Medicare Part D's True Out-of-Pocket-Cost spending requirements which are unusually high as it is, are poised to make a stunning and unprecedented jump in 2020. Unless Congress takes action, the Part D doughnut hole coverage gap will swell by 25% next year, from ,100 in 2019, to ,350 in 2020 before the catastrophic phase of coverage kicks in. This would be the largest increase in Part D's required out–of–pocket spending ever, since the start of the program in 2006..I was diagnosed with cancer in 2019 which required surgery and considerable follow-up treatment. I also required extensive dental work during the year. My medical and dental expenses alone totaled more than ,000, and that does not include my husband's premiums and out-of-pocket costs, which were close to ,000. Will we be able to deduct these expenses on our income taxes? We were unable to deduct our routine medical costs last year..The survey showed that many people did not know how to safely use different cleaning products, even as most said they knew how to properly store and use them. About a quarter of respondents knew that only room temperature water should be mixed with bleach, and a third knew not to mix bleach with vinegar. More of the respondents - about two thirds - knew that eye protection and gloves were recommended when using certain cleaners..The funding of President Trump's border wall, which is part of the funding for the Department of Homeland Security, had been a major sticking point but that has apparently been resolved..Low-income individuals whose state Medicaid programs pay their Medicare Part B premium on their behalf.."No Limit: Medicare Part D Enrollees Exposed to High Out-of-Pocket Drug Costs Without a Hard Cap On Spending," Kaiser Family Foundation, November 201"Summary of Recent and Proposed Changes to Medicare Prescription Drug Coverage and Reimbursement," Kaiser Family Foundation, February 2018..Rest assured the Consumer Price Index does include food and fuel. Without those two items, the CPI would grow much more slowly than it already does and so would your annual-cost-of-living adjustment..Medicare Savings Programs cover the cost of the Medicare Part B premium, saving a person 8.50 per month in 202Depending on income, those with the lowest income may also qualify for additional benefits that cover the Part B deductible and out-of-pocket costs. People with incomes in 2020 of up to ,456 per month or ,960 might be eligible if they have limited savings and resources of ,860 or ,800. These limits are slightly higher for Hawaii and Alaska. This program is administered through state Medicaid programs and states may have guidelines that allow people with slightly higher income to enroll. If interested,contact your local Medicaid office to apply..That means the trust fund reserves money that came out of your paychecks to finance your earned benefits would become unusable by the Social Security and Medicare programs. Here's how that could lead to benefit cuts…

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In reality, there's no need to cut or privatize Social Security in order to assure its solvency. Social Security could pay its full promised benefits for decades to come if we simply asked all Americans to pay their fair share of FICA taxes. Here's the deal: Ninety- four percent of American workers pay into Social Security all year long on every dollar they earn. The wealthiest six percent do not. They stop paying after their income hits the 8,500 cap. For people taking home million or more, that arrives just six weeks into the year. Some even finish paying just after New Year's Day. This gaping loophole allows billionaire hedge fund managers and corporate CEOs to pay a far lower percentage of their income into Social Security than teachers, police officers and healthcare workers..Reps. Linda Sanchez and Rush Holt introduced H.R. 3118 on September 17, 201It has since been referred to the Committee on Ways and Means, and to the Committee on Education and the Workforce..New legislation before the House and Senate would repeal the Windfall Elimination Provision and the Government Pension Offset so that public servants receive the Social Security benefits they have earned and deserve. Will you cosponsor the Social Security Fairness Act when you return to Washington? … Continued

Report Section The Us Congress And Global Health A Primer Appendices

A government shut down, while causing some problems, isn't as bad as breaching the debt ceiling. That's known as a "technical default," as some government obligations won't be met on time depending on how long the stalemate lasts. The Treasury Department would have to rely on whatever cash is left on hand and daily revenue inflows..However, TSCL is opposed to two provisions that lawmakers included in the package to offset its 0 billion cost. One of those provisions will increase monthly premiums for beneficiaries with higher incomes, and the other will create a new 0 deductible for those enrolled in supplemental Medigap plans. Both of them will require seniors to pay more out-of-pocket for their healthcare..Burwell Confirmed as HHS Secretary … Continued

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