Allowing individuals to import prescription drugs from abroad. Many Medicare beneficiaries spend thousands of dollars every month on lifesaving medications under the Part D program. The bipartisan Safe and Affordable Drugs from Canada Act (S. 61) would allow these individuals import their prescription drugs from approved pharmacies in Canada, where medicines are often half the cost. This critical bill would improve access to affordable medication for older Americans, and it would bring down costs nationwide by increasing competition in the American marketplace. .The Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act (H.R. 2575) also gained one new cosponsor this week, bringing its total up to seven in the House. If signed into law, the bill from Congressman Raul Ruiz (CA-36) would simplify the Medicare enrollment process and ensure that those nearing eligibility are adequately informed about the program's benefits. Its new cosponsor is Congressman Gus Bilirakis (FL-12). ."Super Committee" Holds Second Hearing .For the last few weeks we have reported on President Trump's executive order to allow employers to defer payroll taxes owed by workers, which funds Social Security and Medicare. TSCL is opposed to payroll tax cuts of any kind because they seriously jeopardize the financial viability of both programs. ."Another factor affecting retirement income is the amount of the initial Social Security benefit when one first retires. Social Security benefits are not growing as quickly as in in previous decades," Johnson says. This is particularly true for middle to lower earning workers due to the slow growth in real wages over decades. According to a report by the Congressional Research Service, between 1979 to 2018, real wages have grown for top earners, but have stagnated or fallen for middle to lower earners. "That is reflected in the (often disappointing) initial Social Security benefits of new retirees," Johnson says. .After raiding the current system, the health care law then takes the one aspect of Medicare that everyone agrees is broken and uses it as a model for the future. The health care law establishes the Independent Payment Advisory Board (IPAB) as a tool that is supposed to hold down costs; it is modeled after the failed formula that sets the underfunded Medicare physician reimbursement rates. President Obama recently doubled down on this controversial rationing board, and it seems to be the Democrats' only proposal. .Due to record-low growth in health care costs, the board hasn't been triggered to begin making recommendations to Congress yet, and it currently has no appointed members. Nonetheless, many lawmakers feel that such critical policy-making decisions should be left solely in the hands of elected representatives, and they hope to repeal it long before it is needed. .TSCL is mounting a campaign that strongly urges seniors nationwide to speak out against benefit cuts. "We hope you'll sign and return the petitions we are mailing to supporters against the 'Chained COLA'," says TSCL's Executive Director, Shannon Benton. "Chaining the COLA is a 2 billion cut that will reduce your benefits by as much as 9% over the course of a retirement," Benton notes. .The jury is still out on value-based health systems, and whether they can save any significant amount of money remains to be seen. The Congressional Budget Office issued a recent report outlining a number of issues and unintended consequences such as providing an incentive for providers to improve their "quality rankings" by avoiding sicker patients. Critics say that the system places a new burden on primary care doctors that would potentially punish providers financially for patients' bad health habits and behaviors.