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August, 2008

Where to turn when you're desperate

Whether you need food, transportation, medical care or even just a little cash, you can find the help you need -- and deserve -- through dozens of local and online outlets.

By Liz Pulliam Weston

Every day, people fall off the bottom rung of the economic ladder. They lose their jobs or their homes, or both, and have too little savings to cushion the blow.

Lately, though, it seems more people tumbling off the ladder are those who've never needed help before. Food banks and housing counselors report an influx of formerly middle-class and even upper-middle-class people who have little idea of what resources may be available to them.

A network of federal, state, local government and nonprofit agencies provide aid to low-income folks who need help paying for, among other things:

  • Food.

  • Shelter.

  • Utilities.

  • Transportation.

  • Medical and dental care.

Many states and some nonprofits also provide cash grants or loans to needy individuals and families. If you're trying to cope with little or no income and ballooning expenses, read on for details of various programs and when you should consider applying.

If you don't need the information right now, consider bookmarking this column anyway. You never know when you or someone you love might need a hand.

Guides to benefits

GovBenefits.gov should be your first stop. This federal government site has an interactive tool that can help you identify the aid programs you might be eligible for, along with links that can connect you to state resources.

Other places to check: Dialing 211 in some areas will link you to an operator who can help you find services you might qualify for (through a United Way-sponsored program). Also, try your state human-services agency's Web site.

Bottom line: These resources will give you an overview of an array of government programs you might qualify for, and you don't necessarily have to be broke to benefit. If you're eligible and need the help offered, you should apply; your tax dollars paid for these programs while you were working.

Government food programs

About 26 million low-income Americans get help buying groceries every month, thanks to the U.S. Department of Agriculture's Food Stamp Program.

A family of four with a monthly gross income of $2,238 or less could qualify for food stamps worth $542 a month. The family typically must have less than $2,000 in "countable" assets, such as money in bank accounts. The value of a vehicle worth more than $4,650 may be considered as well. The calculations for eligibility are pretty complicated and vary somewhat by state, so use the eligibility calculator at the Food Stamp Program home page.

Video on MSN Money

How to save on grocery bills
New Web tools and online communities can help you find the best grocery deals in town. MSN Money's Liz Pulliam Weston shows us her favorite tools for cutting food costs.

If you're pregnant or breast-feeding, or have children younger than 5, you may qualify for WIC (Women, Infants and Children) aid, which includes nutritional assistance to at-risk mothers and children.

Bottom line: If you qualify, use the aid in good conscience. The programs were set up to help the most-at-risk individuals and families avoid hunger.

Food banks

Food stamps might not be enough, or you may not qualify for help. If that's the case, America's Second Harvest is a food bank network that provides a food bank locator you can search by ZIP code or state.

Food banks currently are experiencing heavy demand, and donations haven't kept up. The federal government has dramatically reduced food contributions in recent years, and dollars contributed by other sources don't go as far with food prices rising. In fact, 80% of food banks polled recently by America's Second Harvest said they hadn't been able to fully meet the needs of their clients.

Bottom line: If you need this resource, by all means, use it. But since there's not enough to go around, use food banks only as a last resort.

Housing resources

If you're facing foreclosure, you should contact a housing counselor approved by the U.S. Department of Housing and Urban Development, which also has information about avoiding foreclosure and foreclosure scams on its site.

If you need rental assistance, HUD is the place to start as well. Rental-assistance vouchers (known as Section 8) allow you to choose your own apartment or house, but the waiting list is years long. Public housing or private subsidized housing may be a better bet. HUD also has links to state rental-assistance programs for people with low incomes and disabilities.

Bottom line: These resources are available to try to prevent people from losing their homes and/or becoming homeless. If you qualify for help, consider applying.

Utilities

Most utilities, including phone and energy companies, have "lifeline" accounts that offer basic or discounted service to low-income customers.

Continued: Federal assistance

And the federal government provides $2 billion annually to help people pay their energy bills through the Low Income Home Energy Assistance Program. The money is divvied among the states, which set their own criteria for who is eligible, although the states can't exclude folks below 110% of the poverty line. Here's basic information on how, and here's a link to the state programs.

The Weatherization Assistance Program helps low-income people make their homes more energy-efficient to lower their heating and cooling bills. Like the energy-assistance program, the weatherization program is administered through the states. The weatherization site has general information about eligibility and links to the state programs.

Some utilities have other programs that benefit low-income customers, such as the Los Angeles Department of Power and Water's refrigerator-exchange program. Qualifying customers get a new energy-efficient fridge to replace their old kilowatt-sucking one. Check with your local utilities' Web sites for similar programs.

Bottom line: Don't risk getting your utilities shut off or using so little that you put your life at risk. Every year, people die of cold or excessive heat because they were trying to save on energy. Others die in house fires caused by candles used to provide light. If you qualify for help, take it.

