But if mature workers are not working and earning, they can't make critical life investments in themselves, their families, and their futures. .2017 Loss of Buying Power Report .In particular, the expert witnesses at last week's hearing focused on isolation from the community, Medicare penalties for late enrollment, and a lack of funding for State Health Insurance Assistance Programs (SHIPs), which help older Americans navigate Medicare enrollment. .TSCL believes that Congress should strengthen Social Security's protections by enacting legislation to prohibit the use of unauthorized earnings from being counted toward eligibility for Social Security benefits, "a change that should be made regardless of the outcome of the Supreme Court decision or whether Congress moves on immigration or Social Security reform," Cates says. .How much would chaining the COLA cost you? Use TSCL's new Chained COLA Cut Calculator to calculate your loss. .Cutting the annual cost-of-living adjustment (COLA) by switching to a more slowly rising measure of inflation – the "chained" Consumer Price Index (CPI) – is currently one of the most popular deficit reduction proposals on the table. Backed by lawmakers on both sides of the aisle – including President Obama – proponents are calling it a small "technical correction." But "chaining" the COLA would compound over the course of a retirement and, after ten years, it would amount to an per month benefit cut for the average retired married couple – an amount that most seniors simply cannot afford to lose. .The four stated that their proposal – The Congressional Health Care for Seniors Act – would "provide Medicare patients with the best healthcare in America," and that it would "forever protect seniors' interests by aligning them with self-interested politicians." But the plan is risky for two key reasons. First, it would eliminate Medicare completely, and second, it would do so beginning in 2014, affecting even current beneficiaries. Other proposals, including the plan released by House Budget Chair Paul Ryan (WI-1) in his fiscal 2013 budget, would offer traditional fee-for-service Medicare as an option to seniors, and would delay implementation to protect current enrollees from any drastic or sudden changes. In addition to phasing out traditional Medicare, The Congressional Health Care for Seniors Act would gradually increase the eligibility age to seventy, and it would increase means-testing measures so that wealthier seniors would pay a greater percentage of their healthcare costs. .The number of observation patients has exploded 88 percent over the past six years, according to the Medicare Payment Advisory Commission. Medicare has tightened rules for hospital admissions, and usually won't pay for admitted patients who should have been designated as observation status. Consequently, hospitals have increased their share of observation patients. But the rule is not the same for people's private insurance like Medicare Advantage. Most Medicare Advantage plans don't require their enrollees to have a three-day hospital admission in order to receive nursing home coverage, according to an analysis by Avalere Health research firm. .According to the Congressional Research Service (CRS), for an age 65 retiree with average wages, a maximum benefit disparity of 10% would have arisen between the highest benefit under the old rules and the lowest benefit under the new rules if the 1977 assumptions had materialized. Under the economic conditions that actually arose, the disparity was 25%-two and one half times greater.