LUMBERTON, N.C. - Less than two weeks are left for Congress to prevent a cut to reimbursements for doctors who treat Medicare patients. The cuts stem from a formula Congress has used for 15 years to determine how much doctors are paid. This year, a potential 26-percent cut is looming.

Family physician Dr. Brian Kessler, Lumberton, says the system discourages doctors like him, who are trying to meet their own overhead costs and turn a profit.

"Practice costs have gone up, yet physicians are looking at a reduction in their Medicare reimbursements, so a lot of physicians are not going to opt to take on new Medicare patients."

Kessler and other doctors are pushing Congress to find a permanent solution to negotiate reimbursement rates and to do away with the current formula system that creates uncertainties almost every year. Some seniors in North Carolina are already reporting difficulty in finding doctors who will accept them as new patients, he warns.

Kessler points out that 10,000 Americans will turn 65 every day for the next 19 years, which will eventually double the number of people who use Medicare.

"We want to do the best for our patients. When you can't continue to provide adequate services because the cost of providing those services outweighs that payment, it just makes it more and more difficult."

The cost to fix the Medicare reimbursement problem will only increase. According to Kessler, in 2005, it would have cost less than $50 billion. This year the cost is an estimated $250 billion.




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Buying a used car can be a risky proposition, but a new consumer guide can help people avoid common pitfalls.

The nonprofit Oregon Consumer Justice just released the first edition of its free resource, called the Consumer Confidence Comics. The unique guide doubles as an interactive comic book with coloring pages.

Michelle Luedtke, communications director for Oregon Consumer Justice, describes it as a fun way to learn how to ask the right questions.

"When you get promises from a dealer, where do you capture those to make sure that they'll be part of your final contract?" Luedtke asked. "We have a checklist of different questions to ask at a dealer about purchasing a used car. You can also download as a resource on our website."

The guide is available in English and Spanish.

Used car prices shot up during the pandemic but have come down a bit in the last year, with the average used car selling for about $31,000, according to iseecars.com.

Luedtke also recommended taking the time to read the fine print on any contracts. The guide goes through the process from start to finish.

"Whether or not you should be looking for financing beforehand, or what dealer financing looks like? What are scams that are common around purchasing a vehicle," Luedtke outlined. "And then also, what to do if things go wrong."

In Oregon, used car dealers have 14 days to finalize the financing, so you could drive it off the lot and then have to return it if the loan falls through. Consumers are advised not to make any changes to the car until they get a welcome letter from their lender.

In 2022, Americans purchased about 39 million used vehicles.

Buying a used car can be a risky proposition but a new consumer guide can help people avoid common pitfalls.

The nonprofit Oregon Consumer Justice just released the first edition of its free resource called the Consumer Confidence Comics. The unique guide doubles as an interactive comic book with coloring pages.

Michelle Luedtke, communications director for Oregon Consumer Justice, said it is a fun way to learn how to ask the right questions.

"When you get promises from a dealer, where do you capture those to make sure that they'll be part of your final contract?" Luedtke asked. "We have a checklist of different questions to ask at a dealer about purchasing a used car, you can also download as a resource on our website."

The guide is available in English and Spanish. Used car prices shot up during the pandemic but have come down a bit in the last year, with the average used car selling for about $31,000, according to iseecars.com.

Luedtke also recommended taking the time to read the fine print on any contracts. The guide goes through the process from start to finish.

"Whether or not you should be looking for financing beforehand, or what dealer financing looks like? What are scams that are common around purchasing a vehicle," Luedtke outlined. "And then also what to do if things go wrong."

In 2022, Americans purchased about 39 million used vehicles. The website Statista projects used car dealers in California will pull in about $11.7 billion in revenue this year.

The federal SNAP program allows nearly 1.3 million Ohio families to put food on the table -- but increasingly, when many recipients attempt to use their card at a store, they are told they do not have enough funds.

At grocery and convenience stores across the state, fraudsters are installing illegal skimming devices capable of reading cards as they are swiped and using the card data to steal money.

Alisha Love, an EBT card user, said she has been a victim of EBT theft more than once. She believes the state and federal government should invest in chip security for SNAP to better protect people relying on the program.

"I haven't even gotten reimbursed for the first one, and I'm working with Legal Aid right now," Love pointed out. "My kids need money to eat. Right now I am using cash, and it is bleeding me dry from all the finances."

The Ohio benefits office recommends SNAP recipients change their pin number immediately after they suspect being scammed and replace their EBT card by calling 1-866-386-3071.

This year, 44 states have reported more than 160,000 cases of fraudulent EBT card transactions.

Phaleys Lopez, an EBT card user, said being scammed prevented her from being able to buy formula for her infant son.

"I always buy the formula for my son with the EBT," Lopez explained. "That specific Gerber, I can only buy it with the EBT or cash. I ask the father of my son to buy some when I can't."

Hope Lane-Gavin, director of nutrition policy and programs for the Ohio Association of Foodbanks, said victims of EBT card skimming typically have no choice but to turn to food banks to feed their families, and pantries are already struggling to keep up with demand.

"These are people who have applied, have followed the rules, have been approved for the benefit, who then got their card and are doing everything normal," Lane-Gavin emphasized. "Everything that they're supposed to do."

EBT card users who suspect they've been scammed can request replacement benefits within 90 days from the date they were stolen, by either mailing or hand-delivering a signed Job and Family Services form to a local county Job and Family Service office. Gavin added a temporary fix allowing victims of EBT theft to receive replacement benefits will expire on Sept. 30, without additional action by Congress.