Genetic testing is not routinely used by doctors to screen for cancer. Here's how the scam works— The "target" (that's anyone close to age 65 and up) might receive automated phone calls, often multiple times a week, or may be approached in-person by a "recruiter." The recruiter, who may present herself as a "certified Medicare counselor," convinces the target to take a genetic test promising that Medicare pays the full cost. The patient, however, often never receives a report, or the report may be incomprehensible. .Studies show the vaccines made by Pfizer and Moderna, the only two approved by the U.S. so far, are fully effective at one to two weeks after the second dose, depending on the vaccine; while they prevent disease, it is not clear whether they prevent asymptomatic infection .In addition, you will need a plan to cover the portion of costs that Medicare does not pay which are considerable, either a Medicare supplement (Medigap plan) with a Part D plan for drug coverage or Medicare Advantage plan that includes drug coverage. Spending on Medicare and health insurance premiums comprise the biggest share of healthcare costs, nearly two-thirds of overall senior healthcare spending. .But lower COLAs and changes that would increase seniors' Medicare costs still remain key targets of plans to lower federal spending. Late last year, the budget conference committee responsible for heading off another government shutdown heard deficit reduction options from the Congressional Budget Office (CBO). Among those having the biggest impact on reducing government spending are proposals to increase deductibles and co-insurance for Medicare — cutting federal spending about 4 billion. In addition, moving to using the more slowly-growing chained CPI to determine COLAs would cut government spending by an estimated 8.5 billion on Social Security and other federal benefit programs, like military retirement, through 2023. .TSCL Urges Action on Debt Ceiling .Texas has been hit the hardest by rural hospital closures, with 23 closures since 2013 and as many as 45% of rural and community hospitals operating in the red. By eliminating all private insurance with the single stroke of a pen, Medicare-for-all would force many of our state's already struggling hospitals to be reimbursed at lower rates, further complicating the financial solvency of rural health care providers. .Benefit formula cuts: Change the benefit formula reducing benefits for new retirees with both high and average earnings. .The House passed H.R. 1868 by a vote of 246-175 on March 19, with 29 Republicans voting in favor of the bill. .This week's announcement from SSA came as concerns from the Administration were rising about pending budget proposals before Congress. Lawmakers in the House have proposed more than 0 million less than the requested amount for administrative duties. SSA has said that if their proposal were to take effect, they would be forced to implement immediate furloughs, hiring freezes, and temporary office closures.