This week, the Centers for Medicare and Medicaid Services (CMS) announced its preliminary 2015 payment rate changes for the Medicare Advantage (MA) program. In addition, The Senior Citizens League (TSCL) saw two key bills gain support. .But according to TSCL studies, Medicare Part B premiums are one of the single fastest - rising senior costs. Data from TSCL's annual survey of senior costs indicate that with next year's Part B increase, premiums will be 168% higher than 2000, rising on average 10.5% per year, even though there was no increase at all over the past two years. Part D premiums have grown roughly 60% since the program started in 2006, averaging about 6% per year. .Baicker, the public policy school dean, thinks public scrutiny will prevent outrageous pricing. The industry has made various pledges, trying to balance corporate citizenship against making eager investors happy: Astra Zeneca has promised 1 billion doses for low- and middle-income countries. Johnson & Johnson says it would make the COVID-19 vaccine available on a "not for profit basis" at for "emergency pandemic use." .TSCL has received a growing volume of email from seniors who say their new Part D or Medicare Advantage plan isn't all it's cracked up to be. Many of you complain of higher-than-expected costs, and quite a few asked how you could drop your plan. Selecting the right Medicare supplement or Medicare Advantage plan is highly complicated. The system has stymied almost everyone who works with it, Medicare advocates, pharmacists, insurers, and — especially — government employees. How can the average senior be expected to figure it out? .This week, House lawmakers remained in their home districts to continue the August recess. Meanwhile, The Senior Citizens League (TSCL) saw support grow in the Senate for three bipartisan bills that would strengthen the Medicare program. .Rep. Gene Green (TX-29) recently introduced a bill that would remove the limit for the amount of outside income that an individual could earn while receiving Social Security benefits. The Social Security Earnings Test Repeal Act of 2011 was referred to the Committee on Ways and Means. .Money for Life: Turn Your IRA and 401(k) Into a Lifetime Retirement Paycheck, Steve Vernon, September 2012. .Both House and Senate tax reform bills index the individual tax brackets and the standard deduction to the slowly-growing "chained" Consumer Price Index (CPI). This change will result in tax increases for most individuals over time because they will reach higher tax brackets faster than they would under current law. It also increases the probability that lawmakers will apply the inadequate "chained" CPI as a cost-saving measure to other government indexes that grow with inflation, like the Social Security cost-of-living adjustment (COLA). .And it will not feel like a bargain if we get free or cheap vaccines during a pandemic but pay dearly for annual COVID-19 shots thereafter.