ATLANTA--A coalition of 33 patient advocacy groups sent a letter to Congress last week asking the nation's legislators to strike Medicare's two-year waiting period for those with severe disabilities after they start receiving Social Security disability benefits.

The April 11 letter, sent to Senate Finance Committee Chairman Max Baucus, D-Mont., and other members of Congress, was signed by organizations including the National Multiple Sclerosis Society, Easter Seals, United Cerebral Palsy, the Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) and others, including the New York-based Medicare Rights Center.

According to a press release from the MRC, people deemed disabled by the Social Security Administration due to incapacitating health problems are not eligible for Medicare until 24 months after they receive their first Social Security disability income benefit. The release said some 600,000 Americans with severe and debilitating disabilities are uninsured and go without health care or into debt while waiting the required two years for their Medicare coverage to begin.

"Congress must eliminate the cruel and arbitrary two-year wait for Medicare which punishes Americans who are hit by severe illness or injuries that make it impossible to keep working," said Robert M. Hayes, MRC president.

The two-year waiting period was originally established in 1972 when Medicare was expanded to include people with disabilities, the release said, noting that today there are two exceptions: people who are disabled due to amyotrophic lateral sclerosis (ALS) or end-stage renal disease.


The MRC also released a report, funded by The Commonwealth Fund, in which 21 people with disabilities share their experiences while waiting for Medicare after leaving work due to a variety of reasons including cancer, chronic cardiac conditions, a car accident and debilitating injuries.

"This report chronicles the devastating health and financial toll that the waiting period takes on the lives of hard-working Americans who are stranded without health coverage after they become disabled," said Hayes, an author of the report.

The MRC said that nearly 7 million people under age 65 qualify for Medicare because they have severe and permanent disabilities, with about 1.5 million Americans currently in the Medicare waiting period. Twelve percent of people in the Medicare waiting period die each year while waiting for their coverage to begin, according to the group.

Providing men and women with Medicare at the time that Social Security certifies them as disabled would cost $8.7 billion annually, the MRC said. This cost would be partially offset by $4.3 billion in reduced spending by Medicaid, which many individuals get for some time during the waiting period.

To view the MRC report, "Too Sick to Work, Too Soon for Medicare: The Human Cost of the Two-Year Medicare Waiting Period for Americans with Disabilities," click here.