In 2010, to generate support from wary seniors, proponents of healthcare reform widely touted new Medicare benefits under healthcare reform with mailings and even an ad campaign featuring Andy Griffith of Mayberry R.F.D. But virtually nothing about the controversial changes - like determining Part D premiums based on income - ever made it into the media, let alone Andy's scripts..John, age 66, is already enrolled in Medicare in 200He pays .40 per month. Because there is no COLA, and the basic Medicare Part B increases, his Part B premium will remain .40 because he's protected by the hold harmless provision. His premium will be adjusted to prevent a reduction in his Social Security in 20His wife Jane is 6She's not eligible to enroll in Medicare Part B until 20Her monthly premium would be an estimated 4 instead of .40. She won't have "hold harmless" protection until 2011..What you can do: Send a letter, email or fax to your Senators and Representative..The data certainly suggests this is the case. The years in which inflation as measured by the Consumer Price Index for Workers has been the highest, the difference in the chained CPI was the greatest. The average difference between the CPI-W and the chained CPI is 0.3 tenths of a percentage point. But in 2005 when Hurricane Katrina sent gas prices through the roof, the CPI-W paid a COLA of 4.1% the following year. The chained CPI would only have paid 3.4% - a difference of 0.7 tenths of a percentage point. In 2008 the CPI-W paid a COLA of 5.8% the following year. The chained CPI would have only paid 5.2%, a difference of 0.6 tenths of a percentage point..If signed into law, H.R. 3513 would take a number of steps to reduce the cost of prescription drugs, including requiring the Secretary of Health and Human Services to negotiate Part D drug prices, allowing the re-importation of drugs from Canada, closing the "doughnut hole" three years earlier than current law, and prohibiting "pay-for-delay" deals between drug manufacturers.."Like health care legislation to repeal and replace Obamacare, Social Security and Medicare reform proposals could become the center of a nasty political tug-of-war," Johnson says. TSCL works to protect retirement security and to promote better adequacy of both Social Security and Medicare benefits. To learn more, visit..On Monday, President Obama released his .066 trillion budget blueprint for fiscal 201His plan puts an end to the so-called "sequester" and increases spending for defense and discretionary programs by 7 percent. Upon releasing the blueprint, he said, "I'm not going to accept a budget that locks in sequestration going forward. It would be bad for our security and bad for our growth. I want to work with Congress to replace mindless austerity with smart investments.".Whether or not appropriators will successfully negotiate an omnibus spending bill before December 11th remains to be seen. If Congress fails to reach an agreement, the federal government will shut down, and Social Security beneficiaries could see delays in their monthly benefit checks. In addition, doctors who treat Medicare patients and other medical providers could experience delayed reimbursements from the government..may tend to lower your tax bill later, by reducing the required minimum distribution amount that you must take in order to avoid tax penalties after age 70 ½. Large required minimum distributions could also trigger taxes on up to 85% of your Social Security benefits in addition to a surcharge on your Medicare Part B and Part D premiums.