In his opening statement, Congressman Buddy Carter (GA-1) – the sole pharmacist in Congress – said, "I'm disgusted that we're here today to talk about drug price increases … I know free market principles are the best way to provide quality, affordable health care to the American people. But what was done here was different. Perverse business practices were employed to exploit a patient group trying to do nothing more than to extend their lives … I'll tell you that you can meet your shareholders' needs, that you can meet your board's needs, and still take care of the American public." .In June, the Medicare trustees estimated that Part B premiums will rise only .50 in 2019, from 4 to 5.50. However, according to a recent survey conducted by The Senior Citizens League, roughly 25 percent of all Medicare beneficiaries are currently paying less than 4 per month due to a special "hold harmless" provision of law. Their Part B premium hikes will be much larger than .50, offsetting a larger portion of the 2019 COLA. .Since you are still working and still under your full retirement age, you might consider reporting your estimated income to Social Security for 2019, and possibly for the months prior to turning your full retirement age next year. However, that would mean that your Social Security benefits would be withheld for even more months, and you might not receive any Social Security benefits at all in 201At the end of the year, you would have to notify Social Security of what you actually earned for 2019, and the calculation would be revised. If too much was withheld, you would get a refund. If not enough was withheld, you would have to pay the difference. Once you turn your full retirement age then, you will be able to earn as much as you want, and not be subject to Social Security earnings restriction rules for new earnings after turning age 66. .Susan's son Andrew requires an expensive anti-convulsive medication, Depakote Sprinkles. None of his Part D plan choices covers the brand drug — which can cost ,099 a year retail — only the generic version. But for Andrew, the generic doesn't work, and he has suffered seizures while using it. Susan learned, however, from Advisor editor Mary Johnson, that because Andrew receives Medicare Extra Help, his doctor can ask his drug plan for a coverage exception. Since starting Medicare, Andrew has received coverage for Depakote in each of his Part D plan choices. .A powerful Congressional deficit reduction "super committee" is working on a plan, due by Thanksgiving, to lower the federal deficit by at least .2 trillion. "TSCL is deeply concerned that a change to a more slowly-growing 'chained' consumer price index (CPI) which is used to calculate the annual COLA boost may be part of the plan," says Larry Hyland, Chairman of TSCL. The proposal to switch to the chained CPI was given serious consideration in the closed-door debt limit meetings by Congressional leaders and President Obama earlier this summer. Switching to the chained COLA was proposed by two prominent deficit reduction commissions and has received support from both Republicans and Democrats. .The federal government negotiates prescription drug prices for Medicaid and for veterans, but it is not allowed to negotiate lower prices for Medicare beneficiaries. Do you support that policy? .TSCL strongly supports quick passage of the urgently needed legislation to stop the cuts. .The good news is that both issues tend to be non-partisan. However, the bad news is that both cost a considerable amount of money, which means more federal spending. That's why the bills we support that would fix those issues have been tied up in committee for so long and have not been able to move through either the House or Senate. .One-out-of-three adults covered by Medicare is not getting regular routine dental care, according to TSCL's 2019 Senior Survey. We estimate that translates to roughly 20 million older Americans who are going without bi-annual cleanings, X-rays, and dental exams. Medicare does not cover routine dental health services, and that often comes as a shock to new beneficiaries. More than half of survey participants say they do not have any dental insurance coverage.