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Health
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Title: Quarter-Billion Taxpayer Dollars Spent on Penis Pumps
Source: heartland.org
URL Source: http://news.heartland.org/newspaper ... ayer-dollars-spent-penis-pumps
Published: Jan 8, 2012
Author: Benjamin Domenech
Post Date: 2012-01-08 23:31:35 by farmfriend
Keywords: None
Views: 179
Comments: 9

Quarter-Billion Taxpayer Dollars Spent on Penis Pumps

Benjamin Domenech

According to data collected by the Centers for Medicare and Medicaid Services (CMS), Medicare has spent more than $240 million of taxpayer money on penis pumps for elderly men over the past decade, and will surpass a quarter of a billion dollars this year for costs since 2001.

The cost to taxpayers for the pumps more than quadrupled during that period, from a low of $11 million in 2001 to a high of more than $47 million in 2010. And these represent only the costs for external devices, technically classified as “Male Vacuum Erection Systems,” not implantable devices or oral drugs such as Viagra.

Easy to Qualify

In order to obtain a pump, according to CMS’s Local Coverage Determination (LCD) revised in October this year, the “patient’s medical record must contain sufficient documentation of the patient’s medical condition to substantiate the necessity for the type and quantity of items ordered,” noting erectile dysfunction (ED) can “commonly occur in men in the Medicare age group.” Related Stories

The National Institutes of Health previously estimated between 15 percent and 25 percent of 65-year-old men experience ED on a long-term basis, which the LCD notes may be caused by “diabetes, other endocrine abnormalities, vascular abnormalities, trauma, neurogenic, psychogenic, side effects of many medications, and other causes.” The Cleveland Clinic also points to “psychological factors, such as stress, depression, and performance anxiety” as possible causes.

If a medical exam and history shows a senior on Medicare meets the relevant threshold—a diagnosis of ED—he becomes eligible for a wide range of options under the Medicare Prosthetic benefit. Treatment Options covered by Medicare include “oral medications, pharmacological injections, intra-urethral suppositories, vacuum erection devices, and implantable penile pumps.”

But are these devices really “medically necessary”? Health Care News contacted CMS to ask whether they have audited the medical files to determine medical necessity. CMS has not provided a response at the time of publication.

Rising Incidence of Fraud

One area of concern for CMS is the rise in fraud in relation to the pump devices. Earlier this year an Illinois man pled guilty to collecting more than $2 million from Medicare in a fraudulent operation where he repackaged $26 items from adult websites and sold them to seniors as medical devices, charging Medicare $284 apiece.

Device fraud has become an increasingly common way for criminals bilk the taxpayers. Durable medical equipment (DME) is widely perceived as a “high risk” area for fraud, according to a spokesman for the HHS Office of the Inspector General. And a report released last month by CMS found the error and improper payment rate for DME was above 60 percent, whereas no other area even entered double digits.

Questionable Medical Need

Given the questionable medical need for this technology’s utilization and the significant percentage of improper DME payments, John Nothdurft, director of government relations for The Heartland Institute, questions whether it is prudent for Medicare to continue to pay for penis pumps.

“At a time when the federal government borrows 43 cents of every dollar it spends, do we really need to be spending money on this? I doubt you need a ‘Super Committee’ to realize that this is the epitome of wasteful spending,” Nothdurft said.

In prior reports of Medicare’s trustees, the program’s actuary projected Medicare has $36.8 trillion in unfunded liabilities. And according to their 2011 report, Medicare spending is expected to grow from 3.6 percent of U.S. gross domestic product (GDP) in 2010 to roughly 10.7 percent of GDP in 2085.

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#1. To: farmfriend (#0)

Quarter-Billion Taxpayer Dollars Spent on Penis Pumps

Holy Cow! That's a LOT of cash to keep it up.

" If you cannot govern yourself, you will be governed by assholes. " Randge, Poet de Forum, 1/11/11

"Life's tough, and even tougher if you're stupid." --John Wayne

abraxas  posted on  2012-01-09   16:49:19 ET  Reply   Trace   Private Reply  


#2. To: abraxas (#1)

Holy Cow! That's a LOT WAD of cash to keep it up.

Break the Conventions - Keep the Commandments - G.K.Chesterson

Lod  posted on  2012-01-09   17:10:47 ET  Reply   Trace   Private Reply  


#3. To: farmfriend (#0)

penis pumps for elderly men

A flask of whisky and a clean hooker would be cheaper....

“With the exception of Whites, the rule among the peoples of the world, whether residing in their homelands or settled in Western democracies, is ethnocentrism and moral particularism: they stick together and good means what is good for their ethnic group."
-Alex Kurtagic

X-15  posted on  2012-01-09   17:13:48 ET  Reply   Trace   Private Reply  


#4. To: Lod, 4 (#2)

Women have it so easy these days.

We gave them the vote. Washing machines were invented. Then dishwashers. And now penis pumps. What do they do all day?

--------------------------------------------------------
Somebody ought to tell the truth about the Bible. The preachers dare not, because they would be driven from their pulpits. Professors in colleges dare not, because they would lose their salaries. Politicians dare not. They would be defeated. Editors dare not. They would lose subscribers. Merchants dare not, because they might lose customers. Men of fashion dare not, fearing that they would lose caste. Even clerks dare not, because they might be discharged. And so I thought I would do it myself... Robert Ingersoll

PSUSA2  posted on  2012-01-09   17:18:30 ET  Reply   Trace   Private Reply  


#5. To: PSUSA2 (#4)

You are a horrible misogynist!! Men need women to pick up their dirty underwear and cook their meals!! Have some pity on the weaker sex....

;-)

“With the exception of Whites, the rule among the peoples of the world, whether residing in their homelands or settled in Western democracies, is ethnocentrism and moral particularism: they stick together and good means what is good for their ethnic group."
-Alex Kurtagic

X-15  posted on  2012-01-09   17:33:52 ET  Reply   Trace   Private Reply  


#6. To: Lod (#2)

lol...that's better. : )

" If you cannot govern yourself, you will be governed by assholes. " Randge, Poet de Forum, 1/11/11

"Life's tough, and even tougher if you're stupid." --John Wayne

abraxas  posted on  2012-01-09   17:38:19 ET  Reply   Trace   Private Reply  


#7. To: X-15 (#5)

Yeah, I am so going to hell for that...

--------------------------------------------------------
Somebody ought to tell the truth about the Bible. The preachers dare not, because they would be driven from their pulpits. Professors in colleges dare not, because they would lose their salaries. Politicians dare not. They would be defeated. Editors dare not. They would lose subscribers. Merchants dare not, because they might lose customers. Men of fashion dare not, fearing that they would lose caste. Even clerks dare not, because they might be discharged. And so I thought I would do it myself... Robert Ingersoll

PSUSA2  posted on  2012-01-09   18:10:46 ET  Reply   Trace   Private Reply  


#8. To: farmfriend, 4 (#0)

Guys would be so screwed if they were judged first on their personality.

Jethro Tull  posted on  2012-01-09   18:28:07 ET  Reply   Trace   Private Reply  


#9. To: Jethro Tull (#8)

Guys would be so screwed if they were judged first on their personality.

LOL yeah not all women like men.


As Gary Lloyd said, "When the government’s boot is on your throat, whether it is a left boot or a right boot is of no consequence."

farmfriend  posted on  2012-01-09   22:17:42 ET  Reply   Trace   Private Reply  


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