Of particular importance is the portion of income that seniors and the disabled must spend on each particular category. Under the CPI-W, out-of-pocket medical costs are weighted or assumed to account for only 5.6% of total expenditures. National surveys indicate that Medicare beneficiaries spend far more. The Kaiser Family Foundation reports that median out-of-pocket health care spending as a share of income for Medicare beneficiaries was about 16.2% by 2006. .On Wednesday, the Senate Finance Committee held a hearing to discuss improvements to the Medicare payment system. Currently, reimbursements are determined by the SGR, a flawed formula that regularly calls for steep pay cuts to physicians and threatens seniors' access to medical care. Lawmakers on both sides of the aisle have expressed a strong interest in repealing and replacing the formula in the coming months. .Every other developed country has evolved schemes to set or negotiate prices, while balancing cost, efficacy and social good. The United States instead has let business calculations drive drug price tags, forcing us to accept and absorb ever higher costs. That feels particularly galling for treatments and vaccines against COVID-19, whose development and production is being subsidized and incentivized with billions in federal investment. .Last year President Trump proposed lowering the prices of certain Medicare drug prices by tying those prices to lower prices paid in other developed countries. Under that proposal, prices would have been lower than they are now, but would still be a certain percentage higher than they are in other countries. The President was not satisfied with that idea, according to Health and Human Services Secretary Alex Azar. On Wednesday Azar said the President wants the proposal changed so that prices in the United States are even lower than they are in other countries. .TSCL believes that while the proposal may be a sensible first step, it doesn't go far enough. Before individuals can enroll in Medicare Advantage or Part D plans, they must be enrolled in Medicare Part B and have a Medicare number. How illegal immigrants obtain that number, and whether they are properly enrolled in Medicare Part B, are two key questions. "To prevent ineligible people from receiving benefits, the responsibility lies with the 'gatekeeper' and that's the federal government," says TSCL's Executive Director, Shannon Benton. "The Social Security Administration and Medicare need to do more to prevent illegal immigrants from getting Medicare numbers to begin with," Benton says. "In addition, both Medicare and private health and drug plans need up-to-date and accurate verification systems in place to determine whether beneficiaries are legally present when they receive services," she adds. .Last week we learned that the top attorney in the Department of Health and Human Services (HHS), warned department officials that the program is potentially illegal because it could be in violation of federal election laws. .Can expanding Social Security solve the retirement crisis? .Your required minimum distribution (RMD) is the minimum amount that you must withdraw from retirement accounts each year. Failure to do so by your deadline can result in a penalty equal to 50% of the required amount not withdrawn. .Do not respond to calls or texts from unknown numbers, or any others that appear suspicious. And remember that government agencies, banks, credit card companies, or utility companies will never call you to ask for personal information or money.