Ensure that rebates drug makers now pay to benefit managers and insurers get passed directly to patients when they buy a medication. The White House last year withdrew an earlier version of the proposal, after the Congressional Budget Office estimated it would cost taxpayers 7 billion over 10 years. .The value of my 401(k) fell in March of this year and still hasn't fully recovered. I turned 70 in April. Will I be forced to sell investments at a loss in order to withdraw the required minimum amount? .Medicare alone does not cover all the costs you will have. Most people also get either a Medicare supplement to cover out-of-pocket costs and Part D plan for prescription drugs, or enroll in a Medicare Advantage plan with Part D coverage. .On Tuesday, The Senior Citizens League released new data that shows nearly 80 percent of older Americans believe Medicare should cover dental, vision, and hearing services. Under current law, the Medicare program is prohibited from covering these critical services, and many older Americans living on fixed incomes cannot afford to pay out-of-pocket for costly care and assistive technologies like eyeglasses or hearing aids. .Some deficit cutters contend that the out-of-pocket costs that Medicare beneficiaries pay will have to go up and seniors should pay more for their Medicare benefits. "This survey is powerful testimony to those who hold such beliefs," says TSCL Chairman Larry Hyland. "This survey indicates that they don't understand how much seniors already spend for their healthcare, and how many have already cut back," Hyland adds. "With the majority of seniors depending on Social Security for at least half of their income, and healthcare costs increasing several times faster than benefits, few beneficiaries can afford to pay any more than they already do for their healthcare," he notes. .In May, I introduced bipartisan legislation with Rep. Joe Heck (NV-R). Our plan, the Medicare Physician Payment Innovation Act (H.R.5707), ends the broken physician reimbursement system and replaces it with a new, long-term plan that will treat physicians fairly, improve patient outcomes, and reduce costs in Medicare. It also sets us on a long-term path toward greater quality, value, and fiscal responsibility in Medicare and will save billions for taxpayers over the long run. This bill has been endorsed by the Fleet Reserve Association, American Academy of Family Physicians, American College of Physicians, the American Geriatrics Society, and other leading organizations. .On Tuesday, two Senate Committees – the Budget Committee and the Homeland Security and Governmental Affairs Committee – held confirmation hearings to question Congressman Mick Mulvaney (SC-5), who was nominated by President Trump to serve as Director of the Office of Management and Budget. If confirmed, he would lead the office that develops the administration's federal budget and advises the White House on fiscal matters. .On Thursday, TSCL delivered letters to several congressional offices – including the offices of lawmakers on the House Ways and Means Committee and the Senate Finance Committee – requesting support for three tax-related changes that would strengthen the Social Security program: .Last year the House did pass a Medicare negotiations bill, which would cap out-of-pocket drug costs for older people and expand program benefits as well. But it has had no Republican support in the House, and it has no path forward in the Republican Senate because Senate Majority Leader Mitch McConnell (R-Ky.) has refused to bring it up for a vote. In addition, the White House calls it unworkable.