Medicare Part B premiums increased to 4 month in 2017 – and the higher costs continue to hit older adults, including a large number of low-income individuals who struggle to make ends meet. For these seniors who live paycheck-to-paycheck on Social Security, our failed system means they're facing impossible choices. A meal or medicine? A raincoat or rent payment? .What if I make a donation and then become dissatisfied with TSCL? .A powerful Congressional deficit reduction "super committee" is working on a plan, due by Thanksgiving, to lower the federal deficit by at least .2 trillion. "TSCL is deeply concerned that a change to a more slowly-growing 'chained' consumer price index (CPI) which is used to calculate the annual COLA boost may be part of the plan," says Larry Hyland, Chairman of TSCL. The proposal to switch to the chained CPI was given serious consideration in the closed-door debt limit meetings by Congressional leaders and President Obama earlier this summer. Switching to the chained COLA was proposed by two prominent deficit reduction commissions and has received support from both Republicans and Democrats. .Town Hall Question: Research indicates that seniors have already lost more than 30 percent of their purchasing power since 2000. What is your position on the adoption of the "chained" CPI for the calculation of Social Security COLAs? .Congress should prohibit "surprise medical bills. Congress should require healthcare providers and insurers to accept fees no greater than 20 percent more than the Medicare approved fees as settlement. — 82 percent support, 15 percent not sure, and only 4 percent opposed. (Legislation passed in December would provide relief from surprise medical bills but stopped short of tying payments to prices paid by Medicare and Medicaid which are often lower than other rates negotiated by other insurers.) .In a letter of endorsement, Art Cooper – Chairman of The Senior Citizens League's Board of Trustees – wrote: "TSCL salutes you for introducing legislation that would make COLAs more accurate, reduce senior poverty by boosting monthly benefits, cut taxes for millions of beneficiaries, and ask wealthier Americans to contribute to the program more fairly. Together, these changes would strengthen Social Security benefits while extending the solvency of the trust funds for decades to come." .This week, TSCL enthusiastically announced its support for the Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act (S. 1123 and H.R. 2305). In the Senate, the bill was introduced by Sens. Tom Carper (DE) and Tom Coburn (OK), and in the House, it was introduced by Reps. Peter Roskam (IL-6) and John Carney (DE). It currently has bipartisan support, with fifteen cosponsors in the Senate and ten in the House. .At Thursday's hearing, Mr. Mathur updated the subcommittee members on the progress the administration is making to modernize the program's information technology. The administration is in the process of implementing a five-year plan that will result in improved service, stronger cyber security, and lower operating costs. Mr. Mathur reported that SSA's IT modernization efforts are currently on schedule and on budget, and that the outdated system should be fully replaced by 2022. .If Congress considers cuts to the COLA, changes in the benefit formula and increases in the retirement age, special attention will be needed regarding when changes would become effective and how they would be phased-in. The recession is already having a significant impact on the growth of Social Security benefits. If Congress cuts benefits, or reduces the growth in benefits during this slow recovery, it will likely produce a long lasting double-whammy effect for retirees.