Providing help in emergencies, such as utility shutoffs, and .(Washington, DC) – Medicare doesn't have the authority to negotiate drug prices, leaving millions of older Americans at risk of price gouging for their prescription drugs, according to a new comparison of drug plans by The Senior Citizens League (TSCL). "Because Medicare isn't negotiating on our behalf, there's no consistency in drug pricing among drug plans," states TSCL's Medicare policy analyst, Mary Johnson, who performed the comparisons using the Medicare website's Drug Plan Finder. Costs vary enormously between plans. "The disparity in pricing for the same drug can be in the hundreds of dollars," says Johnson. .It's up to us to see that they do. We must hold our elected lawmakers accountable. TSCL, our members and their families, friends, and supporters will not allow the Notch Issue to quietly die away, but continue to press for enactment of Notch Reform legislation. .Big bills for uncovered charges are surprising some seniors after some hospital stays that aren't considered inpatient services by Medicare. The problem occurs when the hospital classifies your stay as "observation" which is billed as outpatient care under Part B, rather than inpatient care which is billed under Part A. Your physician may order your admission as an inpatient, but in some cases the hospital later reverses the status retroactively. Whether you are an inpatient or an outpatient is extremely important, though, because it will determine how much you pay out-of-pocket, especially if you later need nursing home care. .The Senior Citizens League was disappointed that the President did not comment on Social Security or Medicare during his State of the Union address, but we were pleased that he spoke about the need to reduce prescription drug prices. The President said he was proud to have helped improve "access to breakthrough cures and affordable generic drugs" by speeding up the FDA approvals process last year. That move could increase competition and bring down prices by encouraging generics to enter the market more quickly. .Although Congress has often enacted "clean bill" debt limit increases, and may do so again, lawmakers have also paid for increases with other types of changes, including changes to Social Security and Medicare. In a 2015 debt limit deal, Congress ended a benefit claiming option that was one of the few ways married couples could maximize their benefits. The change affected some people who were already 62 and entitled to benefits. It cost those affected, thousands in Social Security income that they were depending on getting. .TSCL enthusiastically supports the bills mentioned above, and we look forward to helping build support for them in the coming months. .Personal testimonials are no substitute for scientific evidence. .Protecting Medicare for current beneficiaries and saving it for future generations is one of my most important responsibilities as a Member of Congress. It is no secret that demographic and economic factors will not allow us to continue the program unaltered. There are 10,000 baby boomers retiring every day, and when these programs were first enacted there were more than 40 workers for every 1 retiree. Today, that number is below 3 workers per retiree and headed towards 2 to Health care costs continue to rise much faster than inflation. In order to ensure the solvency of a program that senior citizens have come to rely on, changes must be made. The days of doing nothing, burying our heads in the sand, and pretending the status quo is sustainable are over.