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Program for seniors is lifesaver

By Susan Jaffe
Plain Dealer, May 5, 2003

When Willie Lee Roberts, 74, couldn't afford his prescription drugs for diabetes, he would go without or take some of his diabetic son's medicine.

Eva Reed, 75, took one pill a day instead of the prescribed two when she ran low.

Shirley Hull, 69, gambled by skipping her blood pressure and diabetes medicine. She ended up in the hospital.

"I had to pay my bills and I had to eat," she said. "I'd be in worse shape if I couldn't eat."

An unusual program - perhaps the only one of its kind in Ohio - came to the aid of the three Sandusky residents. Erie County's Serving Our Seniors, a nonprofit group in Sandusky that contracts with the county to provide services to seniors, is using taxpayer money from a senior-services tax issue and donations to buy prescription drugs for older adults. The drugs are purchased at retail prices from a local independent pharmacy.

The Affordable Medication Program isn't a discount card plan or health insurance. It provides dozens of drugs to 70 Erie County seniors, for a nominal monthly fee. Most pay $10 or less for drugs that otherwise would cost as much as $400 a month.

Participants have to live in Erie County, be 60 or older and have been diagnosed with any of six common chronic but treatable diseases: diabetes, arthritis, congestive heart failure, high blood pressure, cataracts or glaucoma. They also must provide financial information that shows they cannot afford to buy medicine along with food and other necessities. There are 112 people on the program's waiting list.

Officials at Ohio AARP and the Ohio Department of Aging didn't know of any similar program in Ohio. And while some states provide free or almost free medicine to the elderly under certain conditions, few, if any, counties in the country have managed to do it.

"It's unusual, particularly since it's locally funded," said Patrick Libbey, executive director of the National Association of County and City Health Officials, in Washington, D.C.

The senior-services levy provides $44,000 a year for the program. Nearly $12,000 more comes from private donations and an annual auction. People bid on such items as a chance to attend an Indians game with the sheriff or a dinner and show with a county commissioner.

The Ohio attorney general's office gave the program $25,000 from a lawsuit settlement involving a drug company. That will get seven more seniors into the program. Private donations such as $1,500 from an American Legion post and $100 sent in last week by Sandusky's Perry High School faculty also help.

The program's staff also has aided 228 seniors with incomes low enough for drug-manufacturer discount cards and helped 240 others sign up for programs that provide certain drugs from specific companies for free. The Affordable Medication Program pays the monthly fees for manufacturer discount cards.

Hull receives partial help from the program so that Medicaid will cover the rest of the cost of her drugs. Still, she didn't have to think long about whether she could manage without it.

"I'd probably be passed away," she said.

Sue Daugherty, Serving Our Seniors' executive director, acknowledges that the program can't help every senior who needs it.

"What keeps others from doing this is that the problem is mammoth. It's intimidating, so you don't try," she said. "This is our way of chipping away at the problem."

Doing something is better than waiting, she said. Proposals by the Bush administration and Congress to add a prescription drug benefit under Medicare are mired in political differences. Gov. Bob Taft's drug discount card is stalled after drawing opposition from drug manufacturers and pharmacies.

"I don't care how small of a population you serve - get started. Start small," Daugherty said.

But even a program as restrictive as the one in Erie County wouldn't work in Cuyahoga County, said Susan Axelrod, director of the Cuyahoga County Department of Senior and Adult Services.

"The number of people in Cuyahoga who would be eligible would still be a large number, and the cost would be prohibitive," she said.

But in Sandusky, Willie Lee Roberts and his wife, Lucille, both benefit from the program. He calls it a "godsend."

"Any time you don't have to go into your pocket, you feel blessed," said Roberts, who worked in a Sandusky steel mill for 27 years. "And there's nothing in my pocket to get."


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