According to MedPAC, the Medicare fee schedule undervalues the important services that primary care physicians provide. This creates disparities in compensation between the primary care and specialty fields, and it deters medical students from choosing to enter primary care. To address the issue, MedPAC recommended an extension of a primary care bonus program that is set to expire in the near future. However, instead of offering bonus payments for each service that is provided, the Commission suggested that physicians be rewarded on a per beneficiary basis, which will help the Medicare program improve the coordination of care. .Yet here we are today facing another failure to pass legislation on time, which has happened year after year under McConnell. .TSCL is highly concerned that the projected decline in Social Security revenues, along with the expected .5 trillion drop in general revenues caused by recent tax cuts, will create growing pressures to cut federal spending on benefits. The most frequently discussed changes include raising the eligibility age for benefits, imposing means testing, and slowing the growth of the annual cost-of-living adjustment (COLA) by tying the annual boost to the more slowly-growing chained consumer price index. .This week, The Senior Citizens League's (TSCL) legislative team met with several Members of Congress and their top staff to discuss legislation that would protect and defend the Social Security benefits of seniors. In addition, members of TSCL's legislative team were in attendance at the Joint Select Committee on Deficit Reduction's first public hearing. TSCL also saw support grow for a key piece of legislation. .TSCL has been concerned that the coronavirus pandemic could accelerate the impending insolvency of the Medicare Trust Fund. With record numbers of Americans out of work, fewer payroll taxes are coming in to fund Medicare spending. At the same time, the number of beneficiaries is rising and, earlier this year, Congress accessed Medicare's reserves to fund COVID-19 relief efforts. .The U.S. depends on China for thousands of chemicals needed to make prescription drugs. That's because it turns out that pharmaceutical companies have outsourced our generic medicine manufacturing to China. .What We Know and What We are Still Learning .Roughly 27% of older single women are at high risk of living in poverty, because they have little other income to augment their Social Security benefits. Single women have it worse in retirement than married couples and men, and are more likely to become impoverished as they age. Most women have lower benefits than men. Women tend to work in lower-paying jobs, get paid less than men, and take time out of the workforce to take care of children and older family members. That can leave zero earnings gaps, or only partial years of earnings for the time out of the work force. .Here's how we got here: The hold harmless provision was triggered nationally in 2016 when the Social Security Administration announced that there would be no COLA payable, due to a drop in inflation. Barbara's Medicare Part B premium stayed the same as it was the year before, at 4.90, even though Medicare Part B premiums in 2016 jumped to 1.80 for about 30% of beneficiaries, such as new enrollees who were not protected by the hold harmless provision.