Transportation

Municipal bus systems typically provide reduced fares for low-income riders, and many cities have other transportation services for the poor, especially those who are disabled or covered by Medicaid. Check out the Web site of your area's transportation department for details, or use a search engine, combining the name of your city or state with "low-income transportation" to uncover possible resources.

A few scattered counties nationwide have a Ways to Work program, which provides loans of up to $4,000 to low-income families that can't otherwise get loans for the purchase or repair of a car needed to get to work.Gas vouchers, taxi vouchers or bus tokens may be available from local charities, such as churches or other faith-based organizations, including The Salvation Army and the Society of St. Vincent de Paul.

Bottom line: If you qualify for public transportation discounts, use them. Ditto for the Ways to Work program. Vouchers and tokens provided by other agencies are meant for emergency use only.

Medical and dental care

In "A survival guide for the uninsured," I list a variety of organizations and agencies that provide medical and dental care to the poor, including:

  • Insure Kids Now, which helps families making up to $34,100 a year to get health insurance for their children.

Video on MSN Money

How to save on grocery bills
New Web tools and online communities can help you find the best grocery deals in town. MSN Money's Liz Pulliam Weston shows us her favorite tools for cutting food costs.

Other resources to consider include:

Bottom line: Being uninsured increases your risk of dying prematurely and can affect your ability to earn a living. Take the help that's offered.

Cash

Sometimes what you need isn't food, shelter or medical care but cold, hard cash. Many states have Assistance for Needy Families programs that provide cash assistance.

In addition, Modest Needs is an online grant program designed to keep otherwise self-sufficient families from falling into poverty because of relatively small financial setbacks. The grants do not have to be repaid, although many people who have received grants later make donations to the nonprofit organization. The most you can request is $1,000 or the amount of your monthly rent or mortgage payment.

Bottom line: Sometimes a little bit of cash can go a long way toward solving your problems. If you're flat broke and qualify, accept the help.Liz Pulliam Weston's latest book, "Easy Money: How to Simplify Your Finances and Get What You Want Out of Life," is now available. Columns by Weston, the Web's most-read personal-finance writer and winner of the 2007 Clarion Award for online journalism, appear every Monday and Thursday, exclusively on MSN Money. She also answers reader questions on the Your Money message board.

Published Aug. 21, 2008

 

July, 2008

San Antonio, Texas
 

We publish again our proposed agenda reminding all 186 participants (if you are undecided, please book now !) that the final version is forthcoming once all speakers have confirmed their participation.

Sept. 29.2008  Arrivals and check-in - Leisure time. Get together 5:00PM - 7:00PM Cash Bar.

Sept. 30.2008  9:00AM - 1:00PM Meeting -   Afternoon and evening : Free for casual strolls through San Antonio.

Oct.1st.2008    9:00AM  - 1:00PM Meeting - 6:00PM - 7:00PM cocktails by ALRONA followed by the : "Deep in the heart of Texas" Dinner Dance.

Oct. 2nd.2008 10:00AM - 4:00PM 
Bus trip to
Rio Cibolo Ranch
Featuring :

Menu:  The Western Roundup:

Slow smoked beef brisket, mesquite grilled chicken quarters,,served with tangy potato salad, crisp coleslaw, ranch beans with onions and special sauce, all the condiments, barbecue sauce and freshly baked Ranch rolls.
Assorted Cobblers (Blackberry, Apple, Peach) served with Vanilla Ice Cream.
Unlimited iced tea, lemonade, water and coffee. Includes beer, house wines, wine cooler, Rio Ritas Margaritas, mixed beverages for up to 4 hours.

Entertainment:

Hay Wagon Rides
The Wrangler Games Room  (all kind of indoor games )
Miscellaneous Games. Horseshoes pitching, Volleyball, Fishing, putting course, Nature trails.
Special show of the Gunfighters

River Barge Rides. A twenty minute nature and river ride.

SPECIAL  -----  Line dancing Instructions.

Instruction and Guest participation in the art of Country Western dancing. With instructor, band and/or DJ.
Bring your camera !
 
Oct. 3rd. 2008   Various departures and/or personal agendas.
                          _____________________

As you all know, John Kok, after having served for many years as President and Vice-President of ALRONA, has relinquished his position as Vice president due to health reasons. The San Antonio meeting is his last effort but he promised us all that he will assist us in the future, health permitting.
We therefore need a New Vice president. The main function of the Vice president is organizing the meeting for the following year. There is help available from other ALRONA members and mostly from the Tourist Bureaus in the cities of interest.
 
If you are interested in the position of Vice president at ALRONA, please submit your name to the Secretary, Ms. Helga Levy  ( hslliny@aol.com ) . The voting will take place on October 1st.2008.  (If you want to propose a name, please feel free to do so.)
 
