How Much Should You Spend on Vet Care for Your Pets? .Our next issue of interest this week is Surprise Billing. Surprise billing does not affect seniors on Medicare as much as it affects seniors under age 65 who still have health insurance through their employer or who are paying for their own health insurance. Surprise billing usually refers to expensive, unexpected medical bills that patients receive from hospitals and doctors' offices even when they have health insurance that they expect will cover the majority of treatments cost. Congress has been getting an earful from voters who are very upset about this situation and there seemed to be a fair amount of optimism that legislation dealing with surprise billing may be able to pass. If it does, there could be an effort to attach legislation dealing with drug prices to that bill. .Other countries, such as Britain, take a more head-on approach: a national body does a cost-benefit analysis regarding the price at which a new drug is worth being made available to its citizens. Health authorities then use that information to negotiate with a drug maker on price and to develop a national reimbursement plan. .The CBO recently estimated that the two options with the biggest potential for reducing government spending on Medicare in the next ten years include raising the Medicare eligibility age to 67, and increasing the portion of the basic Part B premium that seniors pay from 25% of the cost to 35%. The latter proposal would increase this year's basic monthly Part B premium — currently 4.90 — by about per month. .Alzheimers and some Potentially Good News ."Chaining" the CPI would be a deficit reduction double-hitter. The CPI is used to calculate COLAs, a host of other federal retirement benefits (like military) and federal income tax exemptions, deductions and tax brackets. Thus, switching to a more slowly growing measure would dramatically cut government spending on the annual boosts for Social Security and a host of other federal benefit programs, in addition to quietly raising everyone's taxes. .The extent of probable illegal work related to such reinstatements has also been growing. "With more recent work years and earnings, the percentage of reinstatements to foreign-born persons with work activity prior to SSN issuance is significantly higher—an average of about 32% of such reinstatement occurring between 1986-200Further, in some years, these reinstatements for potentially unauthorized work have been in excess of 50% of all reinstatements to foreign-born recipients," the GAO said.(17) .This has led National Cancer Institute (NCI) Director Ned Sharpless to worry that the trend of patients and physicians postponing essential cancer care will swap the ongoing pandemic for another public health crisis in the form of increased cancer cases and deaths. An NCI analysis estimated, for instance, that pandemic-related delays in breast and colon cancer diagnoses and treatment could lead to 10,000 more deaths over the next decade. "We're very worried about the consequences of … delaying therapy on our patients," Sharpless said. .Congressman Mulvaney also expressed his commitment to reforming the Social Security program during Tuesday's confirmation hearings. He recommended increasing the age of eligibility for Social Security benefits, and in the recent past, he has voted in favor of legislation that would reduce cost-of-living adjustments (COLAs) by adopting the "chained" COLA. According to TSCL's research, "chaining" the Social Security COLA would amount to an across-the-board benefit cut of around 8 percent.