We are still learning how long COVID-19 vaccines can protect people. .According to TSCL estimates, benefits are now 13% lower this year than if inflation had remained the more typical 3% for retirees who have been receiving Social Security since 2009 when the low COLAs started. A Social Security benefit of ,000 in 2009 is about 2 per month lower today than if COLA had been the more typical 3%, with a total loss of about ,697 in Social Security benefit growth over the past seven years. Over the same period, however, actual senior costs have continued to climb. Some 72% of retirees who participated in TSCL's 2016 Senior Survey reported that their monthly expenses had gone up by more than in 2015, despite the lack of growth in inflation. .Medicare first started covering rehabilitation services in 197Just seven years later in 1979, Congress enacted a cap of 0 on outpatient therapy due to concerns that rehabilitation outpatient services would take over the Medicare budget. The cap – which was indexed to medical inflation – remained in place until the passage of the "Balanced Budget Act of 1997," when a ,500 cap was passed into law and set to take effect in 199However, President Clinton halted the implementation of the ,500 cap, leaving services open to reimbursements by Medicare. Since 1999, several bills introduced in Congress sought to either repeal or keep the spending cap on rehabilitation services, with the cap drawing bipartisan criticism as being unfair to Medicare beneficiaries. .In order to learn more about what services you are eligible for under Medicare, call 1-800-MEDICARE ( 7), a State Health Insurance Assistance Program counselor at your Area Agency on Aging, or your Member of Congress. .Regarding Medicare, the budget blueprint calls for increased means testing for Parts B and D, and it would increase out-of-pocket spending for new beneficiaries by charging them co-payments for home health services, and by adding a surcharge to certain Medigap plans. TSCL fears that these added costs for beneficiaries could result in some unforeseen consequences. .Seventy-eight percent of older voters participating in TSCL's survey say they support raising payroll taxes, eliminating the taxable maximum wage cap so that everyone pays Social Security taxes on all earnings over 8,500. Unlike low - and middle - income wage earners, the highest earners today only pay taxes on the first 8,500 in earnings and enjoy a huge Social Security tax break on all on wages over that amount. A clear majority — 62% of survey participants — also favors very gradually increasing the payroll tax rate by 1% each for workers and employers. Taken together, both changes would provide enough financing to keep the program solvent for more than 50 years. .The age. Q & 038; January 2021 Can I Work and Receive Social Security Benefits at the Same Time? .Sources: "Crackdown Proposed To Prevent Illegal Immigrants From Obtaining Medicare," Robert Pear, The New York Times, March 3, 201"Medicare Improperly Paid Providers Millions Of Dollars For Unlawfully Present Beneficiaries," Daniel R. Levinson, Department of Health and Human Services Office of Inspector General January 2013. .TSCL is strongly opposed to any cut in the payroll tax and we have lobbied aggressively against one. The 2020 reports from the Social Security and Medicare Trustees projected that the Social Security trust funds will become insolvent in only 15 years. At that time, all Social Security beneficiaries would face a 21% benefit cut in benefits that would eventually go to 27%.