President Trump recently released a proposal that could change the way drugs are sold in the U.S. Patients have been forced to pay out-of-pocket costs based on the rising list price of drugs. The proposal would require that often-secretive discounts or rebates, received by pharmacy benefit managers from drug companies, would have to be credited at the pharmacy when a patient fills a prescription. For patients who need expensive drugs, out-of-pocket costs are likely to go down. .The "Notch" refers to a major inequity in Social Security benefits that affects seniors born from 1917 through 192According to Social Security Administration data through December 31, 2012, there are about 4.2 billion Social Security beneficiaries born during the Notch years. TSCL estimates that The Notch Fairness Act would cost about .5 billion over four years and could be paid for by doing a better job of eliminating fraud and erroneous payments. .Do COLAs overpay seniors? Ask TSCL Chairman, Larry Hyland. "The idea is hogwash," he says. "There's simply no evidence that the CPI has overpaid the people who depend on those COLAs to protect the buying power of their benefits. The Consumer Price Index for the Elderly (CPI-E) that surveys the market basket more typical of the majority of Social Security recipients, has shown a significantly greater rise over the CPI used to calculate COLAs through 201The CPI-E would provide a more accurate, and adequate COLA, one more in line with the costs experienced by seniors," Hyland says. .To learn how you can get involved visit . .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. .Eight Ways to Lower Your Prescription Costs ."The high cost of prescription drugs forces people to do what we shouldn't have to do, like ordering drugs from Canada," says Susan. "I have a friend who went without one of her prescriptions because she didn't have the money, and she died of a stroke. Our government is not doing what it's supposed to do. It's a constant struggle and my husband hasn't retired yet because of our concern about the costs of his prescription drugs for which he currently gets good coverage from his job." .Medicare Part D is a rip off. My wife and I will pay more for our medication now, because we cannot afford to take the risk of not enrolling. We were getting most of our drugs from Canada, but under Part D we not only have to pay a monthly premium, but also have co-pays, plus much higher prices for our medication to meet the deductible or if we hit the doughnut hole. Forcing us to do this is simply not fair. What happened to the legislation to legalize the importation of drugs from Canada? ."Whatever the reason, most Americans before they retire have paid little attention to the huge life transition that is coming. We don't have a good idea of how much we need to save for retirement," writes Mark Miller, journalist and author who writes about trends in retirement and aging. Mark, the author of The Hard Times Guide to Retirement Security: Practical Strategies for Money, Work and Living (John Wiley & Sons/Bloomberg Press, 2010) shares a few important tips with our readers.