The total cost for a single year of treatment with the nation's most expensive specialty drugs can cost more than the entire retirement savings for many retirees. The annual cost of the cancer drug Idhifa, for example, is 0,85According to a new study by the non-partisan Kaiser Family Foundation, the median out-of-pocket cost that Medicare Part D beneficiaries will pay out-of-pocket for specialty drugs in 2019 would be ,55Patients suffering from multiple sclerosis could pay an estimated out-of-pocket of ,409 in 2019 for Glatiramer acetate. Even on the "low side," the annual out-of-pocket for Hepatitis C drug, Zepatier runs ,622. .Since the November announcement from UnitedHealth, doctors have started to receive termination letters citing "significant changes and pressures in the health-care environment." Doctors who receive the notices had only thirty days to appeal the decision, and if they are dropped from the network, their patients may not find out until they go to schedule their next appointment. .Sources: "Social Security, Treasury Target Taxpayers For Their Parents' Decades-Old Debts," Marc Fisher, The Washington Post, April 10, 201 .A surviving beneficiary spouse is one who collects Social Security benefits not from their own account, but from the account of his or her deceased spouse. To find out more about Notch Reform benefits for surviving beneficiaries, click here: What Happens to Benefit Payments When Your Spouse is Deceased? .Mary Katherine was 90 when a stroke left her paralyzed on one side of her body and unable to speak. It was 1996 and at the time Medicare had a cap on physical and speech therapy services, which only allowed for a limited number of therapy sessions to help Mary Katherine regain the ability to walk, feed herself, and speak. The paltry coverage of therapy sessions from Medicare did not provide Mary Katherine with enough time or therapy to make much of an improvement in her physical health. Mary Katherine, who received a Social Security benefit of less than 0, couldn't afford more therapy and never recovered her speech. She remained paralyzed for the rest of her life, which she spent as a Medicaid patient in a nursing home. .Protecting Medicare for current beneficiaries and saving it for future generations is one of my most important responsibilities as a Member of Congress. It is no secret that demographic and economic factors will not allow us to continue the program unaltered. There are 10,000 baby boomers retiring every day, and when these programs were first enacted there were more than 40 workers for every 1 retiree. Today, that number is below 3 workers per retiree and headed towards 2 to Health care costs continue to rise much faster than inflation. In order to ensure the solvency of a program that senior citizens have come to rely on, changes must be made. The days of doing nothing, burying our heads in the sand, and pretending the status quo is sustainable are over. .It remains to be seen if Congress will go along with this plan. .Very modestly boosting the payroll tax paid by workers and matched by employers to employers. .Depending on your income, you may qualify for Medicare Extra Help, which can cover most or all of your prescription drug premium and out-of-pocket costs. Your SHIP counselor may also know of special programs in your state.