Texas has been hit the hardest by rural hospital closures, with 23 closures since 2013 and as many as 45% of rural and community hospitals operating in the red. By eliminating all private insurance with the single stroke of a pen, Medicare-for-all would force many of our state's already struggling hospitals to be reimbursed at lower rates, further complicating the financial solvency of rural health care providers. .Tax Reform Legislation Introduced in House .Recently I had a chance to learn how to do a better job at decision - making by taking a course through the Osher Lifelong Learning Institute at the University of Virginia. Instructor Terry Newell's work focuses on values-based leadership, ethics, and better decision making — skills for which there is very high demand — but all too short supply. Here are some insights from Dr. Terry Newell: .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. .Finally, when older workers do land new jobs, they typically experience a steep drop in income and benefits. Median wages for people who take new jobs in their fifties fall by a median of 57 percent, and 25 percent lose their health insurance. .The Senate, where Republicans hold the majority, has yet to make a decision as to whether to defer taxes for its employees. .Get quotes from 5 to 10 highly-rated insurance companies. Make sure you are getting apples–to–apples comparisons for the same type of annuity. .Once non-citizen workers obtain a valid SSN, they can provide SSA with evidence of earnings reports from unauthorized employment prior to receiving their SSN. Their earnings will be reinstated under their valid SSN. In addition when a person files for benefits, a SSA employee reviews the earnings record with the worker and assists to establish any earnings that are not shown or are not correctly posted. .If signed into law, this bill would repeal the windfall elimination provision (WEP) and establish a new formula to calculate benefits for those with non-covered earnings. The WEP currently affects more than one million seniors who collect Social Security benefits and have earned pensions from non-Social Security-covered employment.