"The idea that we would allow ourselves to be held hostage in an emergency is mind-boggling," said David Mitchell, head of Patients for Affordable Drugs, an advocacy group. .Medicare does not usually cover eyeglasses or contact lenses. However, Medicare Part B helps pay for corrective lenses when the patient has cataract surgery to implant an intraocular lens. Corrective lenses include one pair of eyeglasses with standard frames or one set of contact lenses. .But lower COLAs and changes that would increase seniors' Medicare costs still remain key targets of plans to lower federal spending. Late last year, the budget conference committee responsible for heading off another government shutdown heard deficit reduction options from the Congressional Budget Office (CBO). Among those having the biggest impact on reducing government spending are proposals to increase deductibles and co-insurance for Medicare — cutting federal spending about 4 billion. In addition, moving to using the more slowly-growing chained CPI to determine COLAs would cut government spending by an estimated 8.5 billion on Social Security and other federal benefit programs, like military retirement, through 2023. .One glitch that trapped working seniors during the 2010 tax season involved the 0 economic stimulus payment beneficiaries received if they were getting Social Security, Supplemental Security Income (SSI), railroad retirement or veterans' disability compensation. The 0 payment reduced the Making Work Pay Tax Credit that working seniors could claim to a maximum of 0 (individual) or 0 (joint). The IRS withholding tables that employers used in 2009 and 2010, however, did not adjust for those payments. Compounding the problems for seniors, the problematic IRS withholding tables also allowed reduced withholdings for pensions — even though pension income was not even eligible for the credit. .I believe it is imperative that we fully support programs that protect the nation's most vulnerable, and ensure that they can easily access them in their time of need. The SNAP Simplification for the Elderly Act will make great strides in that direction. .In your book The Hard Times Guide to Retirement Security you say that today's retirees need to "rethink retirement." In what ways do our ideas about retirement need changing? .It turns out that PhRMA "spreads that money around to political campaigns across the country as well as other trade groups like the American Action Network (AAN), a conservative dark money group that launched a million ad campaign to defeat the Democrats' H.R. 3 proposal, which would allow Medicare to negotiate lower prices for prescription drugs and cap out-of-pocket drug costs at ,000," again, according to the Salon.com report. .The plan that Simpson and Bowles outlined this week includes 0 billion in federal health care spending cuts, including a number of Medicare modifications like raising the eligibility age, increasing means testing for high earners, and reducing payments to providers. Simpson and Bowles also recommended the adoption of the "chained" CPI for the calculation of Social Security cost-of-living adjustments (COLAs). The two wrote in a joint statement this week: "This plan begins where the president and the Speaker left off. It's more health care than the Democrats would like, and more revenue that Republicans support. But in our view, it is the minimum size necessary to put the debt on a clear downward path." .In addition, since 1992 there has been a significant change to the government's bottom line. For the government fiscal year ending September 30, 2000, the Congressional Budget Office (CBO) reported a surplus of 6 billion- billion of which comes from non Social Security revenues. The CBO estimates the 10-year non-Social Security surplus to be about .1 trillion.