President Trump recently released a proposal that could change the way drugs are sold in the U.S. Patients have been forced to pay out-of-pocket costs based on the rising list price of drugs. The proposal would require that often-secretive discounts or rebates, received by pharmacy benefit managers from drug companies, would have to be credited at the pharmacy when a patient fills a prescription. For patients who need expensive drugs, out-of-pocket costs are likely to go down. .The 1977 legislation was intended to correct an earlier flaw in the Social Security benefit formula. That flaw raised the initial retirement benefits for future retirees too quickly. Government economists predicted at the time that, if not corrected, the initial monthly benefits of future retirees could be greater than their monthly earnings prior to retirement - far above the levels ever anticipated (2). The flawed benefit formula would bankrupt Social Security. .As the Representative for Indiana's Seventh Congressional District, I have had the opportunity to meet and talk with many seniors during my Medicare forums. These seniors have uniformly shared concern that they will bear the lion's share of the burden of Congress' failure to come to a constructive resolution on our nation's debt. As cuts to Medicare and Social Security have been put on the table, seniors are wondering whether their health or their standard of living is in jeopardy. In this difficult economic climate, we must ensure that changes to either of these programs do not deprive seniors of the ability to fend for themselves. .Since 1980, the BLS has manipulated the CPI several times so that it no longer measures price inflation. Rather, it measures an ever-changing "market basket" of goods that is adjusted as prices drop and increase. It assumes that shoppers will purchase chicken when steak becomes too expensive, or apples instead of oranges when their prices drop. This has resulted in a more slowly growing COLA for Social Security beneficiaries. Instead of allowing seniors to keep up with rising costs, today's COLA requires them to constantly adjust to lower standards of living. .In 2019 you are allowed to earn ,640, or ,470 per month. If, for example, you were to earn ,000 this year then you would have ,180 withheld from your Social Security benefits. Your earnings would be ,360 in excess of ,640. Half of that is ,180. The Social Security Administration collects this by withholding your monthly Social Security payments until it collects the ,180. Let's say you get a retirement benefit of ,000, that could mean Social Security would withhold your entire Social Security benefit for the next seven months. Once the ,180 is collected the difference will be sent later. .Unreported deaths undoubtedly rank as the Social Security Administration's number one "Most Gruesome Fraud Management Failures." Hardly a month goes by without the discovery of a grizzly new case. Usually some elderly person is found long-dead of natural causes in their own home or that of a close relative — frequently years after death. The death was never reported. Remains have been discovered tucked into beds, placed in freezers, and even sitting on toilets. Meanwhile loving sons or daughters continued to collect the deceased's Social Security checks — sometimes for decades. One Brooklyn man is serving up to 41 years for impersonating his dead mom. He donned a wig and wore her dresses to collect 5,000 in her Social Security payments and rent subsidies. .Our nation is in a hyper-partisan period as the November elections approach. In this environment it becomes tricky when reporting about issues that affect you and other TSCL supporters because the issues are so often intertwined with politics. .This week, lawmakers returned to Capitol Hill from the holiday recess and one Senate Subcommittee held a hearing to discuss a paid family leave proposal that would negatively impact the future of the Social Security program. In addition, The Senior Citizens League (TSCL) saw support grow for three key bills. .Deductibles: This is the amount you pay out – of – pocket before your insurance coverage kicks in. Most people get CT scans as outpatients under Medicare Part B, which has a deductible of 3 in 2021, meaning you might be responsible for that amount. If your scan is part of a hospital stay as an inpatient, it would bill under Part A which has a deductible of ,48Because you are enrolled in a Medicare Advantage plan, your deductible amounts can vary from the standard Medicare amount. It's a good idea to call your health plan before getting any services, to get an idea about the cost. For people covered by a Medigap supplement, it will cover the Part A deductibles but, as of January 2020, insurers are no longer allowed to sell plans that cover the Part B deductible, Plans C and Plan F to new enrollees.