"The Medicare Trustees already estimate that Medicare Part B and Part D premiums and out-of-pocket costs take about 27 percent of average Social Security benefits," states TSCL Chairman, Larry Hyland. "And that understates actual costs because it doesn't include what people pay for their supplements or Medicare Advantage plans," he notes. "These proposals simply shift a greater portion and more risk to seniors, making Medicare even less affordable for low- and middle-income beneficiaries," Hyland says. "We urge seniors to contact their lawmakers in Congress and let them know what you think of these ideas to cut the deficit," he adds. TSCL lobbies to keep Medicare affordable and protect seniors from cuts to Social Security benefits and reductions to the COLA. In addition TSCL supports legislation to provide a more fair and adequate COLA. .The Senior Citizens League believes that expanding "means testing" to Part D and freezing the income levels through 2019 is a backdoor benefit cut that will eventually affect even middle-income seniors. The chief reason is that as the economy grows over the next decade, the frozen income thresholds will not increase in-kind, subjecting many more seniors to the "means test." The Senior Citizens League estimates that given different inflation scenarios, individual seniors who made between ,000 and ,000 in 2010 could be subjected to the "means test" in 2019, because of the frozen income thresholds. In addition, if the income thresholds for the "means test" had been allowed to increase, (the case before the PPACA was signed into law), we estimate that they would have increased to an amount between 0,500 to 1,800 in 2019. .Now the Centers for Medicare & Medicaid Services (CMS) has told hospitals they can't hide their prices from web searches. .While Part D and Medicare Advantage have proven popular with seniors, nobody is lining up at the doors during the fall Open Enrollment to shop for and compare plans. The vast majority of beneficiaries, more than 80% according to TSCL Senior Surveys, don't compare their Part D or Medicare Advantage plan, and consequently don't reap any savings from competition between plans. If Congress were to convert all of Medicare to premium support in the future, the devil will be in the funding details — finding the balance between saving the federal government money while still keeping the program affordable for beneficiaries. And so far premium support hasn't been any magic bullet for reducing federal spending on Medicare. .Out-of-pocket spending on prescription drugs was the fastest rising expense of retirees from 2000 to 2019, according to a recent study of retiree costs by TSCL. While the annual cost-of-living adjustment (COLA) increased Social Security benefits by 50 percent over the period, out-of-pocket spending on prescription drugs rose more than five times faster — 253%. .Two weeks after President Trump signed an executive order "Lowering Drug Prices by Putting America First," the White House still has not released the text of the order. The unorthodox move is apparently a leverage play, an attempt to squeeze drug companies into offering concessions. .There is no simple, direct mechanism for regulators or legislators to control pricing. Our laws, in fact, favor business: Medicare is not allowed to engage in price negotiations for medicines covered by its Part D drug plan. The Food and Drug Administration, which will have to approve the manufacturer's vaccine for use as "safe and effective," is not allowed to consider proposed cost. The panels that recommend approval of new drugs generally have no idea how they will be priced. .Social Security Loss of Buying Power report including study methodology available for download. Loss of Buying Power Report. .Regrettably, this uncertainty persists during the on-going deficit reduction discussions. Those who received services paid for by Medicare will not be affected by the automatic budget cuts due to the failure of the Joint Select Committee on Deficit Reduction to reach a compromise. Nevertheless, I am concerned that providers are not also shielded from those cuts. That is why I am co-sponsoring H.R. 3519, legislation to protect Medicare providers from the 2 percent cuts that were part of the Budget Control Act of 2011.