Wolfram Knoblauch
July 2008

 

May, 2008

What Americans want from health-care reform

6:14:40 PM February 4th, 2008 Permalink  |

Just in time for Super Tuesday, Consumer Reports has a new poll on what results Americans want to see from an overhaul of the U.S. health-care system. There are six basic outcomes that more than 80% of the 1,200 adults in a national sample said they want to have guaranteed:

  1. Coverage for all uninsured children
  2. Protection against financial ruin due to a major illness or accident
  3. The ability to obtain coverage regardless of a preexisting condition
  4. Coverage that continues even when people are laid off, changing jobs or starting their own business
  5. Premiums, deductibles and out of pocket expenses that are affordable relative to family income
  6. The ability to keep current health coverage if desired

Only two reform outcomes fell short of the 80% support that the above enjoyed. They were: reduced health-system administrative costs and providing a minimum standard of benefits for all Americans.

“What comes through is the depth of people’s health-care insecurity,” said Nancy Metcalf, senior project editor for Consumer Reports in Yonkers, N.Y.

Among the survey respondents, 81% say they’re concerned about being able to afford health care in retirement, including the tab for prescription drugs and long-term care. Some also may lack confidence that Medicare will be there in the future, Metcalf said. Another 68% worry about going bankrupt because of medical bills after a serious illness or injury, and 65% fear the loss of job-based health coverage, according to the March issue of Consumer Reports.

How to get there

While there’s much agreement on what’s wrong with the current system, it turns out that many voters reflect the discord of their elected officials when it comes to proposing solutions.

“There’s much less consensus on how to fix it than what it should look like, although the top vote-getter was a mixed public-private system — that you can keep insurance if you’ve got it, and if you don’t have it you can have some sort of subsidy,” Metcalf said.

Half the respondents supported a public-private mix that would require all uninsured Americans to buy health insurance with income-adjusted cost-sharing and government help for those who can’t afford it. This is the kind of system Massachusetts recently established for its residents.

Sen. Hillary Clinton has proposed such a shared-responsibility approach, which would force insurers to cover everyone regardless of their health status and limit premium payments to a percentage of family income. Read about Clinton’s plan.

Sen. Barack Obama’s proposal has many of the same features as Clinton’s but wouldn’t require individuals to buy coverage, marking the biggest health-care policy distinction between the two leading Democratic presidential candidates. Obama has said he believes everyone would buy insurance if they could afford it. Read about Obama’s plan. For analysis of the so-called individual mandate’s role in health reform, see this recent Vital Signs.

In the poll, 36% say they support moving all people now covered by private insurance into a Medicare-like plan funded by federal taxes. (Survey participants could choose more than one health reform proposal.)

“One thing that surprised me was how little support the tax incentives got,” Metcalf said. Only 26% favor the idea of depending on market competition to keep prices down and giving individuals tax incentives to purchase health insurance. This approach is popular among Republican presidential candidates, who unlike Democrats don’t want to build on the employer-based system. Sen. John McCain’s proposal would give all individuals a $2,500 tax credit ($5,000 for families) toward the purchase of health insurance. Read about McCain’s plan.

Former Massachusetts Gov. Mitt Romney, who signed that state’s health reform into law in 2006, advocates making all health-care expenses tax-deductible, deregulating state insurance markets and letting states initiate more of their own reforms. Read about Romney’s plan. For more on the surge in state health-reform activity, see last week’s Vital Signs.

“Market competition in health insurance doesn’t seem to produce universal coverage,” Metcalf said. “It produces coverage for people who don’t need health insurance in the first place and leaves sick people quite exposed and vulnerable and going broke.”

One third of respondents chose the status quo: a patchwork of group-based, employer-sponsored plans; individual private health insurance; Medicare, Medicaid and other public programs.

Myths persist

Who do Americans blame for our health-care system’s high and rising costs? Largely health insurers and pharmaceutical companies, possibly because those are the most visible players with whom people don’t have a personal relationship, Metcalf said.

Seventy-six percent say drugmakers are responsible for high costs and nearly the same proportion blame insurance companies. Doctors and hospitals get a relative break, with just 47% citing doctors and 59% naming hospitals as major cost drivers, even though the two entities account for 52% of national health spending, Consumer Reports found.

Sixty-eight percent blame harmful personal habits such as smoking, overeating and underexercising for runaway costs even though such factors account for only an estimated 25% of health costs. “I don’t believe people in England are twice as virtuous about diet and exercise as us,” Metcalf said, noting that England spends half as much money on health care as the U.S. does. The magazine points out that, “even if every American took up healthful living overnight, our health-care expenses would still be the second highest in the world (after Luxembourg).”

