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Sadly, Social Security benefits and cost-of-living adjustments specifically, have not kept up with inflation in recent years. The Senior Citizens League has estimated that the 2021 COLA will be just 1.3%., the second lowest in its history. This comes as our nation grapples with a once-in-a-century pandemic and seniors are relying on their Social Security benefits to get by more than ever before..At this point in time, it remains to be seen whether or not lawmakers will successfully avert the October 1st shutdown. Leaders in the House have already cancelled the week-long recess that was scheduled to begin on September 23rd, and according to Congressional Quarterly, a Senate vote on the measure could come as late as September 29th just one day before funding for federal agencies expires..TSCL is especially concerned about how seniors and their families would be informed about the change of health plans. Dual eligible seniors are more likely to have cognitive challenges, and their family caregivers may not understand that a transition to a new health plan is taking place, or how to navigate the changes. TSCL is particularly concerned that seniors may not be able to keep their former doctors and other healthcare providers if those providers don't participate under the new plans. If so, this raises the potential for unintended and uncovered costs, if seniors unwittingly continue to see their former doctor or present the wrong health plan card when visiting providers.."Medicare Beneficiary Savings and the Affordable Care Act," Department of Health and Human Services, February 201"Reliance on Capital Gains and Dividend Income Tends to Rise with Age," Tax Foundation, December 2005..What do you feel are Medicare's major problem areas, and how do you feel they should be addressed?.Congresswoman Cheri Bustos represents Illinois' 17th Congressional District. She lives in East Moline with her husband, Gerry. They have three grown sons..Across the country Meals on Wheels programs are reducing the number of meals delivered to low-income seniors or shutting down altogether according to a new survey. The programs typically deliver a hot prepared meal five days a week to people over 60 who are homebound and/or unable to shop and cook, low income, or all three. Without Congressional action, the programs will be cut by about .7 million in federal funding this year due to the automatic budget cuts known as "sequester.".While most prescription drugs are paid for by beneficiaries and their Medicare Part D plans, Medicare Part B spends about billion on pricey drugs that must be given intravenously or by injection by trained healthcare professionals. Medicare pays the healthcare provider the average sales price, plus 6% for the costs associated with the purchase and storage of the medications. For example, if a drug costs ,000, the doctor would receive an additional 6% payment, or , but if a similar drug costing ,000 were used instead, the doctor would receive 0 instead..It's not perfect - we still have a year to go before implementation starts. However, starting in 2022, consumers will no longer receive surprise or "balance bills" when they are unknowingly treated by out-of-network providers. Patients will pay only the deductible and copayment amounts they ordinarily would under the in-network terms of their insurance plans. Medical providers will not be allowed to hold patients responsible for difference between the amount they get and the higher fees they would like to charge. Instead providers will have to work that out with insurers.