Last week, the two leaders of the Republicans and Democrats in the Senate finally were able to reach an agreement on organizing the Senate for the next two years. An agreement was needed because each party has 50 Senators. Because of that, Vice President Kamala Harris, who is President of the Senate as provided for in the Constitution, will break any tie votes that may occur. That includes the vote to organize the Senate. .Medicare is currently prohibited from covering most hearing, vision, and dental services, even though millions of seniors are afflicted with age-related hearing loss, low vision, and poor oral health. When left untreated, these conditions often result in serious injuries and complications. What do you feel should be done about this? .Doing this can be worth hundreds, if not thousands, of dollars in savings in a single year, and it's surprisingly simple. Free one-on-one counseling is available from local Medicare benefits counselors like me in every area of the country, through State Health Insurance Programs (SHIP). Many of these programs operate through local area agencies on aging, senior centers, and community health centers. .Because your former son in-law was employed prior to applying for benefits, he was likely approved for SSDI. The program provides benefits to more than 10.9 million disabled beneficiaries, including some spouses and dependent children. To qualify for SSDI, the Social Security Administration determines whether applicants are unable to do any work because of a medical condition that is expected to last more than one year, or to result in death. Beneficiaries receive monthly payments for as long as they remain in the program. If disabled people live to their full retirement age, they transfer to the Social Security retirement program but their benefits do not change. They also qualify for Medicare benefits after a 2-year waiting period. .Changes are looming for Medicare and Social Security. Make your opinion count. Visit TSCL online at and take our monthly poll. We'll announce the results in upcoming issues of this newsletter. .For nearly 30 million Americans, access to a trauma center is over an hour's drive. It's no exaggeration to say the fate of health care programs for rural America could mean life or death for the communities that feed, fuel, and clothe the rest of the country. .According to an article in The Hill, a Washington, D.C., newspaper that covers legislative matters in Congress, it just might happen. .Nearly 50 years ago, we made a promise to ensure quality, affordable healthcare for all American seniors. In order to protect that promise, we must promote excellence and efficiency in Medicare, while being more fiscally responsible. One of the most important ways we can achieve those critical goals is to fix the broken Medicare physician payment system, which has created uncertainty and instability for seniors, healthcare providers, and the federal budget for decades. Because of the failed physician payment system, there is a looming crisis facing seniors and the doctors who care for them: on January 1, 2013 doctors could be hit with a scheduled reduction in Medicare payments of more than 30 percent. ."We should not allow health insurers to limit how much cost-sharing assistance can help patients at the pharmacy counter," the spokesperson said.