Medicare recently announced that a big change is coming to Medicare cards. To prevent identity theft and to help protect the program from fraud, Medicare will be dropping Social Security numbers from Medicare cards and issuing new cards starting next year. .I know from meeting with friends and neighbors across my district that Americans are ready for the truth. They are ready for solutions. And they are ready for leadership. We must not be afraid to speak – and act – boldly on their behalf. .You can depend on TSCL to be in the middle of the fight to secure Social Security and Medicare and make sure we all receive the benefits we depend on and that we have already paid for during our working years. .Advocates for less government involvement in health care and instead letting the free market have a stronger role base their arguments on the idea that just like groceries or cars or clothes, consumers should be able to shop around and look for the best value in health care. .In addition, the Secretary of Health and Human Services (HHS) is prohibited from negotiating directly with pharmaceutical companies on behalf of the more than 40 million Americans who get their prescription drug coverage from Medicare Part D. .In 2016, when there was no COLA increase, those people protected by "hold harmless" paid the same premium that they did in 2015, 4.90. Part B premiums rose to 1.80 per month. In 2017 with just a 0.3 percent COLA, Medicare Part B premiums were once again adjusted downward so that the increase in an individuals' Part B premium did not reduce their Social Security benefit. Because the amount of their COLA was so it left most people who were held harmless paying a monthly premium of roughly 0 or less. .Worst of all, patients don't qualify for Medicare coverage of follow-up nursing home care, because Medicare requires three consecutive days in the hospital as an "inpatient." That leaves the patient and their families on their own to figure out how to pay nursing home bills, or to go without. .People frequently say they are "not ready" to move into a senior living facility, but the thoughtful solo adults who cherish their independence might be convinced that, by making decisions ahead of time when they are still healthy, is how one preserves that autonomy. Waiting until a health crisis could mean winding up where someone else decides she or he needs to be. .Sources: "The Long-Term Budget Outlook," CBO, June 20"CBO: Deficit Would Soar In Coming Decades Despite Obama's Health Overhaul," Lori Montgomery, The Washington Post, June 30, 2010.