But TSCL's polls, surveys, and stories on the COLA in the media have played a key role in helping to change that debate from one in which benefit cuts are inevitable, to one which explains why benefits should be made more adequate and payroll taxes should be increased. We could not have accomplished this without the hundreds of you who take time to send in your comments and stories, and who take our annual Senior Surveys. .Experts estimate that fraud, waste, and abuse within Medicare costs more than billion each year. What efforts do you support to ramp up prevention? .Congress has spent much of its time over the past two years locked in a rigidly - partisan standoff over the federal budget deficit. But TSCL's new 2012 Senior Survey results suggest that lawmakers may not be paying close enough attention to senior voters — something that may come back to haunt them come November elections. They may be retired but, to seniors, jobs — not benefit cuts — are the key to cutting the federal deficit. .In places where state officials claimed that in-person inspections have taken place, the reports found no issues in most cases, even as Covid-19 claimed more than 31,000 deaths in nursing homes. Less than 3 percent of the more than 5,700 inspection surveys the federal government released this month had any infection control deficiencies, according to a report on Thursday by the Center for Medicare Advocacy, a nonprofit patient activist group. .By Noah Y. Kim SEPTEMBER 10, 2020 Kaiser Health News .At that point Congress would either must cut benefits in a major way or raise taxes to pay for continued benefits, something that Congress has refused to do for years. .TSCL believes the time has come for Congress to put the needs of U.S. senior citizens and taxpayers first. We support legislation that would ban the use of illegal earnings in determining entitlement to Social Security such as S. 95, to Prevent Social Security Credit from Being Earned without Legal Status, introduced by Senator David Vitter (LA), and "No Social Security for Illegal Immigrants Act" (H.R. 787), introduced by Representative Dana Rohrabacher (CA). .TSCL is fighting the plan to chain COLAs and believes seniors need a COLA that more adequately protects the buying power of their Social Security benefits. "Members of Congress are more likely to re-think voting for legislation when they see a large number of seniors are adamantly opposed to cutting COLAs," says Hyland. To learn more about proposals that would affect your Social Security benefits, get tips on reducing your Medicare costs, and sign up for TSCL's free online newsletter The Social Security & Medicare Advisor, visit TSCL at . .What does this new "pay for performance" mean for patients? Not much is known yet, but I got a first - hand experience of the new system recently. One of my doctors, a specialist, told me that due to a "quality initiative reorganization," he wouldn't be seeing me as a patient anymore. I'll have to find a new doctor.