The fourth article is quite lengthy, but it discusses the issue of how much a vaccine for the coronavirus will cost once it is available. Obviously, that is a concern for all of us because we all are anxiously awaiting its development. .This week, lawmakers passed legislation to avert a government shutdown and those in the majority party continued working on legislation to reform the tax code. In addition, The Senior Citizens League (TSCL) saw several key bills gain support in the House and Senate. .Under the rule he's considering formally proposing, Trump would order reimbursement for certain Part B drugs to be tied to what's known as the International Price Index. That would mean a price cut for many medicines, since the prices drug makers charge outside the U.S. are often set by government-run health-care systems and are generally lower. Medicare doesn't use its position as a big buyer of drugs to bargain for lower prices. .The pharmaceutical industry warns the move could damage its profits and take away incentives to invent new treatments. .It's no longer a matter of 'if' Congress will cut Social Security and Medicare, but "when" most policy observers now believe. Much will depend on Congressional budget negotiations in coming weeks as lawmakers address the extent to which borrowing can continue for payment of Social Security and Medicare benefits. .Instead of using the CPI-W or the "chained" CPI, TSCL has been advocating for an inflation index that we believe would actually result in a more accurate Social Security COLA. We favor the CPI for Elderly Consumers (CPI-E), which the BLS has been tracking &ndah; but not utilizing – for decades. This index has shown that the spending inflation for seniors averages about two-tenths of a percentage point higher than the rate at which the CPI-W increases. We estimate that a senior who retired with average Social Security benefits in 1984 would have received ,496 more through 2013 had the CPI-E been used. .Unlike Medigap plans, Medicare Advantage plans charge a co-payment every time you visit a doctor, use a lab, or have a brief hospital stay. In fact, Medicare Advantage plans can charge a very hefty 5 — 5 per day co-payments for hospital stays that generally would cost nothing at all under Medigap supplements for the same period. Seniors, especially those who are older, and who might require hospitalizations or have chronic health conditions, may wind up spending as much or even more out-of-pocket in a low, or no premium Medicare Advantage Plan as they would with under a Medigap plan. Medicare Advantage plans appear to be more advantageous for seniors who: .The CBO recommended substantial changes in tax and/or spending policies in the near future in order to put the federal budget on a sustainable path forward. Acting sooner rather than later is important, the authors noted, so that those affected by any changes have plenty of time to prepare, so that uncertainty can be reduced, and so that long-term interest rates can be held down. Members of the House Budget Committee seemed to agree during Wednesday's hearing, and Chairman Paul Ryan (WI-1) stated: "If this report tells us anything, it's that the status quo isn't working." .Example: Let's say Sally had a Social Security benefit of ,000 in 201The Part B premium that year was 4.90. In 2016 there was no COLA, and Sally continued to receive ,000. But the Medicare Part B premium in 2016 increased to 1.80 per month. Sally's Part B premium was adjusted downward and she continued to pay the same 4.90 Medicare Part B premium that she paid the previous year, to prevent a reduction in her Social Security benefits in 2016.