Starting a new medication can sometimes take you by surprise when drug plans don't cover the drug or charge higher co-pays than you can afford. If you're having trouble covering the cost of your medicine, here are some things to try: .Several lawmakers at Tuesday's hearings voiced concerns about Congressman Mulvaney's Social Security and Medicare reform positions. Senator Bernie Sanders (VT) – Ranking Member of the Senate Budget Committee – said: "The opinions and views of Mr. Mulvaney are way out of touch with what the American people want. And more importantly, they are way, way out of touch with what President Trump campaigned on." Congressman Mulvaney stated, "I haven't exactly been a shy Member of Congress in my six years here, and I don't expect to end that here today or if I am confirmed as Director of OMB." He said he would be "completely and brutally honest" as a budget advisor to President Trump. .Support for the IPAB at both hearings was scarce. Some Members, including the Ranking Member of the House Budget Committee, Chris Van Hollen (MD), called the IPAB a necessary "failsafe" measure that will stabilize healthcare costs. He stressed the fact that the experts on the IPAB will make recommendations, but Congress will ultimately have the final say in whether or not they become law. .Now we are looking for viral deliverance when drug development is one of the world's most lucrative businesses, ownership of drug patents is disputed in endless court battles, and monopoly power often lets manufacturers set any price, no matter how extraordinary. A new cancer treatment can cost a half-million dollars, and old staples like insulin have risen manifold in price to thousands of dollars annually. .In our meetings this week we were pleased to learn that the members of Congress whose offices we visited plan on once again co-sponsoring the Notch bill. We also were very encourages to learn that there is a new bill that would repeal the Windfall Elimination Provision that has the best chance in years of moving out of committee and forward to the full House of Representatives for a vote. .About 30 percent of the "other than legal " immigrants who were living in the U.S., and age 62 in 2000, would be eligible to receive retiree benefits. .Near the end of the hearing, the focus finally shifted to options for fixing the financing shortfall. Charles Blahous and Robert Reischauer offered some suggestions. Mr. Blahous recommended that Congress gradually raise the age of retirement to seventy, that they reduce benefits progressively by modifying the benefit formula, and that they offer more incentives for workers who delay their retirement. Mr. Reischauer offered similar suggestions, but added that he would like to see the taxable maximum raised to cover 90% of wages. .The term "Notch" refers to the disparity in Social Security benefits paid to people born from 1917 through 1926 and those paid to people born before and after them with similar work/earnings records. Many of those born during the Notch period feel they have not been treated fairly and are not receiving the benefits that Congress intended. On the other hand, the Social Security Administration (SSA), some government officials, and the AARP (formerly the American Association of Retired Persons) say that those born during the Notch period are treated fairly and receiving the benefits that Congress intended. The SSA and the AARP say that Social Security does not promise a specific amount of benefits, rather Social Security is designed to replace a certain percentage of pre-retirement earnings. Who is correct? .First, one new cosponsor – Senator Dianne Feinstein (CA) – signed on to the Patient Right to Know Act (S. 2554), bringing the total up to seven. If adopted, this bipartisan bill would ensure that pharmacists are never prohibited from telling patients when their prescriptions would be cheaper out-of-pocket than through their insurance coverage.