COLAs Reach All Time Lows At Same Time Seniors Report Expenses Higher Than Ever ."Brand-name drugs are the primary driver of the higher prescription drug prices in the U.S.," report co-author Andrew Mulcahy said in a press release. .Reducing Medicare costs remains a top piece of unfinished business for TSCL. While Congress was successful in restraining a double-digit Medicare Part B increase in 2021, capping the increase at .90 per month rather than .60 more per month — I was particularly troubled to learn that .00 of the .90 Part B increase is a "repayment" charge. While TSCL congratulates Congress for passing legislation to hold the monthly Part B increase down, at least temporarily, the Part B increase wasn't "forgiven". The balance that won't be paid in 2021 will be recovered through a .00 per month repayment which will be tacked onto future Part B increases. That could take years. .TSCL will continue to monitor the process since it will have an impact on millions of older Americans. For example, Medicare Part D beneficiaries who fall into the coverage gap – or "doughnut hole" – will face higher costs for their prescription drugs. For updates on the repeal of the Affordable Care Act, visit the Legislative News section of our website, or follow TSCL on Facebook or Twitter. ."Income-Relating Medicare Part B and Part D Premiums: How Many Medicare Beneficiaries Will Be Affected?" Kaiser Family Foundation, Publication No. 8126, December 2010. .Just how bad is it? We were stunned to learn just how big the disparity in drug prices can be. Recently I compared the highest and lowest prices of the top ten most-prescribed drugs in the U.S. using the Medicare drug plan finder. In my area, a monthly supply of diabetes drug Lantus Solostar for example, ranges from a high of 2.00 from the mail order pharmacy of First Health Part D Value Plus plan to a low of .75 from the network retail pharmacies for SilverScript Choice. In fact, the cost difference between the highest and lowest-cost plans for the ten drugs compared averaged 3 per month! .While the Commission's plan received the support of a majority of the 18-member commission, the plan was three votes shy of the 14 votes needed to force Congressional action. Nevertheless, both President Obama and Congressional leaders said they would include many of the recommended proposals in their upcoming budgets for fiscal 2012, which are due soon. .Drug spending nationally increased by 76% between 2000 and 2017, and the costs are expected to increase faster than other areas of healthcare over the next decade as new, expensive specialty drugs are approved, according to the researchers. .According to the 2020 Social Security Trustees report, which does not include estimates of the impact of the coronavirus, Social Security is expected to receive about 3.3 billion in payroll tax revenues this year. "That estimate is higher than it actually will be, since it was based on just a 5 percent unemployment rate," Johnson notes. "Currently the unemployment numbers are roughly four times higher than that," she points out. In addition, the Coronavirus Aid, Relief and Economic Security Act (CARES Act), allows employers to defer the employer portion of payroll taxes in 2020 for up to two years.