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Ignoring dental problems, though, or skipping care, can harm your health. Chronic gum infections are associated with an increased risk for heart attack according to some studies..As the Affordable Care Act continues its scheduled implementation, many seniors will begin to see small changes in Medicare coverage and tax rates. A few modifications have already taken effect this year, including new federal subsidies that will lower the cost seniors pay for prescriptions filled in the "donut hole." There's also an increased threshold for itemized deductions of medical expenses, and Medicare tax increases for some with investment income..Currently, 62 percent of Americans ages 65 and older suffer from multiple chronic conditions which require person-centered, coordinated care. Direct Care Workers, such as nursing assistants, home health aides, or personal care aides provide an estimated 70 to 80 percent of the paid, hands-on, long-term care and personal assistance received by older adults in the U.S. DCWs are not, however, often recognized as essential contributors to care teams. Few existing models provide DCWs with the advanced training necessary to take on increased responsibilities..Reps. Brad Miller, Frederica Wilson, Laura Richardson, Jim McDermott Robert Andrews, Sam Graves, Jim Gerlach, Madeleine Bordallo, Patrick Meehan, Jon Runyan, and Leonard Lance signed on to Rep. Howard McKeon's H.R. 133The co-sponsor total is at 145..By Representative Elijah E. Cummings.Those who testified at Wednesday's hearing made several practical recommendations to those on the Subcommittee. Ms. Zahm told lawmakers that administrative law judges would work more effectively with additional support staff. She said: "Give my judges a clerk and two attorneys and we can go to town [on the DI backlog]." Other witnesses suggested common-sense solutions like eliminating arbitrary deadlines that cause confusion for claimants who are not represented by attorneys that would make the application process more straight-forward. Several witnesses also requested more adequate funding for the Social Security Administration. Ms. Disman told the Subcommittee members, "You could certainly say that with more funding we could do more.".Low-income beneficiaries who are eligible for both Medicare and Medicaid. According to the Congressional Research Service, state Medicaid programs pay the Medicare Part B premiums of about 18% of Medicare beneficiaries. Although this group is not protected by the hold harmless provision, because their state Medicaid program pays their Medicare premium it is not deducted from their Social Security. Increases in Part B premiums would not reduce their Social Security their benefits..The practice I'm talking about is known as a "Pay For Delay". It occurs when brand-name drug manufacturers sue manufacturers of generic drugs and then pay them large sums of money specifically to keep their cheaper generic drugs off the market and unavailable to consumers, including our seniors. These settlements can make generic medications unavailable for years into the future years during which those brand-name drug manufacturers can continue making huge profits with no competition..If you are leaning towards refinancing your home, look carefully into the closing fees. Will you be paying any closing costs out-of-pocket or will those costs get rolled into the loan? How would that affect monthly payments?Based on your credit profile, what interest rate do you actually qualify for, and how does that compare with what you are currently paying?