As a result of the inadequate funding, both the both the Old-Age and Survivors Insurance (OASI) and the Disability Insurance (DI) programs have been struggling to serve the public. More than one million applicants are currently waiting to hear whether they qualify for DI benefits, and those who have appealed recent rejections must wait 600 days or longer for their cases to be re-heard. In 2017, 10,000 individuals died while waiting on their DI eligibility decisions. While waiting, they had no access to DI benefits or Medicare coverage, which recipients with long-term disabilities can receive after they are enrolled in the program for two years. .What does this new "pay for performance" mean for patients? Not much is known yet, but I got a first - hand experience of the new system recently. One of my doctors, a specialist, told me that due to a "quality initiative reorganization," he wouldn't be seeing me as a patient anymore. I'll have to find a new doctor. .Congress Adjourns for Memorial Day Recess .Also putting pressure on the program, TSCL anticipates that more people will file claims for benefits. While employment was at record levels just a few months ago, many older adults postponed filing for benefits to allow their Social Security payouts and retirement accounts to grow. Now, faced with paid sick leave and unemployment benefits ending, older workers are unlikely to be able to afford to wait to file for benefits if they have lost their jobs. In addition, workers lucky enough to have 401(k)s and IRAs have experienced significant losses in the value of those retirement accounts and will be depending on Social Security all the more. Big changes in equity prices reduce the distributions from those accounts. .The Senior Citizens League enthusiastically supports H.R. 3302 and H.R. 1114, and we will continue to advocate for them tirelessly in months ahead. For more information, visit the Bill Tracking section of our website. .But that's not the case for about 12 million employees with the highest salaries in the country. Unlike the Medicare payroll tax, which applies to all earnings, Social Security payroll taxes apply only to the first 8,400 in earnings. Neither the employees who earn more than 8,400, nor their employers, pay Social Security taxes on earnings in excess of that amount. "That's a problem for Social Security's financing," says Johnson. .TSCL believes the regulations could be costly to seniors and to Medicare. Alternative therapy and medical approaches are used by millions of Americans. The Centers for Disease Control and Prevention estimated, that the U.S. public spent between billion to billion on CAM therapies in 1997, an amount that was more than the U.S. public paid out-of-pocket for all hospitalizations in that year, and an amount that was approximately one-half of that paid by the U.S. public for all out-of-pocket physicians' services. .Specialists are already warning that under the new "quality initiatives" some patients may have difficulty finding services under the new system as doctors join larger practices or stop accepting patients. As doctors reorganize and move into new HMO - like Accountable Care Organizations, all sorts of new questions are coming up. Does this payment system create an incentive to send unprofitably sick patients with complicated conditions elsewhere for care? How will the government measure quality, and what evidence will the Administration use to determine successful doctor performance? .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.