The explosive cost of specialty drugs, that offer major treatment advances for people with life-threatening diseases, is not only threatening access to these treatments, but threatens to drain retirement savings, and leave widows and widowers in poverty after the death of a spouse. Unlike Medicare Advantage plans, and health insurance plans covering working-age adults, Medicare Part D has no annual out-of-pocket maximum to protect people with the highest drug costs. .This doesn't mean you should completely rule out starting widow's benefits. Depending on your finances, you may be able to start a reduced widow's benefit now and later switch to your own retirement benefits after your reach full retirement age or later if it would be higher than what you are entitled to now. If your own retirement would not be higher, then starting survivor's benefits now would lock in a permanently lower benefit. .TSCL is very supportive of the PRIME Act, since we believe that the failure to manage fraud results in higher taxes for all and higher premiums for Medicare beneficiaries. In addition, at a time when many deficit hawks are considering cuts to programs like Medicare and Medicaid, we believe it is critically important to ensure that scarce program dollars are being spent properly. TSCL looks forward to working with the sponsors of the PRIME Act to help build support for it, and we are hopeful that Congress will pass it into law by the end of the 113th Congress. .The situation can be potentially dangerous for Medicare beneficiaries and their families. If you are approached or receive a call by someone offering money, free services, free groceries, free transportation or TVs for your Medicare number, say no. If you suspect fraud, Medicare has an area on its website where you can report fraud. ."Congressional Pay Grows 15 Times Faster Than Social Security Checks" .This week, in elections nation-wide, Republicans in the House and Senate held on to their majorities, and President-elect Donald Trump defied odds to win the White House. .In the weeks ahead, TSCL will keep a close eye on the issue, and we will advocate for solutions that will improve access without jeopardizing online security. For progress updates, visit the Legislative News section of our website or follow us on Twitter. .My sister lives alone at age 7She has no children. I've noticed a growing number of changes in her health over the past two years. She seems to have problems with anxiety, and recently became immobilized with fear of evacuating her home, prior to a severe hurricane. Fortunately she was OK, despite four days without power. Home maintenance tasks are becoming a huge burden for her and I worry about her vulnerability to scams. When should single older people start making plans for moving to assisted living? .TSCL believes the drug problem could explode this year. Citing massive "sequester" budget and staff cuts, federal officials are set to scale back or drop investigations into Medicare and Medicaid fraud and abuse cases. The Department of Health and Human Services may lose a total of 400 staffers and the existing staff is stretched so thin that it was unable to investigate about 1,200 cases of Medicare and Medicaid fraud and abuse last year.