Representative Louise Slaughter

Recent criticisms of Part D have focused on the so-called "doughnut hole" rule in which beneficiaries must cover all annual expenses between $2,251 and $5,100 — a hole in their coverage. But while this flaw will cost patients money and is expected to hurt as many as 7 million seniors and people living with disabilities this year, it is just the tip of the iceberg.

Part D does not allow the administration to negotiate drug prices with pharmaceutical companies. These companies are charging taxpayers up to 80 percent more for drugs purchased under Part D than for those purchased under other plans. Furthermore, it prevents the re-importation of cheaper medications from Canada.

Louise Slaughter represents the 28th District in the U.S. House of Representatives.

Source: Give Medicare Program Total Overhaul; Don't Just Fill 'Doughnut Hole' (The Rochester Democrat and Chronicle)