Basing a decision on amenities and features. Just because the facility markets itself like a five - star hotel or is located near a great golf course does not equate to five - star standards of care. Look around and get a feel for the number of staff to residents. Try to meet a few residents. Are they happy? Does the staff look like they get satisfaction from their work? The office of your local Long Term Care Ombudsman can tell you about documented issues and problems that facilities have had in the past. .The Bureau of Labor Statistics (BLS) the agency within the Department of Labor that gathers information about prices that consumers pay in order to determine the inflation rate, and therefore the COLA for next year, has let it be known that because of the virus they are going to have to estimate some of the costs of goods and services instead of finding out what they actually are. .Last Friday, MedPAC released its most recent report to Congress, and on Wednesday, Mike Miller – MedPAC's Executive Director – testified before the House Ways and Means Subcommittee on Health. At the hearing, he focused on the report's key recommendations, which include maintaining bonus payments for primary care physicians who treat Medicare patients, and increasing financial assistance for low-income beneficiaries. .At the time of writing this update on Friday morning, the vote had not yet occurred. It is expected to take place on Friday afternoon, before the non-partisan Congressional Budget Office has a chance to evaluate the final version. It remains unclear whether or not the AHCA will gain the support needed to win passage. If adopted, the AHCA will move to the Senate, where its future remains even more uncertain. If it fails, Republican leaders on Capitol Hill have said they will move on to other legislative priorities, like tax reform. .Increase income. On average, older Americans get about 34% of their total income from Social Security; 33% from earnings; 11% from personal assets such as money in IRAs, 401(k) plans and taxable accounts, and 22% from pensions. To boost income, they could invest more aggressively in higher-yielding and perhaps more risky assets, such as long-term bonds and high-dividend-paying stocks; go back to work; or if they are still working, take on more hours. .Fees vary, and are commonly more than 0 - 0 an hour, with clients frequently committing to buy a package of several sessions. The field is still new and there are not many standards or regulations yet, so it's vital to check a prospective coach's credentials and references. .This is especially important new research at a time when Social Security faces potential changes. President Obama's "National Commission on Fiscal Responsibility and Reform" is scheduled to release its plan to cut the federal deficit by December 1st. .TSCL is working for the re-introduction of the Notch Fairness Act. This. Benefit Bulletin: August 2012 TSCL Chairman Larry Hyland Congratulates Representative Mike McIntyre (NC-7) .In 1977 Congress enacted changes to the Social Security benefit formula that affected seniors just two years from first entitlement to Social Security. A transitional formula supplied by Congress to phase in the changes, failed to prevent abrupt cuts and big disparities – as much as 1.80 per month in the well – publicized case of two sisters who worked for the same company.