"Americans Make Hard Choices on Social Security: A Survey With Trade-Off Analysis," National Academy of Social Insurance, October 2014..Indeed, the Social Security Administration does not "promise" a specific amount of benefits, but they do not promise to replace a specific percentage of pre-retirement earnings either. Both benefit amounts and "replacement rates" can change at any time if Congress and the Social Security Administration deem it necessary. Prior to the 1977 changes, the replacement rate was not a stable percentage. For people who retired under the 1972-73 flawed formula, replacement rates grew from 39% to a high of 54%. The new benefit formula led to a lower, more stable replacement rate of about 43%, as well as lower benefits..The report continues, "Two House panels last week approved legislation adding vision, hearing and dental coverage to Medicare. Dental is by far the most expensive and complicated of the three to roll out: the nonpartisan Congressional Budget Office previously estimated that such coverage would cost 8 billion over 10 years, compared with billion for vision and billion for hearing coverage..Learn if there's an older, less expensive drug that you can try first. If you have a copy of your drug plan's formulary you may want to take that with you to the doctor's office to assist with checking an alternate medication, and what you will pay out-of-pocket..The far greater worry, however, is a sharp increase in almost every source of quality protein - including meat, poultry, and even canned tuna. "With many meat price increases in the double digits, we are highly concerned that older households may not be getting adequate supplies of protein in their diets," Johnson says. "This was a nationwide problem prior to the pandemic, and the problem has been exacerbated by shortages and disruptions during the pandemic," she points out..Hospitals, which are often the biggest employers in their localities, or even their states, have furloughed workers, and the industry lost an estimated billion a month in foregone surgeries and procedures during the worst part of the pandemic. Hospitals rely on elective surgeries for a major portion of their revenue, because Medicare and private insurers tend to pay more for those procedures than other types of hospital care. Hospitals say they also have lost money in treating COVID-19, because of the amount of intensive care that patients need..This week, The Senior Citizens League announced its support for two bills that would improve Medicare coverage of certain services. First, TSCL endorsed the Audiology Patient Choice Act, a bipartisan bill that was introduced in March by Senator Elizabeth Warren and Senator Rand Paul. The bill was introduced in the House last year by Representative Tom Rice with the support of several cosponsors..Will Social Security Changes Affect Our Plans?.TSCL is strongly opposed to plans to "chain the COLA." Such a switch has been estimated to reduce Social Security benefits by about 7% over a 30-year retirement. An average benefit of ,300 in 2017 would be about 5 per month less at the end of the period than it would be using the current CPI. An index that causes higher taxes, and lower retirement benefits, make the chained CPI a bad deal for older Americans.

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My frail mother was in the hospital after passing out and falling. She stayed "in observation" for four days and received a number of tests for stroke, heart and circulatory problems. After discharge, her doctor said she needed nursing home care. The nursing home warned us that if mother's hospital stay was observation Medicare would not cover the nursing home stay. She has received several large bills for the hospital care. We can't afford to pay for this care out-of-pocket. Can you suggest anything?.In July of last year, the Internal Revenue Service issued a notice expanding its interpretation of what constitutes preventive care. As a result it now includes certain items and services that can be considered preventive when they are prescribed to an individual with certain chronic conditions and if they are low-cost and prevent the worsening of a chronic condition or the development of a secondary condition. The notice also contained a list of specific items and services that meet the new criteria for preventive care for chronic conditions. Co-sponsors of the bill include Sens. Tina Smith, Kevin Cramer, Martha McSally and Kyrsten Sinema..The bills aren't paid. … Continued

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TSCL enthusiastically supports these measures since they would go a long way in increasing access to more affordable prescription drugs for Medicare Part D beneficiaries. However, President Obama's budget request does include one reform to the Medicare program that TSCL opposes. It would increase means testing by requiring middle-class Medicare beneficiaries to pay higher Part B and Part D premiums. TSCL believes means testing within the program has gone far enough with recent increases under the Affordable Care Act, and we know that middle-class seniors simply cannot afford to pay higher out-of-pocket Medicare costs..The health-related negatives of fried food include generally higher calories and fat, as well as extra salt and a tastiness that often leads people to eat multiple servings, which contributes to weight problems..Many of TSCL's supporters are older and less affluent. And some of them are "Notch Victims," individuals who receive lower Social Security benefits because they were born between the years of 1917 and 1926. … Continued

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