The costs of custodial care pose a big challenge for Alzheimer's patients and their families. According to a survey of long term care costs by Genworth Financial, Inc., a semi-private room in a nursing home can cost ,148 a month, or ,750 per month in an assisted living facility. Even a home health care aide costs per hour. Many families work to put together a caregiving network with family, friends, churches and community services in the early stages of Alzheimer's treatment. .Eliminating income taxes on Social Security benefits. Millions of middle-income Social Security recipients currently pay income taxes on a portion of their Social Security benefits. According to a recent survey of TSCL's members, 56 percent of older households pay taxes on their benefits, and that number is projected to rise in the coming years. Eliminating this income tax would provide millions of middle-income beneficiaries with much-needed tax relief. .Deferred Action allows immigrants under the age of 33, who entered the country illegally as children, to request consideration of deferred action on deportation. In addition, the program provides temporary work authorization, and valid Social Security numbers. The work permits are good for two years and the Obama Administration recently announced they are taking applications for renewal. .The program applies to illegals under the age of 31, who entered the U.S. prior to the age of 16, and have resided illegally in the U.S. since June 15, 200Applicants must also be currently enrolled in school, have a GED certificate, or have served in the U.S. military, and be law-abiding. Critics, including TSCL, question how the government will be able to verify when applicants actually entered the country and whether they were under the age of 16 when they did. ."Social Security was originally created to lift older Americans out of poverty," Johnson notes. "The annual COLA is intended to prevent erosion in the buying power of benefits," Johnson says. "Between the growth in healthcare costs and flat growth in benefits, the COLA is failing the very people it's intended to protect," she says. .Doing this can be worth hundreds, if not thousands, of dollars in savings in a single year, and it's surprisingly simple. Free one-on-one counseling is available from local Medicare benefits counselors like me in every area of the country, through State Health Insurance Programs (SHIP). Many of these programs operate through local area agencies on aging, senior centers, and community health centers. .The Social Security website, www.SocialSecurity.gov, has a number of tools and retirement planning to get you start planning, including benefit estimators. You should set up a "my Social Security" account that will give you online access to your earnings record, because you will need that for an accurate estimate of your benefit. .Data indicates that many, if not most, retirees, leave a significant amount of Social Security income on the table because people tend to retire too soon. Consider this: even when you reach your full retirement age, that only represents the point at which you are entitled to start full benefits without reduction for starting benefits early. It does not represent the age at which you would receive the maximum benefit amount, which is age 70. The reward for work and patience can pay off significantly. Once you reach your full retirement age, Social Security benefits are increased by 8% per year (or 2/3 of 1% per month) until age 70. .Clauses requiring mandatory arbitration have become exceedingly common in many types of contracts, but they can have serious implications for unsuspecting consumers. By signing such agreements, consumers give up their Seventh Amendment right to a trial by jury or their right to bring civil suit in court against the company no matter what the grievance. This can even include sexual abuse, medication errors, and negligence.