Medicare's therapy cap on rehabilitation services, such as physical, occupational and speech therapy, has a long and sordid history in Washington D.C. The therapy cap sought to keep the Medicare budget under control but often hurt patients who need care after traumatic medical events. In practice, this cap limits access to Medicare - covered rehabilitation services. Patients are faced with either footing the bill for additional expensive care out of their own pocket or purchasing additional supplementary coverage if they can afford it. .Proposals to reform Medicare have been floating around the halls of Congress since 2010, but none have been as radical or risky as one recently released by four prominent Senators. In an attempt to curb Medicare spending, the group came up with a plan that would phase out Medicare completely, and it would do so at the expense of current enrollees, beginning as early as 201The proposal, introduced by Senators Rand Paul (KY), Mike Lee (UT), Lindsey Graham (SC), and Jim DeMint (SC), would transition beneficiaries into the Federal Employees Health Benefits Program – the same health program available to Members of Congress. .TSCL is encouraged by the President's comments on drug prices, and we urge the administration to do everything in its power to bring down costs for consumers in the months ahead. In the meantime, our legislative team will continue to advocate for legislation like the Improving Access to Affordable Prescription Drugs Act (S. 771, H.R. 1776), which would take comprehensive steps to lower costs for Medicare Part D beneficiaries. .House Democrats did not pre-negotiate terms with the GOP-Senate or the White House, so it is unlikely that the bill, called the Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act will become law in its present form. Senate Majority Leader Mitch McConnell (R- Ky.) has already pronounced the bill dead. But most observers believe it is the opening bid on the part of the House leaders to begin a process that will eventually lead to a fifth virus-related relief bill. .The Senior Citizens League believes Congress can prevent the triggering of the Social Security hold harmless provision and eliminate spiking Medicare premiums entirely by providing an adequate COLA. This includes providing an emergency COLA or boost for 2021. .Here's how this scam works: Crooks target low-income Medicare beneficiaries to persuade them to participate. Your brother-in law may have been asked, or even coerced, into "selling" his Medicare card number and signing weekly or monthly papers to verify that home healthcare services were rendered (even if they weren't.) In exchange, he may have received the TV as a one-time payment. .Let's consider what the I.O.U.s held by Social Security represent. The I.O.U.s are bookkeeping entries, a lot like entries in checking accounts, but are not represented by real cash sitting in a strong box anywhere. The U.S Treasury collects Social Security payroll taxes from employers. In turn, the U.S. Treasury issues I.O.U.s to the Social Security trust fund. In the meantime, those payroll taxes are immediately used for other federal budget operations. When more payroll taxes were collected than needed to pay benefits, that reduced the amount of borrowing from the public that was needed for the general revenues, and lowered taxes. Now, however, the situation has reversed, and the Treasury must increase borrowing from the public to redeem the I.O.U.s held by the trust fund in order to pay benefits. Increased borrowing, and the cost of interest on the debt, further drives up our federal spending. According to many economists, that can weaken our economy, and our nation's ability to respond to a crisis. .The Senior Citizens League (TSCL) urges its members and supporters to make the most of the August recess by attending town hall meetings. For more information, or to see if your Members of Congress will be holding town halls in the coming days, call their local offices. .According to a report in BGov News, "… younger seniors have shown a greater appetite for vaccines than their older peers. Initially, the opposite was true, as governments sent inoculation teams into nursing homes and assisted-living facilities. Recently, the numbers have flipped, adding support to the idea that some elderly residents -- especially those outside structured-living arrangements -- are simply having trouble navigating the system."