The purpose of this update each week is to give our supporters like you information about issues that are important to seniors, but that do not make the headlines. They are usually issues we are working on to ensure our elected officials keep faith with the commitments that were made to each of us during our lifetimes of work, especially concerning Social Security, Medicare, and Medicaid..Over the past four years, TSCL's surveys have found that about 9 out of 10 people receiving Social Security benefits report that their household spending rose by at least per month during the prior year. But that's just the tip of the iceberg. "Retirees need to plan for large monthly jumps in spending annually over the course of their retirement," Johnson says. In every year since 2014, the largest percentage of those people participating in TSCL annual Senior Surveys reported that their household spending jumped by more than 9 per month. Since 2014 annual COLAs grew a total of just 3.5 percent, averaging less than 0.9 percent per year. One factor in why retirees have such a gap between their COLA and spending is the consumer price index that the government uses to measure inflation and to determine the annual boost. "One would think that the CPI used to calculate COLAs for retirees would be based on seniors' spending patterns, but it is not," says Johnson. Instead, the COLA is determined by the growth in the Consumer Price Index for Urban Wage Earners and Clerical Workers. Younger working adults spend a far smaller portion of their income on medical costs, which is the fastest growing category of the CPI in most years. On the other hand, younger working adults spend more on transportation and gasoline, categories that have gone down dramatically in recent years. "This tends to understate the inflation experienced by the majority of people receiving Social Security," notes Johnson..So, while we like the news that they still want to act this year, TSCL is taking a wait-and-see position..Separately, the House Ways and Means Committee Means Committee approved the largest expansion of Medicare since the addition of drug benefits two decades ago..Since 2000, COLAs have increased Social Security benefits a total of 53 percent, yet typical senior expenses grew almost twice as fast - 99.3 percent. Table illustrates ten of the fastest growing costs since 2000. Where no average prices are available, numeric values from the U.S. Bureau of Labor Statistics CPI-U are used. Table shows the fastest growing costs from January 2019 to January 2020..This week, the partial federal government shutdown continued for the fifth week, and The Senior Citizens League announced its support for one new bill that would expand Medicare coverage to include essential health services..Even the Committee For a Responsible Federal Budget, which proposes the change, suggests that lower-income people could be especially vulnerable under the proposal. The organization is recommending that Congress dedicate about billion in savings from lower spending on COLAs to "enhance various benefits for low-income individuals" saying "while chained CPI is the most accurate measure of inflation, it could result in some undesirable distributional consequences.".Food is one of the top three categories of expenses for most people who rely on Social Security. While the price of gasoline has gone down, food costs, especially meats, have continued to climb. Here are five ways to lower the food bill:.TSCL opposes these new provisions because we feel strongly that seniors should not be required to cover the cost of the poor policy-making decisions that were made by Congress nearly twenty years ago, when lawmakers first created the SGR. According to the non-partisan Kaiser Family Foundation, Medicare beneficiaries will automatically contribute billion in Part B premiums over the next decade to repeal and replace the SGR. TSCL believes any additional cost-sharing including the two new provisions will be unduly harsh.

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Congress is under intense pressure from numerous directions to get rising debt under control. The Congressional Budget Office further warned that growing interest costs on the debt would restrict our elected lawmakers ability to use tax and spending policies to respond to economic downturns or financial crises. And that in turn would increase the probably of a sudden fiscal crisis, in which the government would lose its ability to borrow at affordable rates..Lawmakers at this week's hearings on both sides of the aisle seemed committed to working together to stabilize the marketplace in the weeks ahead. In total, thirty-one Senators reached out to lawmakers on the HELP Committee to be included in the discussions, and the bipartisan group hopes to have a stabilization plan drafted by next week and signed into law by the end of September. For progress updates, follow TSCL on Facebook or Twitter..Consequently, surprise billing is universally loathed. More than eighty percent of participants in TSCL's 2020 Senior Survey wanted Congress to prohibit surprise medical bills, and the legislation that was signed into law in December prohibits this practice. … Continued

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Second, the federal government cannot afford the tax cut, which costs more than 5 billion annually. It is no secret that our nation is deep in debt, and the two-year, two percent tax holiday has not spurred the economy as many hoped it would. TSCL fears that, because of its economic constraints, the federal government's general revenues may not be a reliable source of funding for Social Security. The program is currently facing a billion cash-flow deficit, and an extension of the tax holiday could exacerbate its funding shortfall..The Centers for Medicare and Medicaid Services recently announced plans to test new ways to rein in costs of some of the nation's most expensive drugs, like cancer and rheumatoid arthritis treatments, that are administered in doctors' offices and outpatient centers. The current Medicare Part B payment system, officials argue, provides incentives for prescribing the most expensive medication, rather than on how well it would work for the patient..The plan released this week is not expected to be adopted or even to win any bipartisan support on Capitol Hill. However, it does mark the start of the fiscal 2016 budget negotiations, and it lays out the line-by-line needs of the federal agencies for appropriators. Soon, the House and Senate Budget Committees will release their own spending blueprints for fiscal 2016, and TSCL expects to see proposals that would dramatically alter the Social Security and Medicare programs. We will keep a close eye on the negotiations as they evolve, and will post updates here in the Legislative News section of our website. … Continued

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