The sharp drop in benefits was unexpectedly steep and unduly harsh for those born from 1917 through 192According to economist Haldi, the decline in average benefit payments "was a highly unusual phenomenon, because benefits normally would be expected to increase slightly from one year to the next for people similarly situated. (7)" .One of TSCL's goals this year was to end "surprise billing" – the situation that happens when some types of medical providers, including anesthesiologists, radiologists, pathologists, and labs may not be contracted with your health insurer even though they provide services at a hospital or facility that is in your health plan's provider network. So, in addition to your expected out-of-pocket costs, you also get a bill for the difference between what your insurer has agreed to pay that provider and the amount the provider billed for their services. .Because the economic fluctuations were highly unusual and unforeseen, logic dictates that Congress could not have intended the benefits that Notch Babies actually received. The disparities in benefits under the actual conditions of double-digit inflation are illustrated in the following chart, which was not developed until 199Even if Congress had developed this chart in 1977, however, they would have seen benefit differences of only 10%-14% shown on the left-hand side of the chart. Instead, the effects of inflation are reflected by benefit differences of 13% to 30% shown on the right. In effect, the actual benefit reductions for many retirees were more than double what original projections would have been at the time. .When there's a COLA as low as 1.3%, a provision of law known as "hold harmless" ensures that an individual's net Social Security benefit will not decrease from December of one year to January of the next, because of an increase in the Part B premium. That's an important protection, but it doesn't go far enough. .TSCL is particularly concerned about adding significant new long-term permanent costs to Social Security and Medicare by providing temporary work authorization to millions of people who worked illegally prior to gaining authorization. The high degree of uncertainty about the potential future costs was made evident months before Obama ever announced the executive action in November of last year. .However, right now there is no guarantee Republicans would do that, and instead, it is probable they would blame the Medicare cuts on the Democrats. .First, one new cosponsor – Senator Dianne Feinstein (CA) – signed on to the Patient Right to Know Act (S. 2554), bringing the total up to seven. If adopted, this bipartisan bill would ensure that pharmacists are never prohibited from telling patients when their prescriptions would be cheaper out-of-pocket than through their insurance coverage. .During his campaign for President, and several times since, he has promised that he would protect Social Security and Medicare. Yet a payroll tax cut would result in untold damage to the stability of both programs and bring them dangerously close to insolvency. .It remains to be seen if Congress will go along with this plan.