What strategies are key to better managing healthcare costs in retirement? .To learn more about issues facing Social Security and Medicare, visit our weekly legislative updates, which provide information on upcoming town hall meetings. .According to studies performed for TSCL, many Notch Babies, particularly those who rely on Social Security for most, if not all, of their income, are at risk for living near or below the federal poverty level. For example, Notch Babies who retired in 1984 at age 65 with average benefits of 0 per month, would receive about ,839 this year. In the 48 contiguous states and Washington DC, that's only 8% above the federal poverty guidelines and qualifies for various assistance programs. .The wage reports held in the Social Security Earnings Suspense file also represent a huge hidden time bomb for Social Security and Medicare. Under current Social Security policy, all earnings, even if based on illegal work, are used to determine entitlement to benefits. If at some point an illegal worker gains valid work authorization, as he or she would under an "amnesty" or a Totalization agreement, and can produce proof of earnings like old W2s, those earnings would be reinstated to their new Social Security account. Eventually the individual could file a claim for benefits that might be based, at least in part, on illegal work. .With So Much At Stake It's Time to Challenge Elected Lawmakers! .On Thursday, TSCL held its first ever town hall meeting with great success in North Carolina's 11th Congressional District. TSCL would like to thank Congressional Candidate Mark Meadows for taking time out of his busy schedule to address concerned members and supporters. .Recent healthcare cost data have the experts perplexed. According to a new analysis from actuaries of the Centers of Medicare and Medicaid Services, national healthcare spending in 2011 grew at just 3.9 percent. This is the third consecutive year it's grown so slowly, making it the slowest pace in the more than 50 years such data have been tracked. Federal officials don't know for sure if it's a temporary fluke due to prolonged recessionary effects, or part of a long-term trend. .Radical Medicare Overhaul Proposal In Senate .Rep. Gene Green (TX-29) recently introduced a bill that would remove the limit for the amount of outside income that an individual could earn while receiving Social Security benefits. The Social Security Earnings Test Repeal Act of 2011 was referred to the Committee on Ways and Means.