This study illustrates why legislation is needed to provide a more fair and adequate COLA. To put it in perspective, for every 0 worth of groceries a retiree could afford in 2000, that individual can only buy worth today. .Under the rule he's considering formally proposing, Trump would order reimbursement for certain Part B drugs to be tied to what's known as the International Price Index. That would mean a price cut for many medicines, since the prices drug makers charge outside the U.S. are often set by government-run health-care systems and are generally lower. Medicare doesn't use its position as a big buyer of drugs to bargain for lower prices. ."For the third year in a row, millions of older Americans will once again see no increase in their net operating Social Security payments, particularly if Medicare Part B premiums remain 4 per month in 2018, as currently forecast by the Medicare Trustees," says TSCL's Social Security and Medicare Policy Analyst, Mary Johnson. "The problem is that a substantial portion of beneficiaries currently are paying a Part B premium that is about less than that now," Johnson says. .Sadly, Washington is feeding Americans misinformation about Medicare and how we are trying to save the program. No one in Washington wants to see our seniors suffer. But the truth is undeniable: If we don't address this now, together, Medicare really will end. If anyone else tells you differently they are not facing reality. We must take steps — even small steps — to address this. That's what this Resolution does: it forces us to consider two steps toward common ground. .However, MA insurers have already begun taking steps to reduce their costs in order to account for the cuts from CMS. As was noted in last week's legislative update, UnitedHealth – one of the largest MA plan providers – has dropped thousands of doctors from its networks, leaving many seniors doctor-less. It expects its physician network to be 85 percent of its pre-Obamacare size by the end of this year. TSCL is concerned that additional cuts to MA in 2015 will harm beneficiaries in other ways, by driving up premiums and reducing benefits. . Paula chose to take the employer-provided Medicare supplement, dental and vision coverage at 6 per month, but "opted out" of the expensive Part D. Instead we found more reasonably priced drug coverage at .90 per month, and covering the prescriptions she currently took with no deductible, using the Medicare Drug Plan Finder at www.medicare.gov. .Our surveys are the key means to educate the public on issues, and for Members of Congress, to gauge how people think. Survey results can turn up the heat during an election year. This month, TSCL launches our annual 2020 Senior Survey, and we urge you to participate. This is our most important survey of the year, and your responses count. .The age at which you should start Medicare Part B is still 6Failure to enroll on time can expose you to permanent delayed enrollment penalties, not only for Medicare Part B (doctors and outpatient services) but also for Part D (prescription drug coverage). These penalties which can add 10% - 12% per year respectively to your Part B and Part D premiums for every year you miss enrollment deadlines, for the rest of the time you have Medicare. .In addition, twelve new cosponsors signed on to the Medicare Prescription Drug Price Negotiation Act (H.R. 242) this week, bringing the total up to twenty-nine. The new cosponsors are: Representatives Zoe Lofgren (CA-19), Thomas Suozzi (NY-3), John Sarbanes (MD-3), Peter DeFazio (OR-4), Chellie Pingree (ME-1), Brad Sherman (CA-30), Peter Visclosky (IN-1), Earl Blumenauer (OR-3), Tulsi Gabbard (HI-2), Jared Huffman (CA-2), Dave Loebsack (IA-2), and Jamie Raskin (MD-8).