More than 5 million Social Security recipients with the lowest benefits are unlikely to see any net growth in their monthly checks after deduction of the Medicare Part B premium in 2019, according to a new analysis released by The Senior Citizens League. This will occur despite their receiving the highest cost-of-living adjustment in seven years. Those affected have a gross Social Security benefit of about 5 per month or less before deduction of the Part B premium. According to the analysis, the dollar amount of their Part B premium increase will be more than the dollar amount of their COLA. "This would make the fourth year in a row that this particular group has not seen a boost in their net Social Security benefits after the deduction for Medicare Part B premiums," says Mary Johnson, a Social Security and Medicare policy analyst for the League.\.In last week's update we told you about the pending retirement of Senator Lamar Alexander, who has been a champion of legislation to end surprise medical billing. We feared the effort to end the practice would now be more difficult in Alexander's absence..Alexandria, VHow would Social Security recipients fix the Social Security Disability Insurance Program? The Senior Citizens League is providing recommendations to Congress this week taken from a national survey of close to 1,200 Americans age 60 and over. Participants overwhelmingly say that they won't support benefit cuts or switching to a more slowly growing cost–of–living adjustment..It turned out that Flo was working for the deep pocketed pharmaceutical industry. They successfully used her ad to sink major legislation proposed by President Bill Clinton to add a voluntary drug benefit to Medicare. It wasn't until 2003 that the Medicare Prescription Drug, Improvement and Modernization Act, which added the Part D drug benefit to Medicare, was finally signed into law by President George W. Bush. But, although the bill provided a drug benefit, it specifically prohibited Medicare from negotiating prices with drug manufacturers, even though Medicare negotiates prices for almost every other service and for Part B drugs. High drug prices put patient's lives at risk every day when people can't afford to fill their prescriptions..TSCL advocates for legislation that makes affordability for Medicare beneficiaries a priority. Medicare healthcare costs are the fastest growing cost that retired households face, and beneficiaries often shoulder a heavy financial burden. "Cutting Medicare benefits, while shifting more costs to beneficiaries, would be the wrong way to strengthen program financing" says Johnson..The Social Security Trust Fund is the single largest holder of U.S. debt. In the past, when more payroll taxes were received than required to pay benefits, the surplus was by law, used for other purposes. The federal government accounted for borrowing the funds by issuing I.O.Us from the U.S. Treasury to Social Security or Medicare Trust Funds. In recent years, the program's financing reversed and now both Social Security and Medicare Trust Funds are paying out more in benefits than money coming in. Both now rely on drawing down the interest and then the I.O.Us. But when the rest of the federal budget is in deficit, the government must borrow to pay Social Security and Medicare benefits. And according to a growing number of economists, those borrowing days are numbered..Even if you stay in the hospital overnight, Medicare still considers observation services as outpatient care and requires you to pay a bigger share of the costs. Your inpatient status is also important to determining whether Medicare will cover care you receive if you are later released to a skilled nursing the facility..So it could be significant this week that a Republican member of the Federal Trade Commission, Christine Wilson, stated that she believes Medicare should have more power to negotiate drug prices. She acknowledged that her position would be controversial among her fellow Republicans because they argue that allowing Medicare to negotiate with the pharmaceutical companies would essentially allow Medicare to set drug prices and stifle development of innovative new drugs. As the year progresses, we shall see if her views make any difference..According to the new Medicare Trustee Report released in April of this year, Medicare Part B premiums for 2020 are expected to rise .80 from 5.50 to 4.30 in 2020. That would swallow the entire COLA of Social Security recipients with benefits of about 5 or less. According to Social Security data, roughly 4 million low benefit Social Security recipients could be at risk of seeing no growth in their net Social Security benefit due to rising Part B premiums.