Failure to balance between price and services. Assisted living and continuing care communities can be very expensive and more people are living longer in these facilities. It's important to make finances last while maintaining access to the best care. When exploring options, don't be afraid to look into facilities in areas that have lower costs of living, even if you won't be able to visit with your family every single day. What you give up in fancy features, you may trade off with more affordable rents, and service fees, more personal attention, while still getting high standards of care. .In addition, if any efforts to transition to private accounts based Social Security succeed TSCL fears that, among other things, a new Notch could be created in the transition. Also, TSCL members generally believe that such approaches could further drain the Social Security Trust Fund. Finally, it is thought that a private accounts venture would be at least partially financed by cutting the benefits of current or soon-to-be retirees. Because TSCL believes that Social Security was developed and implemented to be a safety net, insurance and pension system, it strongly opposes changes to the current system which entail private accounts. .The Social Security 2100 Act (H.R. 1391), introduced by Representative John Larson (CT-1). Like the FAIR Social Security Act, this bill would base COLAs on the CPI-E. It would also provide a 2 percent benefit bump for the average beneficiary and create a new minimum benefit set at 25 percent above the poverty line. In addition, more than 11 million seniors would see a significant tax cut, since the bill would double the income threshold for the taxation of benefits from ,000 per individual to ,000, and from ,000 per couple to 0,000. .Finally, six new cosponsors signed on to the Social Security Fairness Act (S. 896 and H.R. 1795) this week, bringing the total up to ten in the Senate and eighty-three in the House. The cosponsors are: Sen. Brian Schatz (HI), and Reps. Adam Kinzinger (IL-16), John Duncan, Jr. (TN-2), Raul Ruiz (CA-36), Bill Foster (IL-11), and Randy Neugebauer (TX-19). If signed into law, the bill would repeal the Government Pension Offset (GPO) and the Windfall Elimination Provision (WEP) – two provisions that unfairly reduce the earned Social Security benefits of millions of state and local government employees each year. .According to MedPAC, the Medicare fee schedule undervalues the important services that primary care physicians provide. This creates disparities in compensation between the primary care and specialty fields, and it deters medical students from choosing to enter primary care. To address the issue, MedPAC recommended an extension of a primary care bonus program that is set to expire in the near future. However, instead of offering bonus payments for each service that is provided, the Commission suggested that physicians be rewarded on a per beneficiary basis, which will help the Medicare program improve the coordination of care. .Congressional Republicans have also indicated opposition to the administration's proposal, saying it breaks from GOP philosophy by linking U.S. prices to those in other countries where there are price controls. While they like it in part, some Democrats have said it does not go far enough in lowering prices. The change would only lower prices for physician-administered drugs for people on Medicare, meaning people with private insurance and people getting drugs at the pharmacy counter would not benefit from lower prices. .COLAs Reach All Time Lows At Same Time Seniors Report Expenses Higher Than Ever .Legislation to allow the importation of less-costly FDA-approved prescription drugs from Canada and other nations is still pending in Congress, and TSCL continues to work for enactment. Seniors like you and your wife who order prescription drugs by mail from Canada faced a particularly tough decision about Medicare Part D. Either you enroll in a Part D plan and quite likely pay more than you do now, or don't enroll and face the risk of paying a steep penalty if you change their mind and sign up after the May 15 deadline. .A 2.8 percent COLA would be the largest since 2012, but according to The Senior Citizens League's Social Security Policy Analyst Mary Johnson, "Retirees may be disappointed when they learn what the cost of their Medicare premiums and prescription drugs will be for 2019."