"Medicare is also in the cross - hairs for massive changes," Johnson says. The budget resolution stipulates major changes that would focus Medicare on a system of private insurers, and provide beneficiaries with premium subsidies to shop for their own health insurance. A Congressional Budget Office report has found that similar proposals in the past would shift a growing portion of costs to older Americans. In that 2013 report, the CBO estimated that Medicare beneficiaries' premiums would be about 30 percent higher by 2020 than under current law..To learn more about what you may itemize and how much you can deduct, visit and download instructions for Schedule A Form 1040 Itemized Deductions..Transportation or mileage to the doctor for yourself OR to transport others. Medical mileage was 0.19 per mile in 2016..and would reduce the tax on Social Security benefits for older taxpayers with incomes below ,000, and 0,000..With regard to your specific concerns on Social Security COLAs, as you are fully aware, after a person becomes entitled to receive Social Security benefits, his or her monthly benefit was designed to increase annually to maintain purchasing power over time. The amount of the COLA is based on inflation as measured by the Consumer Price Index. If the CPI rises, Social Security benefits for the next year increase proportionately. If the CPI falls, Social Security benefits stay the same. Like you, I too have long been critical of this formula that measures the level of inflation in our economy because older Americans have different needs than the "typical" American. In addition, the current CPI fails to adequately reflect the fact that seniors rely more on medical goods and services, which have a much higher inflation rate..Hospitals are not required to tell patients whether they are inpatients or outpatients, so frequently beneficiaries never learn of their status until after they have been released. If you believe the services your mother received should have been billed as inpatient services check your mother's Medicare Summary Notice and follow the instructions to challenge the charges from the hospital listed under Part B of the notice. You may also challenge any charges from the nursing home for outpatient services..This week, The Senior Citizens League was pleased to see support grow for two key bills..For frequent updates on the status of the spending bill, visit our pages on Facebook or Twitter..That's the case for Ninon Ruscher and her husband John of Tuscon, Arizona, who rely on Social Security for all of their income. Mrs. Ruscher says that, "seniors who rent their own homes are in a precarious financial situation." "Once we pay the monthly bills, we sit at home. We don't have the money to do anything or go anywhere. Once the food runs out we have to wait until our next Social Security payment," she adds. Mrs. Ruscher notes that even though her husband receives health benefits through the Veterans Administration, and she's enrolled in a Medicare Advantage plan, they are still trying to pay off expenses from her recent surgery earlier this year.