Medicare Advantage plans are booming in popularity with retirees, as a low-cost health coverage alternative. In 2016, the plans cover more than 18 million people, but troubling audits indicate that many plans are overbilling the government for many, if not the majority, of the patients treated. Because overcharges drive up Medicare program spending, the higher costs are shifted to all people enrolled in Medicare through rising Part B premiums— even to people who never enrolled in a Medicare Advantage plan. .Last year Americans were told that one of the ways to prevent being infected with Covid-19 is to wash hands frequently and for at least 20 seconds, and if that was not possible, use hand sanitizer. That resulted in a run on hand sanitizers and for awhile they were difficult to find. .Case 1—A woman who was born in Mexico worked illegally under an invalid SSN for 6 years. Later when she received a work authorized SSN, she had the earlier wages, earned while illegal, transferred to her record and then filed for Social Security disability benefits. From 1999 to 2002 this woman collected approximately ,990 in disability benefits, including benefits for dependents based on her account. Estimated benefits over 20 years — 4,275. ."If more retired taxpayers aren't paying taxes on their Social Security benefits, that's good news for their tax liability, but would also mean their adjusted gross income was lower than in 2019," says Johnson. "And that could mean those households might be living too close for comfort to the federal poverty level," she adds. .When asked whether you prefer to get your Social Security benefits directly deposited electronically to bank accounts or received by mail, 9 percent of seniors still prefer receiving checks. .Even though I'm not on Medicare yet, these new quality initiatives will, one way or another will affect most patients, even those like me who are still under the age of 65 as doctors reorganize. I felt dumped. .There was also a bipartisan proposal from Sens. Chuck Grassley (R-Iowa) and Ron Wyden (D-Ore.) that gained support in the Senate but it did not include price negotiation, and again, McConnell refused to bring the bill to the floor in an election year. .First, in the spring, Members of Congress passed legislation to repeal and replace the sustainable growth rate (SGR) – a flawed formula that set payment rates for doctors who treated Medicare patients. Because of the quirks in the law, doctors were faced with double-digit cuts year after year. Some stopped seeing new Medicare patients, and some even stopped participating in Medicare altogether. TSCL advocated for the SGR's repeal for more than a decade, and we were ecstatic to see it replaced once and for all last April. The law took effect immediately and, in the coming years, it will bring increased stability to the Medicare program for both patients and their doctors. .This week, action on Capitol Hill remained slow as the fall recess continued.