Social Security runs two disability programs – each with separate sources of funding. SSDI provides income to under age 65 adults that is calculated from their own work covered by FICA taxes. Their benefits are paid from the SSDI Fund. The Supplemental Security Income program (SSI) also pays disability benefits, but it's for low-income people without enough of work history to qualify for SSDI. Benefits are funded through both federal (and some state) revenues, and it's means tested like welfare. ."'We find no indication that these reductions in demand affect only ‘low-value' drugs; on the contrary, those at the highest risk of heart attack and stroke, who would benefit the most from statins and antihypertensives, cut back more on these drugs than lower-risk patients.'" .In many years when inflation is at more typical levels, only a small number of beneficiaries, those with the lowest benefits, are affected by the hold harmless provision. The reduced Part B premiums that they receive has minimal impact on Part B financing.[6] But in years when there is an exceptionally low COLA, the hold harmless provision is triggered more widely, and this leads to much more challenging financial impacts for both beneficiaries and for Medicare Part B funding. .Estimating that this new rule would save approximately million over five years, CMS proposes to require Medicare Advantage and prescription drug plans to "involuntarily dis-enroll" people who are in the country illegally, something that may prove difficult for private plans to substantiate. .We could, alternatively, allow Medicare to negotiate drug prices — a proposal that has been raised by politicians and beaten back by industry again and again. We would then need to restrict markup for a COVID-19 vaccine for the private market. Otherwise, we would get the kinds of results emerging from the COVID testing industry, where Medicare pays 0 for the test but some labs charge insurers over ,000. .A retirement coach might be helpful, but the fees can be pricey. A retirement coach differs from financial advisors by helping clients with nonfinancial social issues you need to consider in retirement. These include finding the right type of housing, figuring out Social Security and Medicare benefits, transitioning into second careers or volunteer work, and staying engaged with others in the community. A retirement coach will help you think through what you want and help you develop plans to attain those goals. A coach can also advise clients on managing aging parents or younger family members and provide help for maintaining a healthy state of mind. .Until we know more about those questions, everyone — even people who've had their vaccines — should continue taking basic prevention steps when recommended. .Members of the committee questioned several witnesses at Thursday's hearing, including Dr. Janet Woodcock (Director at the Center for Drug Evaluation and Research at the Food and Drug Administration), Nancy Retzlaff (Chief Commercial Officer of Turing Pharmaceuticals), and Martin Shkreli (founder and former Chief Executive Officer of Turing Pharmaceuticals). .The subcommittee's bill would repeal the formula and replace it with an enhanced fee-for-service system, while also allowing doctors to opt-out and participate in alternative payment models that emphasize quality. The bill was overwhelmingly approved by a voice vote on Tuesday, but much work remains to be done. Lawmakers have not yet determined how they will offset the full cost of the bill, although it does currently include funding for some provisions by authorizing transfers from the Medicare Part B Trust Fund.