Can I expect a cost of living increase this next year? Something needs to happen! .With no increase in Social Security benefits over the past two years, seniors participating in TSCL surveys say they are putting off visits to the doctors, and many are not filling prescriptions. But foregoing healthcare can backfire, leaving you with bigger health problems and bills down the road. Here are three things you can start doing right now to lower your Medicare costs and improve your health. .Lawmakers Work to Avoid Government Shutdown ."But Democrats arguing for the change are pointing to rising costs of brand-name drugs and insurance plans that increasingly require patients pay more money toward their own care, forcing them to ration insulin and other drugs. They also note that H.R. 3 includes billion for biomedical research." .On Tuesday, the Senate HELP Committee held a bipartisan hearing to discuss the rising costs of prescription drugs. Members of the committee heard from four expert witnesses, including Doctor Paul Howard – Director of Health Policy at the Manhattan Institute – and Doctor Gerard Anderson – Professor of Medicine at Johns Hopkins University School of Medicine. .On Tuesday – three months later – a panel of three judges rejected the Obama administration's request in a 2-1 decision. They ruled that the state of Texas does have the legal standing to challenge President Obama's executive orders since implementing them will be costly to the state. .This week, four new cosponsors signed on to Congressman John Garamendi's (CA-3) bipartisan Consumer Price Index for Elderly Consumers (CPI-E) Act (H.R. 1251), which would base the Social Security cost-of-living adjustment (COLA) on a more fair and adequate inflation index if adopted. The new cosponsors are Congressmen Marc Veasey (TX-33), Gregorio Kilili Camacho Sablan (MP), Vincente Gonzalez (TX-15), and Andre Carson (IN-7). The cosponsor total for H.R. 1251 is now up to forty-three. ."The vast majority of prescription drugs [in the U.S.] are for generic, and there, the U.S. does pretty well," says Andrew Mulcahy, PhD, a senior policy researcher at RAND and the lead author of the report. "But for brand-name drugs, we pay much higher." .The Senior Citizens League is disappointed that another Obamacare promise has been broken, and we are hopeful that the impact on seniors will be minimal. While UnitedHealth is the first Medicare Advantage insurance provider to announce doctor cuts, we do not expect them to be the last. For tips on checking your plan's provider networks or for other Medicare Advantage information, see "Out – Of – Pocket Costs Catch You By Surprise? How To Avoid "Sticker Shock"