<. Washington-<-/-dateline>-&-you-james, P. Moran-jr, and . D-va, It's wearing me out Betsy Curtin confessed as she and her husband departed the James Lee Community Center near Falls Church, Va. She sounded almost indignant about the complexity of the new Medicare Part D Prescription Drug Coverage, the federal government's effort to offer millions of older Americans a way to better afford their pills I'm a college graduate. I worked about 20 years for the Air Force Curtin said. And she has a computer and some savvy using it. And still, papers in hand, she grimaced It's challenging Just days into the launch of Medicare's biggest expansion since its inception 40 years ago ? a program that could run taxpayers $720billion in its first decade ? seniors and the people trying to advise them are incredulous about the multiplicity of options, deductibles, premiums and exceptions, which make comparisons seem overwhelming, if not impossible. They say the same thing, whether in information sessions large and small or in one-on-one appointments It's been driving me crazy, " said Rita Reitman Sobel of Alexandria, Va., her face betraying her doubt and anxiety after Thursday's presentation. What she and the rest of the audience heard was hardly reassuring. Although Part D will greatly benefit certain people, its savings are not universal. The annual costs of its various plans, which are being marketed by private companies, can vary by thousands of dollars, and a penalty could multiply many beneficiaries' bills by thousands more if they sign up after the deadline. And the best way to sort out the competing information ? Via the Internet ? and searches that most seniors say are beyond their ken. Enrollment started Tuesday and continues, for those 65 and older, until May 15. Actual coverage begins Jan.1. The program's arcane intricacies and implementation, preceded by a barrage of advertising, have been so criticized that some lawmakers are pushing for a two-year delay This is a bad piece of legislation, and it never should have been enacted told the community center crowd, which responded with applause. The program is too complicated, he said, too expensive and " too much of a giveaway to the pharmaceutical companies Yet, Moran added, " I want to emphasize, I don't think you have a choice. You've got to sign up for it Questions and concerns took on greater urgency after enrollment officially commenced this week. Calls to the Medicare Rights Center, an independent, New York-based organization, quadrupled over previous weeks' volume People know the marketing materials arrived in the mail ... that there's a benefit, but whether it's right for them is a complete mystery to them, " spokeswoman Deane Beebe said Friday afternoon We're still trying to figure out what to tell them In northern Virginia, the Fairfax Area Agency on Aging has trained volunteers to assist local residents who walk through the door, sometimes carrying a shoebox of pill bottles. The seniors listen carefully but, invariably toward the end of the conversation, lean in close and lower their voices They say, 'What would you do ? " ' program coordinator Howard Houghton said. When the counselors explain that they can't cross that line, their clients try a different approachWhat would you tell your mother to do Around computers in an Alexandria apartment complex's community center, several seniors paired Friday with workers from the city's Office of Aging and Adult Services and tried to make sense of the future. Social worker Irene Ilachinski sat with Maria Tarzi and looked over her list of medicines. " I don't know if there's a plan that takes all of them, " she said, " but we'll see what's available at least The results : 40 possibilities12 a year Well, Nearly 200 strong, they came looking for help in figuring out which among dozens of bewildering plans would buy them the most medicines for the least price. Several hours later Ilachinski called up the online Medicare Prescription Drug Plan Finder and began clicking on specific brand names : Zocor, Plavix, Nexium and a half-dozen more. Thirty-five plans popped up. A few feet away, MaryAnn Griffin typed in the same details and appropriate dosages for Tarzi's cousin, Mahboub Rafik, and then hit enter Griffin said to Rafik, " we're not going to take that one, are we ? " Figure A.13.: LTW_ENG_20051119.0012, p.257

M. Meanwhile and . Lu, spokesman of the Ministry of Foreign Affairs.* The government will also continue to express its opposition to the proposed anti-secession law, if passed, Lu went on.* Beijing will diminish cross-Taiwan Strait exchanges and thus will be harmful to the development of bilateral ties.* Shu Yung-ming, Taiwan's highest research institute.* Japan and EU countries last year to brief officials, p.1

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