Generations have watched big-government, socialist systems fail, one after another, in countries experimenting with soviet-style, centralized planning. Medicare-for-all would be no different, leading to longer wait times and lowered standards of care at an unsustainable cost to the American taxpayer. . Recently I read about a stimulus proposal that would allow people who are out of work to access ,000 of Social Security benefits in advance, in exchange for waiting a few months longer to get benefits when. Ask the Advisor: April/May 2020 I'm Entitled to a Pension for Work as a City Cop… .As we begin a new year, we hope you had the best holiday season possible under the conditions we all continue to face because of the coronavirus pandemic. We know the past ten months have been extremely hard for many Americans, especially for senior citizens and their families. .Currently doctors are paid for every service they provide, giving a big incentive for wasteful duplication. Patients wind up getting repeated tests, X-rays, CT scans and procedures involving expensive computerized equipment. .Rep. Rosa DeLauro (CT-2) introduced H.R. 4998 on June 26, 201It has since been referred to the Committee on Ways and Means. .A 2.5% COLA would boost an average monthly benefit of about ,500 by an additional ,000 over the next ten years through 2030. An emergency 2.5% COLA would boost a monthly ,500 benefit by an extra .50 (0 per year) in 2021, but it would grow to an extra .30 per month by the end of ten years. Another way to think about this, if retirees do not receive a 2.5% COLA, that would be like loosing ,000 in Social Security income over the next ten years. .The issue of physician choice and access to care for Medicare recipients arises time and again as Congress has taken last minute action to prevent drastic cuts to physician reimbursements. Only repeated, last-minute actions have saved doctors from substantial pay cuts. Cutting reimbursements for doctors has surface appeal because it does not require seniors to pay additional dollars out-of-pocket. However, there is a hidden cost. Physicians who live under constant fear of substantial cuts may opt to stop serving Medicare patients, resulting in loss of access to care for many seniors. .More generous medical expense deductions for 2017 and 2018: The final tax bill retains the deduction for medical expenses and delays a previous change that would have limited the medical expense deduction for people age 65 and older in 2017 and thereafter. Under previous tax law, all taxpayers could deduct out-of-pocket medical expenses that exceed 10% of adjusted gross income, or only 7.5% for taxpayers age 65 or older. The amount of medical expenses that this group of taxpayers would be allowed to deduct was originally scheduled to rise to 10% in 201The new tax bill delayed that change, retaining the 7.5% threshold for medical expenses for taxpayers age 65 and over in 2017 and 201The change to 10% will go into effect beginning in 2019. .Beginning in 2017, monthly premiums for Part B and Part D would increase by fifteen percent for those with higher incomes. If the plan were adopted, the income threshold would drop from ,000 to ,000, and it would not be adjusted for inflation until one-quarter of all Medicare beneficiaries qualify to pay the increased premiums.