TSCL's research has consistently found that Medicare Part B premiums rank as one of the fastest growing senior costs. Yet Medicare premium costs are not included in the measure currently used to determine the annual COLA — one major reason why COLAs do such a poor job of keeping up with rising healthcare costs. TSCL continues to lobby for a more fair and accurate COLA and supports legislation that would use a seniors' index — like the Consumer Price Index for the Elderly (CPI-E) — to determine the annual boost. .Financial losses in real estate and retirement accounts of the Great Recession of 2008 have left today's retirees and Baby Boomers with far less home equity and assets to draw from in retirement, even though seniors are living longer. Retirements are spanning 25 and even thirty years, but today's seniors are going into retirement with little savings. A recent Harris poll found that 22 percent of retirees age 65 and older say they have none of their retirement savings left. These people are completely dependent on Social Security and other family members. .By Mike Watson, TSCL Legislative Assistant, .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. .The TSCL survey found that, to improve Medicare's finances, seniors strongly support ramping up anti-fraud efforts, and better integration of care to reduce duplications of tests, services, and expensive imaging. What do you think? Take a poll. Visit TSCL's website at . .Sources: Individuals Who Are Not Authorized To Work In The United States Were Paid .2 Billion In Refundable Credits, Treasury Inspector General For Tax Administration, July 7, 2011, http://www.treasury.gov/tigta/auditreports/2011reports/201141061fr.html . "Tax Loophole Costs Billions," transcript, Bob Segall, WTHR, 13 Indiana, May 10, 2012. .In a recent survey of TSCL's supporters, as many as one-third of respondents said they postponed filling their prescriptions or took less than prescribed due to high costs. They question why Congress hasn't taken action to improve the system and to protect the American public from rising drug costs. .This year's study found a 3 percentage point gain in the buying power of Social Security benefits from January 2019 to January 2020. That should indicate that most retirees may have seen at least some prices go down on certain items during that period. But this is deflation — which is a strong signal that there may be no COLA next year. This year's 1.6 percent COLA was already low to begin with. A recent deep plunge in oil prices have all but wiped out the prospect of a COLA. .On Wednesday, Senate Budget Chair Kent Conrad laid out a long-term plan to reduce the deficit. His proposal, called the Fiscal Commission Budget Plan, nearly mirrors the recommendations made in 2010 by President Obama's National Commission on Fiscal Responsibility and Reform. According to Sen. Conrad, it would reduce the deficit by .4 trillion over ten years.