This sounds similar to the current Medicare Advantage system except for one big difference — the Health and Human Services secretary would be given authority to set beneficiary cost-sharing "based on evidence of the value of services." Under this criterion, who do you think would be more likely to get the best coverage for expensive services like CT scans that can cost ,000 — an 84-year-old, or a 43-year-old mother with two children? Finally, the recommendation would require insurers to pay a surcharge on the Medigap policies that they offer to beneficiaries. This proposal is not new. .These trends are likely to continue a rapid climb in years to come. The first jump in the ESF coincided with the big increase in illegal immigration of 1970's. When Congress overhauled immigration laws in 1986, amnesty was offered to immigrants who could prove they were longtime, law-abiding residents. About 3.1 million were legalized, twice as many as the government expected. Because the law had no provisions for any new workers to enter, illegal immigration continued.(8) .Between age 55 and 64, it's as if our body's warranty expires and everything just crashes. By the time we turn 65 and eligible for Medicare, chances are we may have a chronic health condition that requires regular check-ups. Often, it's insidiously hard to tell whether a problem really is serious or whether it's just a "natural part of growing older," which in any case feels just as crummy. .In addition, early this week lawmakers in the Senate majority took the first steps towards a repeal of the Affordable Care Act. Senate Budget Committee Chairman Mike Enzi (WY) introduced a fifty-four-page budget resolution – S. Con. Res. 3 – on Tuesday that includes instructions for fast-tracking the law's repeal. The resolution instructs the four committees of jurisdiction – two in the House and two in the Senate – to draft repeal legislation before a January 27th deadline. It overcame its first hurdle on Wednesday when the Senate voted 51-48 to proceed. .SGR Repeal Unlikely This Month .Senate Adopts Budget Resolution .In exchange, annuities pay you a monthly income for the rest of your life, an income that can last 20 or 30 years. There are joint and survivor type annuities that continue the monthly income to your spouse after your death, and you can also buy annuities that have a 3 percent annual cost-of-living adjustment. .In case Congress is not able to come to an agreement concerning legislation to lower prescription drug prices, there are reports that President Trump is considering executive action to cut drug prices ahead of the 2020 election as he enters his re-election seeking to rebut Democratic criticism that his policies have hurt U.S. health care. .If you're like most seniors, you probably depend on Social Security for at least half of your income. But how well does the annual cost-of-living adjustment (COLA) protect you from rising costs? TSCL will soon release some answers to this question with the results of its 7th Annual Survey of Senior Costs. In recent years these surveys have indicated that Social Security beneficiaries lose a considerable portion of their buying power — as much as 31 percent — in as little as the first decade of retirement.