Archive for the 'Healthcare' Category



Mulgrew: the Comptroller is worried about MAP. Why aren’t you?

Today, Comptroller Brad Lander declined to register the Aetna MAP plan for New York City municipal retirees, citing not just pending litigation, but also concerns over the ethics of reverting to Medicare Advantage in the first place. Specifically, he noted “the broader Medicare Advantage trends are worrisome. Recent investigations identified extensive allegations of fraud, abuse, overbilling, and denials of medically necessary care at 9 of the top 10 Medicare Advantage plans, including CVS Health, which owns Aetna.” These arguments are familiar to New Action members and others in the opposition – we’ve been making them for over a year now. Nevertheless, despite some support from legislative politicians, especially over 12-126, this may be the first major instance of a top executive player putting a halt to MAP.

Is this a sign of a turning tide, inspiring hope for members of later pension tiers who fear retiring long after future iterations of watered down MAP contracts gut our health plans? I’d like to hope so.

Yes, Mayor Adams may reverse Lander’s decision. But we now have well positioned allies refusing to sign off on retiree healthcare cuts. And that bodes well for the future, even if it does mean our dear beloved Unity-led UFT leaders may need to find their ‘healthcare savings’ elsewhere, as their debt to the City passes its due date. And yes, with the spotlight on retirees, we should expect those cuts to land on in-service teachers, who have been promised the absurd: an ‘equal or better replacement to GHI at 10% cheaper of a cost.’

When will that replacement be announced? You better bet it won’t be until after Mulgrew tries to ram through a mediocre contract—and that process will start as early as next week. So, before we vote on a TA, let’s make sure we ask – what will only 90% of our current health plan look like, and how will we afford it on a pay-cut?

Make no mistake: we can’t win the battle against healthcare cuts solely on the good graces of well-positioned politicians. Ultimately, we need to situate ourselves to be able to stop anti-labor backroom deals. As Mulgrew is keen to remind us at DAs and executive board meetings, health care is a part of our overall compensation. Well, we vote on whether to accept what the City offers us in economic compensation. So, both now and when we’re retired, we deserve a vote on changes to medical coverage too. Since UFT leadership doesn’t see the problems everyone else sees with reducing our coverage and tossing retirees onto MAP, we need a formal and permanent mechanism to keep them from doing so.

Retirees Sue to Halt Forced Switch to Medicare Advantage

Yesterday, the NYC Organization of Public Service Retirees initiated a new lawsuit against the City, as reported by the Daily News. Using a complicated mix of legal strategies, the goal of the legal action is ultimately to stop Mayor Adams from switching retired municipal workers—such as UFT members—off traditional Medicare and onto an Aetna-run Medicare Advantage Plan (MAP).

I of course am no legal scholar, but I did read through the 106-page official court filing,  and encourage others to do the same. The lawsuit makes an overarching claim that retired City workers took lower salaries and made irreversible financial, geographic, and medical decisions, both while working and once retired, in part because they were assured during and after their careers that in retirement the City would pay for their Medicare Part B premium plus their choice of a Medicare Supplemental plan. As good as any excerpt detailing the lawsuit’s primary claims can be found on pages 73-74. In this section, we see the facts/arguments tailored toward an ‘unjust enrichment’ claim, though other passages tailor those same facts/arguments toward other types of claims. That section is reproduced here:

“First, Respondents engaged in an unjust bait and switch. For 57 years, the City has promised municipal workers that a career in civil service – which pays wages substantially below those in the private sector – would entitle them to City-funded Medicare plus supplemental insurance in retirement. Retirees worked for the City for decades in reliance on this promise. When he was running for office, now-Mayor Adams agreed that eliminating Medicare plus supplemental insurance would be an unfair “bait and switch” that would “traumatize” these elderly and disabled Retirees. 50 He added: “You don’t become a civil servant to become a billionaire. You become a civil servant to have stable health care, a stable pension and a stable life, and we cannot destabilize it after they retire. Right now, after serving your city, we should not do any type of bait and switch. When you retire, you retire with an understanding, and we need to make sure we live up to that agreement.”

Second, Respondents are statutorily and contractually required to continue offering, and paying for, a choice of Medicare Supplemental plan.

Third, the vast majority of Retirees survive on meager pensions. Absent the City fulfilling its obligation to pay for Medicare plus supplemental insurance, most Retirees will be unable to afford the healthcare that they need and to which they are entitled.

