However, you don't need to read the 265-page report to understand why Medicare is going broke. Last year, Medicare spent 3 billion, but only took in 6 billion—leaving a billion deficit in just one year. With 10,000 new individuals becoming eligible each day, it's only going to get worse. .According to the report, CMS has not expanded the recovery audit program to Medicare Advantage by the end of 2010 as was required by the Patient Protection Act. Recovery audits have been used for years in other Medicare programs to recover improper payments. TSCL believes Congress must provide stronger oversight to ensure that scarce Medicare dollars are spent appropriately and to prevent private insurers from boosting profits by gauging both taxpayers and older Americans. .Individuals at full retirement age (66 in 2017) who retire with an average monthly benefit of ,300 would receive about 0,000 over a 25-year retirement assuming a 2.2% cost-of-living adjustment. Since you were born in 1955, your full retirement age is 66 + 2 months. But even people who retire at full retirement age are leaving money on the table when starting benefits prior to reaching age 70. Waiting until age 70 allows benefits to grow 8% per year. .Using statistical data from the Social Security Administration, TSCL estimates about 88 percent of Social Security beneficiaries have received benefits during the 2009 – 2015 period and have been impacted the hardest. "With 64 percent of older Americans depending on Social Security for over half of their income, going without a COLA is a loss of income that most beneficiaries simply can't be expected to bear," Cates says. Spiking medical costs are causing retirees to go into debt, and run through their savings," he adds. .Changes in U.S. immigration polices impact the finances of Social Security and Medicare. Policies that expand legal immigration would result in new payroll tax revenues from immigrant workers flowing into Social Security and Medicare, strengthening program finances. On the other hand, policies that provide new work authorization to immigrants who are already working in this country illegally would provide new access to Social Security and Medicare benefits that could be based, at least in part, on earnings worked under invalid or fraudulent Social Security numbers. .It eliminated the Independent Payment Advisory Board (IPAB). This fifteen-member board of unelected officials was created by the Affordable Care Act in 2010 to keep Medicare spending down when it exceeded a certain level. While that level was never surpassed and no members were ever appointed to the board, TSCL felt that it could have threatened access to quality medical care for Medicare beneficiaries since it had the power to cut payments to doctors and limit networks of providers. TSCL has advocated for bipartisan legislation for years that would have eliminated the IPAB, and we were pleased that the Bipartisan Budget Act did just that. .TSCL will continue to keep the pressure up on Congress to get this problem solved as soon as possible. .Since 2000, cost-of-living-adjustments (COLAs) increased Social Security benefits a total of just 43 percent. Meanwhile typical senior expenses have jumped 86 percent, according to TSCL's 2017 Loss of Buying Power Study. The following table illustrates ten of the fastest growing costs since 2000. .The Social Security Expansion Act (H.R. 1114) gained one new cosponsor in Congressman Donald Payne (NJ-10), bringing the new cosponsor total up to thirty-one. If signed into law, H.R. 1114 would enhance Social Security benefits by basing COLAs on the CPI-E, increasing monthly checks by around per month, improving the Special Minimum Benefit, applying the payroll tax to income above 0,000, and applying a 6.2% tax on investment income for wealthy individuals.