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The problem is well known, but so far Congress has taken no action to address it. The Medicare Trustees have for years described in their annual report how rising Medicare costs will take an ever-growing portion of Social Security benefits. They estimate that Medicare Part B and Part D premiums, as well as cost sharing for both programs, currently equals just 24 percent of the level of the average Social Security benefit. But that estimate does not include many of the typical Medicare costs that most retirees actually have, and thus understates the scope of the problem. The findings based on your participation in TSCL's annual Senior Survey is proof of that..Benefits are based on lifetime earnings. To be qualified for retirement benefits, workers need about 10 years of earnings. The earnings are indexed to account for changes in average wages since the year the earnings were received. Then SSA calculates the average indexed monthly earnings using the 35 years of highest earnings. A formula is applied to this amount to arrive at the basic benefit..The Medicare Part A outlook has worsened due to both the financial impacts of COVID-19 and the high levels of people out of work. Nationwide business closures, layoffs and salary cuts, have significantly reduced the amount of revenues received by the Medicare HI trust fund over the past year, while payments to hospitals were increased 20% by emergency legislation for COVID-related care, and the elimination of cost sharing associated with COVID treatments..This time, with large numbers of hospitals straining to care for COVID-19 patients, cutting payments to hospitals and increasing revenues is likely to be far more difficult. Hospitals across the country say they have been pushed to their financial limit. And simply raising payroll tax rates may not provide enough of a revenue in the short term if unemployment remains at high levels longer than anticipated. Payroll taxes cannot be collected from workers who are unemployed..At this point, the future of the Social Security tax holiday is unclear, though some believe it may resurface later this year as the Joint Select Committee on Deficit Reduction takes up the challenge of reducing the deficit by at least .2 trillion before Thanksgiving..How can illegal immigrants get Social Security? They don't pay taxes!.TSCL Endorses Social Security Fairness Act.As the demographics of America shift, health care services must evolve to meet new and increasing demands. The main factor driving projected growth in federal spending on major health care programs is the aging population. The Congressional Budget Office has projected that the number of people age 65 or older will increase by roughly one-third over the next decade, and 80 percent by 2039..TSCL is pleased that after more than a decade, lawmakers have finally passed legislation to repeal and replace the SGR once and for all. The SGR has not worked as it was intended to since 2003, and seventeen times it has called for steep physician pay cuts, threatening access to quality medical care for seniors. We are hopeful that the new system will bring increased stability to the Medicare program.