By forcing Retirees to incur expenses that Respondents themselves owe, Respondents have been, and will continue to be, unjustly enriched. Equity and good conscience demand that Respondents’ unjust enrichment be enjoined and that any financial benefit they receive (including in the form of savings) be disgorged.”

Altogether, the legal filing presents an interesting case—really, cases, plural—to prevent the City from throwing retirees onto MAP. Whether the petitioners will be successful is another story, and—again—I  lack the legal expertise to make a valid prediction. The retirees do have a solid track record – one they’ve been building since they won their first big lawsuit. In that case, the City and official union leadership were stopped from throwing retirees onto a different version of MAP unless they paid up to stay on traditional Medicare (now they don’t even have that option). But Judge Frank’s decision in that case was made on the basis of a narrow reading of Administrative Code 12-126. Our own Unity-led UFT leadership misrepresented that precedent all over the place, suggesting that because of it, the City would be able to unilaterally throw all retirees onto whatever MAP plan they wanted without a pay up option. That of course wasn’t completely true. The City would only be able to do this if union leadership agreed to this ‘nuclear’ option. As we now know, most unions did not agree to this decision, but because of the outsized weight that UFT and DC-37 have in voting on healthcare bargaining decisions through the MLC, Mulgrew and Garrido were able to almost singlehandedly greenlight the MAP nuclear option, and without consulting their memberships either.  (Why? The most likely reason for Mulgrew/Garrido selling out the city’s retirees can be gleaned from Jonathan Rosenberg’s testimony on budgetary implications of moving retired municipal workers onto MAP. While the City is the respondent of the new lawsuit, the primary savings of MAP (and, by extension, changes to in-service healthcare) go not to the City exactly, but to our joint stabilization fund. But I digress – that’s a post for another day.)

Will Marianne Pizzitola’s group be able to use the law to stop the City from pushing retired municipal workers onto an inferior Medicare Advantage Plan? Their legal strategy worked the first time around. It also worked the second time around. But, with a nuclear option now activated—a nuclear option that was tailored precisely to legally circumvent Judge Frank’s previous decision—we’ll  have to see if the law will still be on our side. Still, let’s keep up hope.

UFT Loses Big on Budget

This week, UFT educators lost big on budget. We lost particularly big in the City, but we lost big in the State as well.

In New York City, Mayor Adams doubled down on cutting school budgets. He framed his arguments around ‘enrollment declines,’ but then directed cuts in places that had nothing to do with enrollment. Per Chalkbeat, “Adams vowed that this specific cost-saving measure ‘will not take a dime from classrooms.’ Instead, that reduction — totaling $325 million — will largely come from recalculations on how much the city spends in fringe benefits, such as health insurance for teachers.” In other words, our Mayor told city residents ‘don’t worry, we aren’t defunding the schools, we’re defunding the teachers.’ Yes, the City has kept up with the line that there somehow won’t be a loss of benefits/services. But we know what they’ve meant by that in the past – Medicare Advantage instead of traditional Medicare, higher copays for GHI, and the threat of being switched off our current in-service health plan for something else – something worse. We also know that our Unity-led union leadership has been complicit with the forced reductions to our healthcare, has tried to deny us the right to vote, and has rammed through endorsements for council members willing to defund our schools.

At the State-level, we lost on ‘Zombie Charters.’ It’s not as bad as it could have been – we almost saw even bigger charter expansion, but it’s bad. Consider for a moment: we have a democratic governor—who we endorsed without a vote, by the way. Governor Hochul was then able to convince a democratic legislature, a legislature we’ve been lobbying for some time now, to revive Zombie charters in New York City as a condition to finalizing the State budget. Meanwhile, most of the positives of the State budget for UFT members are neutralized by the City misdirecting state funds and using them as an excuse to underfund its own share of education costs. Will the renewed energy devoted to charter schools lead to excessing (or worse) in affected districts? In the context of reduced City funding for schools, we can only assume the answer is yes, at least to some extent.

Make no mistake, hidden in the ‘wonk’ world of budget discussions, this was a terrible week for educators. In part, that’s because people the UFT endorsed without a vote, or with under-debated votes, are now positioned to do us harm – precisely because we helped put them in those positions of power. One thing is for sure: big reforms are needed for the UFT endorsement/lobbying process.


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