Britain, France, and Italy generally have the lowest prescription drug prices, while Canada, Germany and Japan tend to have higher prices, the data showed. .Seniors wanting to learn how much a COLA cut would cost in Social Security income should visit the TSCL Chained COLA calculator. .Economic Conditions Compounded Problem .Budget Cuts Taking Toll on Congressional Staffs .This week, The Senior Citizens League (TSCL) successfully hosted its first ever town hall meeting. Meanwhile, action on Capitol Hill remained slow as Members of both Houses of Congress remained in their home states and districts for the August recess. .Co-pays and coinsurance: This refers to the portion of the cost of services that you pay out-of-pocket. Co-pays are a fixed amount that you will pay for each service. For example, in a Medicare Advantage plan, you may be billed a co-pay of to see a primary care physician and to see a specialist. On the other hand, coinsurance is a variable amount. It is a percentage of the cost of the service. Theoretically if the total cost of the service is ,000 and you pay 20% coinsurance, your cost could be about 0. Under Medicare Advantage your health plan negotiates the cost of service, thus you would want to call your plan to get an idea what your total out-of-pocket costs would be, and whether your provider is a preferred provider. Under most Medigap policies, the Part B co-insurance cost is covered in large part, but there still could be some "excess charges" that you pay out of pocket. .Reducing Medicare costs remains a top piece of unfinished business for TSCL. While Congress was successful in restraining a double-digit Medicare Part B increase in 2021, capping the increase at .90 per month rather than .60 more per month — I was particularly troubled to learn that .00 of the .90 Part B increase is a "repayment" charge. While TSCL congratulates Congress for passing legislation to hold the monthly Part B increase down, at least temporarily, the Part B increase wasn't "forgiven". The balance that won't be paid in 2021 will be recovered through a .00 per month repayment which will be tacked onto future Part B increases. That could take years. .2014 Annual Survey of Senior Costs, Mary Johnson, The Senior Citizens League, March 2014. .The income threshold that subjects a portion of Social Security benefits to tax was first set by legislation in 198Before 1984 Social Security benefits weren't taxed, but a financial crisis threatened Social Security in the early ‘80s providing the impetus for Congress to impose the new tax in order to beef up revenues. The tax increase was sold to the public as a tax on "high income" beneficiaries, and it was — in 198At that time only 10% of Social Security beneficiaries paid the tax. But today, it is different. During the 2015 tax season an estimated 56% of Social Security beneficiary households like yours owe federal income taxes on part of their benefit income, according to the Social Security Administration.