Sixty percent blame lawyers for high costs, and 69% point to frivolous lawsuits, even though malpractice insurance premiums and liability awards account for less than 2% of health-care spending, the magazine said. And 41% of survey participants pointed the finger at consumers for overusing health services, even though they typically can’t influence the charges they receive from doctors and hospitals.

“We get the health care our doctors decide we need and really have very little control,” Metcalf said. “If doctors in some cases can’t agree on what health care we need, how are we supposed to know when we didn’t go to medical school?”

Overall, the survey exposes the complicated, fragmented nature of the system, she said. “People don’t know how it works, where the financial incentives are, what’s going on with health insurance or what’s driving costs.”

The Consumer Reports poll of 1,200 Americans 18 and older was done by telephone in November 2007.

 

Wal-Mart cuts prices on more drugs

Retailer adds a 90-day supply for $10
 
NEW YORK (MarketWatch) -- In another expansion of its prescription drug program that has helped to increase its pharmacy sales, Wal-Mart Stores Inc. said it's adding a 90-day supply of its prescription drugs for $10, increasing additional medications for women, and unveiling $4 over-the-counter medicines.
 
Wal-Mart and its Sam's Club pharmacies will fill prescriptions for as many as 350 generic drugs costing $10 for a 90-day supply, an expansion from the existing 30-day supplies that cost $4. Wal-Mart also is adding $9 women's generic prescription drugs for up to a 30-day supply that are used to treat osteoporosis, breast cancer, menopause and hormone deficiency, Wal-Mart (WMTMore than 1,000 over-the-counter medications, including its private label Equate brand versions of drugs such as Zantac, Pepcid and Claritin as well as its Spring Valley private label prenatal vitamins, also will be priced at $4 or less, a price rollback of up to $7, Wal-Mart said.
 
Wal-Mart has increased its health and wellness business, which includes pharmacy sales, to 9% of its total in the last fiscal year from 8% two years earlier, helped by its launch of the $4 generic prescription drug program in Tampa, Fla. in September 2006. Wal-Mart said it's able to keep its business profitable as it increases sales volume and doesn't plan to offer the generic drugs for free like some other supermarket clinics as a loss leader.
"It's accretive and continues to be very positive for us," said Bill Simon, executive vice president and chief operating officer of Wal-Mart Stores U.S., on a conference call. "Total overall growth has been very strong. As our prescription volume goes up, we are able to buy better. The business results have exceeded our expectations. We expect that to be the case as well with the new introductions."
 
Wal-Mart's low-price strategy against a macroeconomic backdrop of higher gasoline and food costs and declining housing and credit markets has lured shoppers and helped the company outperform its rivals such as Target Corp. (TGT) analysts

have said. Wal-Mart also plans to open about 400 in-store clinics by 2010, from more than 70 in 12 states currently, as part of its initiatives to expand its pharmacy sales.

"Today's extension will generate additional pharmacy volume for the company, especially given the current weak consumer environment and rising healthcare costs," said Uta Werner, a Sanford C. Bernstein & Co. analyst. "While we estimate that gross margin for the category is below (health and wellness) segment average, we believe that it has important traffic-driving benefits across the store."
The analyst estimates prescription drugs represent about half of Wal-Mart's health and wellness segment sales, or 5% of its store sales. Pharmaceuticals will increase ahead of the company's average to about 14% of sales by fiscal 2012 with prescriptions representing at least half of that, she estimated.
 
Wal-Mart shares fell 0.9% to $56.97, tracking the broader markets.
Dispatching troops of pharmacists and district managers
Wal-Mart said it will launch a comprehensive marketing campaign for the plan, including TV and print ads. It also will dispatch its 15,000 pharmacists and 300 district managers to reach out to physicians. Wal-Mart's latest low-price move is likely going to force its discount and drug store rivals to lower their prices as well, analysts said.
Wal-Mart's $4 generic prescription drug program is now available at more than 4,000 Wal-Mart, Sam's Club and Neighborhood Market pharmacies. It has saved its customers almost $1.2 billion during the entire program period as consumers saved on expenses such as co-pays, the company said. Wal-Mart said acceptance of its offerings comes from both the insured and uninsured, with some insured shoppers not even declaring their having insurance, executives said on the call.
 
For over-the-counter drugs, the company said it's also looking at lowering the prices of branded drugs. About a third of its over-the-counter drugs are now $4 or less, about 50% lower than at many other national chain drugstores and supermarkets, Wal-Mart said, citing its internal research.
The 90-day option also gives more choices to customers and physicians who may have been limited to mail order prescriptions in the past, with their filling their prescriptions in minutes instead of days in the past, Wal-Mart said.

Andria Cheng is a MarketWatch reporter based in New York.


 


 

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