Here's how the coverage gap works. Once individuals and their Medicare Part D plans spend the initial coverage amount (,310 in 2016) on covered prescription drugs in a calendar year, beneficiaries hit the doughnut hole. Once in the doughnut hole, coinsurance on covered drugs is not only higher, one must also pay a substantial amount out-of-pocket to reach the limit for catastrophic coverage. For brand-name drugs in the coverage gap, individuals are responsible for 45% of the cost, and for generic drugs, they're responsible for 58%. Once out-of-pocket costs for those in the doughnut hole total ,850, catastrophic drug coverage takes effect, and Part D plans pay 95% of prescription drug costs until the calendar year ends. .Separately, the House Ways and Means Committee Means Committee approved the largest expansion of Medicare since the addition of drug benefits two decades ago. .The following Members of Congress, among others, will hold town halls this weekend: Sens. Jim Risch (ID), Pat Roberts (KS), Deb Fischer (NE), Tom Coburn (OK), and Charles Grassley (IA), and Reps. Mark Amodei (NV-2), Lou Barletta (PA-11), Dan Benishek (MI-1), Kathy Castor (FL-14), Tim Huelskamp (KS-1), Bill Johnson (OH-6), Derek Kilmer (WA-6), Mark Meadows (NC-11), Markwayne Mullin (OK-2), Kristi Noem (SD), Todd Rokita (IN-4), Keith Rothfus (PA-12), Rob Woodall (GA-7), Joe Barton (TX-6), Julia Brownley (CA-26), Mike Coffman (CO-6), Jim Gerlach (PA-6), Dennis Heck (WA-10), Beto O'Rourke (TX-16), and Mark Takano (CA-41). .Social Security has a .8 trillion surplus, enough to pay full benefits for 18 years, but income inequality has hurt Social Security's finances by leaving most of the wealthiest Americans' earnings above the cutoff point for the payroll tax which funds it. A Wall Street CEO who makes million per year pays no more in payroll tax than someone earning 8,500. If we had the same level of economic equality we enjoyed in 1983, the retirement trust fund would have another .1 trillion in it today. .Canada's order will not prevent Americans from crossing the border to buy cheaper drugs; it doesn't affect sales made by brick and mortar pharmacies, according to a fact sheet released by the Canadian government. .— have few or better yet — no health problems, and .Again, next year, a number of physicians and medical specialists were facing sharp Medicare pay cuts. This was to come, of course, in the face of the worst pandemic in our lifetimes and one which has worn so many physicians and nurses to the point of exhaustion. .Give family recipe or ethnic specialty cooking lessons. As a child I learned how to make Pennsylvania German egg noodles from scratch from my grandmother. These were a highly treasured holiday gifts. My arms still ache remembering how long I had to roll the dough to get those noodles thin enough for my grandmother! Give out an invitation to special grandchildren or friends for lessons in making favorite traditional foods from scratch. .This week, TSCL endorsed two new bills from Congressman Lloyd Doggett (TX-35) – the Transparent Drug Pricing Act (H.R. 4116) and the Competitive DRUGS Act (H.R. 4117). If signed into law, the bills would promote transparency in the prescription drug industry and prevent anti-competitive pay-for-delay deals, in which brand-name drug companies pay generic drug makers millions of dollars to delay the introduction of their generic medicines to the market.