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..The report further stated that "Dental care was the most commonly postponed service, with 43% having delayed care. Thirty-six percent put off checkups and treatment for ongoing conditions, while 32% delayed diagnostic screenings..Increasing the payroll tax rate gradually by around 1 percent for both workers and employers. Doing so would amount to an additional 50 cents per week for the average American worker an amount that TSCL feels is reasonable..In fact, unlike the additional Medicare tax on high earners, this 3.8% net investment tax was not even a specific provision of the Affordable Care Act. It was a provision of a separate bill, the Health Care Education and Reconciliation Act of 2010 which was passed about two days after the Affordable Care Act. By setting up the revenues so that they would flow to the General Fund, Congress by-passed earmarking those revenues for Medicare Part A or Part B Trust Fund. That means when the funds are used for other government spending, the Medicare Trust Funds are not earning any interest from the federal government for the use of those funds..As an indicator of low inflation, based on consumer price index data through April of this year, Johnson estimates that the COLA for 2019 will be about 1.7%percent. That number could change, since there are still five months of consumer price index data to be collected before the Social Security Administration announces the COLA in October..Here's a hypothetical example: Let's say that you shop at the same grocery store every week. The price of navel oranges varies by the time of year, but in December of 2018 you were able to buy navel oranges for about .39 a pound. By June of 2019, however, the price goes up to .4That's a difference of $.10 a pound and a 7% jump in cost. That's price inflation..A newly approved drug to slow the progression of Alzheimer's disease is drawing criticism for it's ,000 price tag, especially given its lack of proven effectiveness. Aduhelm stirred controversy when the Food and Drug Administration's own expert advisory panel was nearly unanimous in opposing the drug's approval due to mixed results in studies of effectiveness.."The government now finds itself trying to figure out how to satisfy patients who desperately need help, even though scientists think this particular treatment lacks strong evidence for its effectiveness and policy experts warn it is setting up a budgetary nightmare for Medicare in the future.".TSCL's report entitled "The Cost of Illegal Earnings Under Totalization With Mexico" examines three ways illegal Mexican workers could become entitled to benefits under an agreement with Mexico. The report concludes, "responsible, comprehensive cost estimates of the totalization agreement with Mexico simply cannot afford to ignore the very large and significant cost of benefits based on illegal, unauthorized work. Doing so results in highly misleading and incomplete estimates that would jeopardize the future solvency of Social Security, leading to benefit cuts and higher taxes."