if and when they need it.
Twenty years ago I would not have written this, but I have grown less naive.
Consider human nature…when thinking about paying for healthcare and generating retirement income
We have tried countless schemes to manage health care costs, and expand coverage. Similarly we provide incentives to get people to save for their retirement. The evidence shows only modest progress, but nothing has really solved the basic problems.
We humans are just short-term thinkers.
Over 20 million Americans still have no health insurance.