TSCL believes that the combined effect of COLA cuts and higher Medicare costs would leave the majority seniors far less able to afford necessities in coming years. Today the average monthly Social Security benefit is just ,150 before deductions for Medicare premiums. The average family income of married couples 65 and over including Social Security is just ,718. .Sources: "How Much ‘Skin In The Game' Is Enough?", Kaiser Family Foundations, June 201"Measuring Price Change For Medical Care In The CPI," Bureau of Labor Statistics, accessed March 3, 2012. .The age at which you stop working. .As the Representative for Indiana's Seventh Congressional District, I have had the opportunity to meet and talk with many seniors during my Medicare forums. These seniors have uniformly shared concern that they will bear the lion's share of the burden of Congress' failure to come to a constructive resolution on our nation's debt. As cuts to Medicare and Social Security have been put on the table, seniors are wondering whether their health or their standard of living is in jeopardy. In this difficult economic climate, we must ensure that changes to either of these programs do not deprive seniors of the ability to fend for themselves. .Should Social Security benefits be adjusted annually using a locality – based payment rate? Some of you, particularly those of you who are retired federal employees know far more about locality - based pay adjustments than I do. I hope you folks can set us straight on a new legislative proposal that would use locality- based pay adjustment rates to adjust Social Security benefits. My quest­ion to you — is this a good idea? Why or why not? .On Wednesday, the Senate Finance Committee held a hearing to discuss improvements to the Medicare payment system. Currently, reimbursements are determined by the SGR, a flawed formula that regularly calls for steep pay cuts to physicians and threatens seniors' access to medical care. Lawmakers on both sides of the aisle have expressed a strong interest in repealing and replacing the formula in the coming months. .Of the more than 1,200 people who participated, 766 sent in comments. Most described their personal challenges in meeting their healthcare expenses. In what may be a sign of the times, a surprising number indicated they are working far longer than they ever thought they would, even into their late 70's and 80's, because they don't have enough to live on after paying their healthcare costs. Even seniors who do have good Medicare supplemental and drug coverage described how they keep costs in check by asking their doctor to prescribe generics, filling prescriptions for 90 days, splitting pills, and sticking to preferred pharmacies. .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. .Make a list of contact information for family members, close friends, health providers or anyone who calls regularly so you know the call is legitimate.