Should seniors with Medigap supplements that provide "first dollar coverage" be required to pay more up-front? Should Medicare continue to pay for services based on medical necessity, or should the government change to a system "based on evidence of the value of services?" Congress may be debating these questions this month when the Medicare Payment Advisory Commission (MedPAC) issues its June report to Congress. The idea is to make Medicare beneficiaries "think twice" before scheduling doctor, outpatient services, or hospital stays in order to reduce government spending on Medicare. .By 2012, in just five years, the first wave of those former illegal immigrants who came to the U.S. in the 1970's at age 20, and became legal permanent residents in 1986, will turn 62 and old enough to file claims for Social Security. As immigrants draw close to retirement age they are more likely to check their Social Security records and request reinstatement of any unauthorized earnings for which they have evidence. This comes during the same period that Baby Boomers start retiring, and assets of the Social Security Trust Fund begin to decline. .Rural Americans who face unique challenges would also experience unique struggles under a one-size-fits-all healthcare plan. For years, the farmers, ranchers, and everyone living in our nation's breadbasket have endured inequitable access to quality care and medical services compared to their urban and suburban counterparts. .The Strategic National Stockpile will maintain the supplies while additional surge manufacturing is built up, a senior administration official said Thursday. The stockpile will include testing supplies that were not maintained in the past. .Last week House Appropriations Military Construction-VA Chair Debbie Wasserman Schultz (D-Fla.) pushed a Department of Veterans Affairs official at a hearing to work on a plan to offer coronavirus vaccines to veterans even if they are not eligible for VA health care. .Social Security recipients can look forward to receiving an annual cost – of – living adjustment (COLA) of about 1.8 percent in 2018, according to an estimate released today by The Senior Citizens League (TSCL). "A COLA of that amount would make it the highest since 2012 — but even at 1.8 percent, the raise is less than half of the 4 percent that COLAs averaged from 2000-2009," says TSCL's Social Security policy analyst, Mary Johnson. .The period covered by the Notch is a major area of dispute. When benefits are represented on a chart, the disparity forms a deep "V" notch. Benefits plunged from a peak for retirees born in 1916 and hit the lowest part of the "V" for those who were born in the years 1920-2Benefits began to rise for those born in 1922 until they became level with other retirees, starting with those born in 192See illustration below. .Trump's administration "has decided to pursue a radical and dangerous policy to set prices based on rates paid in countries that he has labeled as socialist, which will harm patients today and into the future," Stephen Ubl, the head of PhRMA, said in a statement. .The Senior Medicare Patrol informs and empowers beneficiaries so that they may better detect, report, and protect against Medicare fraud. Volunteers focus on identity protection, and they also teach seniors to identify potential scams and to properly read their Medicare Summary Notices. There were more than fifty active Senior Medicare Patrol projects as of last year, with at least one in each state. To learn more about the Senior Medicare Patrol or to find a program near you, click HERE.