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Why is it so Hard to Lower Prescription Drug Prices?.We are closely watching how the foreign drug index would be structured and evaluating how prices would be adjusted. We are highly concerned that a greater portion of the high cost of these drugs that are administered in doctors offices and clinics could wind up getting shifted to Medicare patients either in the form of higher co-pays and co-insurance, or higher premiums..Gradually Raising the Payroll Tax Cap: The payroll tax cap has not kept pace with changing income patterns over the past few decades, so it makes sense to adjust the maximum taxable wages to realign them with the originally intended level. Gradually raising the cap to cover 90 percent of the nation's taxable earnings by 2050 would allow it to once again represent the same percentage of that figure that it did as recently as the early 1980s..Re-opening is expected to be slow and painstaking as providers and states try different approaches to keep patients and staff safe. The Centers for Medicare and Medicaid Services recently released a bulletin about what patients should know about seeking healthcare during the pandemic, which can be found online at:..The Senior Citizens League is pleased that lawmakers acted swiftly and responsibly to avert a government shutdown and an unprecedented default on the federal debt. Failing to do so could have resulted in delayed Social Security checks and reimbursements for health care providers who treat Medicare patients. Lawmakers now have until early December to negotiate a broader funding bill to keep the federal government operating. For progress updates, follow TSCL on Facebook or Twitter..Neighborhood, and safety concerns. Does your friend still feel safe living alone? Are there suspicious strangers stopping by asking for jobs like yard work or repaving her driveway? People who live alone are frequent targets of scam and thieves..Members of the Maryland Congressional delegation recently sent a letter to the Postmaster General complaining of the poor service. They stated in part:.Also last week, House Democrats unveiled a range of health care measures to be included in their coming .5 trillion package, including provisions to lower prescription drug prices and expand Medicaid in the 12 GOP-led states that have refused to do so. The measure unveiled by the House Energy and Commerce Committee includes legislation to allow the Secretary of Health and Human Services to negotiate lower drug prices, known as H.R. 3.."My brother ran a restaurant in Springfield, and he said the most lucrative part of their business was the private room that was reserved by pharmaceutical companies four nights a week," McCaskill said. "The wine consumed was unbelievably expensive, the dinners were unbelievably expensive. Now, I've got to tell you I don't think that most Americans think that's about patients first. That's about lobbying."