As TSCL supporters well know, Congress has not been able to accomplish significant legislative reform to the convoluted drug pricing system even though anger about high drug prices has been rising for a long time. .During these meetings, the following issues were discussed: Social Security cost-of-living adjustments, Social Security Notch fairness, Social Security Totalization Agreement reform, and repeal of both the windfall elimination provision (WEP) and the government pension offset (GPO). Support was expressed for many of these key issues, and TSCL looks forward to working with these offices in the future. .The Inspector General's Office recently surveyed 4 field Social Security field offices along the border with Mexico in California and Texas. Each office provided services to about 1,000 such beneficiaries every month. Personnel say the number is increasing for three reasons: .It remains to be seen whether or not lawmakers in the Senate will reach an agreement before the midnight deadline. If not, the federal government will shut down like it did back in 201While not likely, an extended government shutdown could result in negative impacts for Social Security beneficiaries and doctors who treat Medicare patients. .The issue of physician choice and access to care for Medicare recipients arises time and again as Congress has taken last minute action to prevent drastic cuts to physician reimbursements. Only repeated, last-minute actions have saved doctors from substantial pay cuts. Cutting reimbursements for doctors has surface appeal because it does not require seniors to pay additional dollars out-of-pocket. However, there is a hidden cost. Physicians who live under constant fear of substantial cuts may opt to stop serving Medicare patients, resulting in loss of access to care for many seniors. .A new healthcare cost survey conducted in October 2011 by The Senior Citizens League (TSCL) — one of the nation's largest nonpartisan seniors groups — found that the majority of seniors spent a very significant portion of their Social Security benefits in order to pay for healthcare. The survey asked for information about the out-of-pocket costs that respondents paid in the first six months of 2011, and for comments about how they were managing after two years of receiving no annual cost-of-living adjustment (COLA). .Because of the advanced ages of Notch Babies, the cost of correcting the Notch is falling every day. TSCL estimates (in 2006) that the cost of Notch Reform would be about billion, or slightly less than .75 billion per year over the next four years. The billion could be financed without taking additional money from the Social Security Trust Fund. This could be done through cutting wasteful pork barrel spending and reducing fraud and abuse in government programs. In fiscal year 2006 alone, lawmakers spent about billion in pork-barrel projects (8). That doesn't include what the government lost to improper payments, fraud, and abuse. The Government Accountability Office estimated that for fiscal year 2005 government agencies improperly spent more than billion (9). .TSCL disagrees, and we fear that if triggered, the IPAB's recommendations could result in increased costs for beneficiaries or decreased access to quality medical care. In the weeks ahead, we will continue to advocate for legislation to repeal the cost-cutting board in the House and Senate, and we will post updates here in the Legislative News section of our website. .The Social Security Safety Dividend Act (H.R. 67), introduced in the House by Representative Sheila Jackson Lee (TX-18), would give Social Security beneficiaries a 0 payment during years in which no cost-of-living adjustment is payable. If signed into law, it would provide much-needed financial support to older Americans in years like 2016, when there was no COLA. In a letter of endorsement, Art Cooper – TSCL's Chairman – wrote: "Years of record-low COLAs will have a devastating impact on the long-term adequacy of Social Security benefits for more than 59 million beneficiaries … Your bill would go a long way in ensuring the retirement security older Americans have earned and deserve."