One-out-of-five people who participated in TSCL Senior Survey spend more than 0.00 per month out-of-pocket on prescription drugs. That's an enormous amount, considering the average Social Security benefit is just ,460.00 per month. But even if you only take generics, or your Medicare drug or health plan premium goes down, this does not mean that your 2020 Medicare plan's drug coverage costs will also decrease. Your Medicare drug plan's prescription coverage – including which drugs are covered by your plan, and the cost, usually changes every year. .Yet according Sara Zeff Geber, PhD, author of Essential Retirement Planning for Solo Agers, very few childless adults reside in assisted living or continuous care communities today. That's because it's the adult children, who are the primary caregivers, who help make the decision when mom and/or dad needs more care than can be safely provided at home. It's the adult children who assist with the tasks of helping parents shop for the right senior housing, help with the downsizing and moving, and assist with the complicated transaction of selling a parent's home and financing senior housing. .Interestingly, the big drug manufacturers do not like the new rule. A spokesperson for the Pharmaceutical Research and Manufacturers of America (PhRMA), the drug industry's largest trade group, said the rule is "unconscionable" for making it "harder for patients to use manufacturer cost-sharing assistance to lower their out-of-pocket costs for medicines." .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. .Source: "2019 Changes to Medicare Advantage and Part D," The National Council on Aging, accessed on October 4, 2018. .A surviving beneficiary spouse is one who collects Social Security benefits not from their own account, but from the account of his or her deceased spouse. To find out more about Notch Reform benefits for surviving beneficiaries, click here: What Happens to Benefit Payments When Your Spouse is Deceased? .The Department of Homeland Security (DHS) recently began a review of all pending immigration deportation cases with the goal of dismissing those of illegal immigrants with no criminal records. TSCL is concerned that the policy, which would scale back deportations of hundreds of thousands of illegal immigrants, could potentially add hundreds of billions in new costs to the growing deficit problems of Social Security, SSI, Medicare and Medicaid. .Francis Collins, the head of the National Institutes of Health, has said the government has some intellectual property rights. Moderna seems to dispute that view, saying it is "not aware of any I.P. that would prevent us from commercializing" a COVID-19 vaccine. .Here's a closer look at the Medicare proposals: