Nationwide, the picture is equally bleak, with more than 60 million Americans at risk of losing access to the rural hospitals that serve their families. What's worse – in order to prevent rural hospitals from closing under a Medicare-for-all regime, Medicare would have to increase hospital payments up to 60% higher than current Medicare rates. .Second, two new cosponsors – Senator Amy Klobuchar (MN) and Senator Cindy Hyde-Smith (MS) – signed on to the bipartisan Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act (S. 2387), bringing the total up to eight. If adopted, it would direct the Centers for Medicare and Medicaid Services to create programs that would promote early identification of Alzheimer's disease, improve support for family caregivers, and provide continuous care for those battling many forms of dementia. .Unlike the experience of the general public who access state or federal health care exchanges to choose coverage, the choices offered to Members of Congress are dramatically different than those from many other parts of the nation. For 2017, Members had 57 plan options in "Gold" plans alone on the DC shop exchange. In many areas of the nation, particularly rural ones, Gold plans aren't even available. Unlike the Silver and Bronze level plans, Gold plans have lower deductibles, and cover 80% of costs with patients paying only 20%. Silver plans, for example, typically come with deductibles ranging from ,500 - ,000, and pay 70% of costs while patients pay the other 30%. And in some areas of the country, people are happy if they have a choice of more than six silver plans. Certain parts of the country have only one. .Congress is now back in session but they will not begin considering new legislation for a few days. They are in the process of organizing for a new session and, of course, they will be involved in the electoral college process of electing a new President starting, but perhaps not concluding, on Wednesday. ."The bill does nothing at all to reduce or eliminate the tax on Social Security benefits that burdens more than half of all retiree households," Johnson notes. Yet the tax cuts for corporations and the wealthiest households in the Tax Cut and Jobs Act will add an estimated .5 trillion to the national debt. Some conservative Members of Congress say they are planning a budget that would require mandatory spending cuts to reduce the debt next year. .You might better be able to help your brother by reminding him of doctor visits and seeing that he gets to appointments. You can also help by monitoring his care plan, and making sure he understands how and when to take prescriptions and any other forms of therapy. .Now I say neglect, because it's been 38 years since Congress has done anything to strengthen Social Security and 50 year since we have improved its benefits. .As of yet the White House has not put out President Biden's plans for drug pricing legislation, or how strongly they will push for it. .He also did not provide any more money to help renters. The executive order calls only for Treasury Secretary Steven Mnuchin and Housing and Urban Development Secretary Ben Carson to see if they can find any more funds to help. It does not promise more aid.