Pressure politicians. "Candidates who don't take a stand on Social Security in this important election year choose to put the program's strength at risk in the long-term," AARP CEO Jo Ann Jenkins said in a statement. "Though people of all ages rely on it, its importance to older Americans — already under tremendous pressure from wage stagnation and shrinking pensions — is only likely to grow." .Cutting the payroll tax permanently, which President Trump said he would seek to do if he is re-elected, would bring insolvency even closer and make the whole situation so much worse. .Critics of mandatory arbitration say the agreements stack the deck against long term care residents and consumers. Unlike civil suits which go to court, arbitration is private, and there's no judge or jury. There are no rules of evidence that arbitrators have to follow under the law, and there's no oversight. Critics also contend that consumers are less likely to win their cases in private arbitration and, if they do win, they tend to get much less money than they would in court. .During the Great Recession and immediately afterwards, mature workers got a raw deal; it's time for Congress to give them a Better Deal. .The state of Virginia, however, offers retirees a chance to retain certain parts of coverage but "opt out" of others. If Paula "opted out" of Part D drug coverage, for example, and took medical, dental, and vision coverage alone, she would pay 6 per month. The portion of the premium for the drug coverage through the state of Virginia was a whopping 4 per month. .Call your plan's mail-order service and compare the prescription costs, including any shipping. Often you can get a three-month supply of your prescription by mail for less money than you would pay for a one-or two-month supply purchased at a standard retail pharmacy, and pay nothing for shipping. But using mail order requires advance planning on your part because you need to allow up to two weeks for delivery. .Finally, two new cosponsors signed on to the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (H.R. 2305) this week, bringing the total up to sixty-five. The new cosponsors are Reps. Tom Cotton (AR-4) and Matt Cartwright (PA-17). If signed into law, the PRIME Act would take a number of steps to comprehensively prevent fraud, waste, and abuse within Medicare and Medicaid – a problem that TSCL believes must be addressed in order to ensure that scarce program dollars are being spent properly. .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. .Francis Collins, the head of the National Institutes of Health, has said the government has some intellectual property rights. Moderna seems to dispute that view, saying it is "not aware of any I.P. that would prevent us from commercializing" a COVID-19 vaccine.