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Over the years, TSCL surveys indicate that older Americans overwhelmingly oppose totally replacing Medicare with a system of private insurance plans. On the other hand, the design of traditional Medicare alone has a considerably high level of out-of-pocket spending, and no annual out-of-pocket limit. That leaves an important role for private insurers to fill in the gap with Medigap supplements or Medicare Advantage plans..You need skilled nursing services, and/or skilled therapy care on an intermittent basis..TSCL offers its supporters an unconditional refund of their most recent donation if they are dissatisfied with our position or performance..Legislation is currently under consideration in the House, The Social Security 2100 Act, that would adjust the income thresholds that subject Social Security benefits to taxation, from ,000 to ,000 for single filers and from ,000 to 0,000 for joint filers. According to a survey by The Senior Citizens League, 55 percent of survey participants support lifting the threshold for taxation of Social Security benefits to those levels, and only 12 percent oppose. The bill would pay for this as well as providing a boost in Social Security benefits and a more generous cost-of-living adjustment, by increasing the amount of wages subject to payroll taxes and by very gradually increasing the tax rate that workers and employers pay..Elizabeth Curda of the Government Accountability Office explained that the operating system for filing and processing these claims was built in the 1950s and requires .1 billion just to maintain, not to improve, the system. Max Stier from the Partnership for Public Service said: "We have a legacy government that hasn't kept up with the world.".The "Medicare Notch" could affect a growing number of people if inflation remains unusually low while Medicare premium increases are relatively high. With no COLA in 2011 as the Social Security Trustees predict, people protected by the hold harmless provision in 2009 would continue to pay .40 per month, people who enrolled in 2010 would continue to pay 4 because now they would be protected by hold harmless, but new enrollees in 2011 would pay an estimated 0 per month..This year, more than 50% of Social Security beneficiaries paid taxes on their benefits, even though many of them only made twice the federal poverty level in income. Do you believe this is fair, and if not, what should be done about it?.So, while we like the news that they still want to act this year, TSCL is taking a wait-and-see position.."While hold harmless is very valuable protection, the lack of an adequate COLA to begin with, and rapidly growing Part B costs, will keep millions of beneficiaries stuck in a no-growth rut in 2018," Johnson says. The Senior Citizens League is advocating legislation that would provide a more fair and adequate COLA, by tying the annual adjustment to the Consumer Price Index for the Elderly. Projections for The Senior Citizens League show that by using the CPI-E, Social Security benefits would be about 9 percent higher over 25 years. A benefit of ,300 in 2017 would be about 2 per month more using the CPI-E at the end of the 25 year period instead of the current method. To learn more, visit.