Usually, your doctor's order is necessary. Before you need emergency care, put a plan into place, including someone to help take care of you should you become seriously ill. Often, doctors will order observation care when you are too sick to safely go home from the emergency room. Although this can still occur even with the best-laid plan, you may be able to reduce the length of an observation stay if you have someone who will take care of you once you are released. If you learn that your patient status was changed after your admission as an inpatient you have a right to appeal decisions about healthcare payment, coverage of services and prescription drug coverage. .Obamacare is not the first government program in which major implementation glitches had disastrous consequences for large numbers of beneficiaries. In 1977 changes that Congress made to the Social Security benefit formula created a major inequity in benefits that cost retirees tens of thousands of dollars in Social Security benefits over their lifetimes. The seniors affected are among the oldest and most vulnerable today. Born during 1917 through 1926, and known as "Notch Babies," they received substantially lower benefits than other seniors close to them in age with almost identical work and earnings records. The name refers to the plunging "V" notch when benefits of Notch Babies are charted on a graph. .Now I say neglect, because it's been 38 years since Congress has done anything to strengthen Social Security and 50 year since we have improved its benefits. .There was also a bipartisan proposal from Sens. Chuck Grassley (R-Iowa) and Ron Wyden (D-Ore.) that gained support in the Senate but it did not include price negotiation, and again, McConnell refused to bring the bill to the floor in an election year. .However, if you live in a group setting (like a correctional or detention facility or group home) and are around someone who has COVID-19, you should still stay away from others for 14 days and get tested, even if you do not have symptoms. .Under current law, employers withhold 6.2% in Social Security taxes from workers' earnings — an amount that employers match for a total of 12.4%. That money goes to the U.S. Treasury and is used to pay benefits to today's retirees. About 85 percent of all employees, pay Social Security taxes on every dollar earned. .This week, lawmakers returned to Washington and quickly began working on legislation to stave off a government shutdown, which could occur on December 11th if Congress fails to reach a compromise. In addition, The Senior Citizens League saw two key bills gain support. .TSCL Gears Up For Busy New Year .We reported earlier this year that President Trump issued executive orders to lower prescription drug prices under Medicare by linking them to rates paid in other countries and allowing Americans to buy medication imported from Canada.