In response to the proposed changes, House Minority Leader Nancy Pelosi (CA-12) said, "With their latest budget proposal, House Republicans have made their values very clear: strengthen the special interests, abandon seniors and hard-working families." TSCL agrees that adopting a premium-support model for the Medicare program would be a step in the wrong direction, and we oppose the Budget Committee's efforts to include it in next year's resolution. In the weeks and months ahead, we will continue to advocate against plans to privatize the Medicare program. .According to MedPAC, the Medicare fee schedule undervalues the important services that primary care physicians provide. This creates disparities in compensation between the primary care and specialty fields, and it deters medical students from choosing to enter primary care. To address the issue, MedPAC recommended an extension of a primary care bonus program that is set to expire in the near future. However, instead of offering bonus payments for each service that is provided, the Commission suggested that physicians be rewarded on a per beneficiary basis, which will help the Medicare program improve the coordination of care. .On Monday, President Obama released his .8 trillion budget request for fiscal 2013, calling it "a blueprint for how we can rebuild an economy where hard work pays off and responsibility is rewarded." While the proposal leaves Social Security as is, many Medicare beneficiaries – especially those considered "high earners" – would see major changes. .According to a recent TSCL poll, seventy-seven percent said they do not agree with the new "deferred action" immigration policy. TSCL supports the "No Social Security for Illegal Immigrants Act" (H.R. 787) introduced by Representative Dana Rohrabacher (CA-46), which would ban the use of earnings for jobs worked while illegal to determine entitlement. ."This year is particularly difficult to forecast with certainty," Johnson says. "The inflation patterns, caused in large part due to the COVID-19 pandemic, were unprecedented in my experience," she says. .The Social Security Administration calculates benefit withholdings based on the amount you report that you will earn for the year, and then will withhold all benefit payments for a certain period of months to cover excess earnings. For example, say you received a Social Security benefit payment of 0 per month in 2007 (,800 for the year). Let's say that during 2007 you worked and earned ,450 or ,490 over the earnings limit (,450 - ,960). Social Security would withhold ,745 in benefit payments covering slightly more than 6 months of your payments. .The federal government could, for example, invoke a never-before-used power called "march-in rights," through which it can override a patent holder's rights if it doesn't make its medicines "available to the public on reasonable terms." (Unfortunately, in already-signed agreements with BARDA, some drug makers have explicitly watered down or eliminated that proviso.) .Here's how the coverage gap works. Once individuals and their Medicare Part D plans spend the initial coverage amount (,310 in 2016) on covered prescription drugs in a calendar year, beneficiaries hit the doughnut hole. Once in the doughnut hole, coinsurance on covered drugs is not only higher, one must also pay a substantial amount out-of-pocket to reach the limit for catastrophic coverage. For brand-name drugs in the coverage gap, individuals are responsible for 45% of the cost, and for generic drugs, they're responsible for 58%. Once out-of-pocket costs for those in the doughnut hole total ,850, catastrophic drug coverage takes effect, and Part D plans pay 95% of prescription drug costs until the calendar year ends. .TSCL surveys over the past decade have indicated that the vast majority of older adults are overwhelmingly opposed to the government policy of allowing credit toward Social Security benefits for work under invalid and fraudulent Social Security numbers. A large number of the comments we receive are focused on the belief that immigrants are benefiting at the expense of U.S. citizens. Many older voters perceive unauthorized immigrants as benefiting from Medicaid, tax refunds for children, food stamps, and that children of unauthorized immigrants are swelling the enrollment of public schools. Meanwhile, the same voters are watching in disgust as lawmakers make surprise Social Security cuts, and battle down to the last minute over the question of whether to repay revenues borrowed from the Social Security and Medicare Trust Funds.