"The best laid schemes of mice and men oft go awry." That was authored by 18th century poet Robert Burns, and served as the inspiration for the title of John Steinbeck's book, Of Mice and Men, but aptly describes the economic situation facing today's seniors. .Shoring up the Medicare Part A Trust Fund will be more difficult. Simply cutting payments to hospitals would not be in the best interests of patients or hospitals, because many medical centers are already faltering financially. .Apply for Extra Help. Extra Help is the Medicare program for low-income seniors that can help with most or all of the cost of your drug plan premium, deductibles and co-pays. You also get valuable coverage in the Part D coverage gap. If you qualify, you would pay between $ for each drug. Apply even if you aren't sure, because the income requirements are not as stringent as those for State Pharmacy assistance programs. .A government shutdown occurs when Congress fails to pass the appropriations bills that allow agencies to operate. As a result, federal workers and government contractors temporarily don't get paid until after the shutdown has ended. But hitting the debt limit would have far more reaching effects. The debt limit is the legal limit on the total amount of debt the federal government may take on. That limit is especially important to older Americans because the federal government has used trillions in excess payroll tax revenues from the Social Security and Medicare Trust Funds in the past, and now must borrow in order to pay Social Security and Medicare benefits in full and on time. .The Social Security report projected the combined reserves of the Old Age, Survivor and Disability trust funds would be depleted in 2035, resulting in across-the-board benefit cuts of about 21% unless Congress stepped in before then. .According to consumer price index data through August, ten of the biggest price jumps for Social Security recipients over the past 12 months are illustrated in the following chart: .The fundamental fact is that two-thirds of Americans over the age of 65 depend on an average annual Social Security benefit of ,400 for at least half of their income. Yet little consideration has been given so far to the fact that earned income in excess of 3,700 is entirely exempt for the 6.2 percent payroll tax that funds Social Security benefits. TSCL believes that by raising the maximum wage ceiling Congress could significantly reduce the financial crisis facing the system, without causing financial hardship. .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. .I spent the better part of last year trying to determine the cause of, and best treatment for, a mysterious chronic cough. A non-smoker, I'm usually obnoxiously healthy. Last year, though, I went through a battery of four specialists, a long menu of tests, underwent surgery and spent a night in the hospital. Yet by January of this year the cough was worse than ever.