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. .In 2017, the COLA was almost zero again, just 0.3%. The Medicare Part B premium rose to 4 for people not protected by hold harmless. Again the Part B premium of Barbara and the majority of Social Security recipients was adjusted. Barbara's monthly Medicare premium was adjusted to 8, taking every penny of her tiny COLA boost. .TSCL believes all three of these bills go a long way in ensuring the retirement security seniors have earned and deserve. In addition to strengthening benefits, each one would include measures to increase the solvency of the Social Security program responsibly, for 40 years or more into the future. We look forward to working with Rep. DeFazio, Rep. Larson, and Sen. Sanders in the months ahead to help build support for their important legislation. .In his opening statement, Congressman Buddy Carter (GA-1) – the sole pharmacist in Congress – said, "I'm disgusted that we're here today to talk about drug price increases … I know free market principles are the best way to provide quality, affordable health care to the American people. But what was done here was different. Perverse business practices were employed to exploit a patient group trying to do nothing more than to extend their lives … I'll tell you that you can meet your shareholders' needs, that you can meet your board's needs, and still take care of the American public." .The Medicare Part D "doughnut hole" – the gap in coverage that occurs when beneficiaries reach their initial annual payment limit – is costing many older Americans thousands of dollars per year. Not all beneficiaries hit the limit each year, but in a recent survey of TSCL's members and supporters, we learned that 28%, more than one-in-four respondents, fell into the doughnut hole in 2015. .Will Our New Congress Pass a Benefit Boost? .Medicare first began offering beneficiaries the chance to enroll in private Medicare HMOs' in the mid 1980's. That program was absorbed and expanded under the 1997 Balanced Budget Act, creating Medicare+Choice. To cut federal spending on Medicare, the Balanced Budget Act set payments to the private plans at 5% below the fee-for-service rates of traditional Medicare. But by 1999, Medicare+Choice plans were not renewing their contracts with Medicare and there was a widespread exodus, leaving more than 2 million seniors scrambling to find other coverage. .72% support applying the Social Security payroll tax to all earnings (instead of capping the amount of wages to be taxed at 2,800), a move that would reduce Social Security's long - term deficit by as much as 73%. .Given the above story about how Medicare users pay so much more for drugs than Medicaid users, could this be the year we finally win?