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To learn how much the COLA cuts would cost you, try TSCL's "chained" COLA calculator..Two Ways and Means Subcommittees held hearings on reforming Medicare and Social Security this week. On Tuesday, the Health Subcommittee heard from a panel of experts on Medicare reform, and on Thursday, the Social Security Subcommittee met to discuss potential changes to the program..ROTH IRAs require that you take distributions by age 70 and a half or pay a.It's about time. At the time of its passage, the Affordable Care Act, was labeled a "Medicare" tax and sold to the public that way. Now it is needed by the Medicare Part A Hospital Insurance Trust Fund. Part A is less than five years from insolvency and faces an estimated 5 billion funding gap over the next ten years. The Joint Committee on Taxation estimates that this tax will raise approximately .5 billion in revenue in 2021 alone..Congress is under intense pressure from numerous directions to get rising debt under control. The Congressional Budget Office further warned that growing interest costs on the debt would restrict our elected lawmakers ability to use tax and spending policies to respond to economic downturns or financial crises. And that in turn would increase the probably of a sudden fiscal crisis, in which the government would lose its ability to borrow at affordable rates..Totalization agreements allow workers who divide their careers between two countries to combine earnings credits under both systems in order to qualify for benefits. The U.S. currently has 24 such agreements, most with nations having economies similar to our own. What makes the agreement with Mexico so controversial are the millions of Mexicans working in this country without legal authorization..This week, TSCL announced its support for the Improving Care for Vulnerable Older Citizens through Workforce Advancement Act, which was introduced by Sen. Bob Casey in the Senate, and by Rep. Matt Cartwright in the House. If signed into law, the bill would create six different demonstration projects that would focus on the coordination of care for elderly patients with multiple chronic illnesses. It would put Direct Care Workers such as nursing assistants, home health aides, or personal care aides in advanced roles, and it would test and evaluate different models of care coordination..Without legislation to remedy this flaw in the benefit formula, the reduction to the Social Security retirement benefits of these 4 million people would be permanent. Assuming that benefits would be reduced by 9.1%, a calculation for TSCL indicates that a 62 - year old with middle-earnings who retired in 2020 would typically expect a benefit of ,565 at full retirement age, but now would only receive ,423 instead. Over the course of a 25-year retirement, or by the time these individuals reach 87, the total loss of retirement income from expected Social Security benefits would be more than ,000..A widely-discussed plan to reduce the federal deficit would use a slower-growing consumer price index, known as the "chained" CPI, to calculate the annual cost-of-living adjustment. The proposal, often referred to as "chaining" the COLA, would not be the first time the government has tweaked the inflation index to cut government spending on benefit programs