For instance, sedatives such a fentanyl and propofol, which are administered to people placed on ventilators to help them breathe, are made with core ingredients from China. Medicines to treat shock, such as epinephrine and dopamine, are also made with chemical components from China. Antibiotics to treat sepsis, a life-threatening bloodstream infection, are made with raw materials supplied by China. .Without changes, SSDI will only take in enough revenues to pay 80% of scheduled benefits by 201TSCL believes that suspected fraud is compounding the crisis in the disability program, and that Congress should cut fraud — not benefits of those who are truly in need. TSCL supports measures that would provide stiffer penalties for disability fraud, make eligibility criteria more objective and measurable, and step up reviews to determine whether people currently on the rolls remain entitled to benefits. .This week, CMS announced that its cuts to the Medicare Advantage program will total 1.9 percent next year, which is significantly lower than most analysts expected. However, the amount has not been finalized yet, and some say that the figure fails to consider all factors that will affect reimbursements. They expect to see a final rate in the range of 4 to 7 percent. .The proposal is not new. Former Federal Reserve Chairman Alan Greenspan supported a similar proposal in the late 1990s. In fact, it's one of a series of technical changes to the CPI recommended by the Boskin Commission in 1996 — which said that the CPI overstates inflation and that the COLA overpays seniors by about 1.1%. The Bureau of Labor Statistics busily instituted a number of those changes from 1995 through 2000 that, by my estimates, have already cut the rate of growth in the CPI and average Social Security benefits, compared to previous CPI measurement methodology by about 5 annually over the past ten years. If Congress were to adopt the chained CPI to calculate COLA starting with the COLA payable in 2012, that would additionally cut the growth in average benefits by about ,429 over the next ten years. .If adopted, H.R. 1170 would strengthen and expand the Social Security program by providing beneficiaries with a monthly benefit boost, basing cost-of-living adjustments on the CPI-E, and setting the Special Minimum Benefit at 125 percent of the poverty line. It would also apply the payroll tax to all income – including investment income – over 0,000. .Here is an example from the SSA's Inspector General audit report: A beneficiary had been entitled to spousal benefits since February 200The beneficiary had not received retirement benefits (based on her own earnings) and earned delayed retirement credits between full retirement age and age 70. In January 2010, the beneficiary attained age 70, was eligible for a 5 monthly retirement benefit and was receiving a 9 monthly spousal benefit. Had SSA notified the beneficiary she was eligible for the higher retirement benefit, once she applied for those benefits, she could have received an additional ,345 from January 2010 through July 2013. .If adopted, his bill would: provide beneficiaries with a 2 percent boost in benefits, improve the adequacy of the Social Security cost-of-living adjustment (COLA) by basing it on the Consumer Price Index for the Elderly (CPI-E), create a new minimum benefit set at 125 percent of the poverty line, and cut taxes for millions of seniors who pay taxes on a portion of their Social Security benefits. The bill would also extend the solvency of the Trust Funds by applying the payroll tax to income over 0,000 and gradually increase the payroll tax rate from 6.2 percent to 7.4 percent. .Sources: "Appeals Panel Weighs Fate of Obama's Immigration Overhaul," Michael Shear, The New York Times, April 17, 201"Effects Of Unauthorized Immigration On The Actuarial Status Of The Social Security Trust Funds," Actuarial Note 151, Social Security Administration, April 2013. .Even though Medicare recipients getting these services may stay in the hospital overnight or longer, getting the same nursing care, lab tests and drugs as they would if inpatients, their bill will be calculated very differently. Patients admitted for in-patient stays usually are responsible for the Medicare hospital deductible of ,484 for a stay of up to 60 days. They may also pay 20% of doctor charges. Many people have Medigap or Medicare Advantage plans that cover much or even all of this expense. Outpatient services, on the other hand, are charged differently, with the patient paying 20% of the Medicare approved amount for each service. In addition, the new billing changes would hit patients with "facility fees" that can run up to several thousand dollars to cover hospital overhead charges. And since, prescription drug plans don't cover medication for hospital patients, beneficiaries would be charged 100% of the full retail cost of drugs they need, even those they normally routinely take at home.