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The best way to protect against flu and its potentially serious complications is with a flu vaccine. CDC recommends that almost everyone 6 months of age and older get a seasonal flu vaccine each year by the end of October. However, as long as flu viruses are circulating, vaccination should continue throughout flu season, even into January or later.."I make no apologies. These very, very popular entitlement programs at some point are gonna have to be adjusted.".Aging Committee Holds Hearing on Combatting Senior Scams.My frail mother was in the hospital after passing out and falling. She stayed "in observation" for four days and received a number of tests for stroke, heart and circulatory problems. After discharge, her doctor said she needed nursing home care. The nursing home warned us that if mother's hospital stay was observation Medicare would not cover the nursing home stay. She has received several large bills for the hospital care. We can't afford to pay for this care out-of-pocket. Can you suggest anything?.Medicare has recently made revisions to its payment rules, but those changes do not drop the three day of inpatient care for nursing home coverage, or require hospitals to tell patients when they are getting observation care. Legislation has been introduced in Congress that would count observation stays as part of the three hospital days required for nursing home coverage..Several provisions within the H-CARE act include; increasing payments to Rural Health Clinics, authorizing to million annually for grants to rural providers to help with the cost of implementing health information technology, requiring prompt payment to rural pharmacies by Medicare prescription drug plans and ensuring that rural Americans are appropriately represented on the Medicare Payment Advisory Commission..While it is true that we must come together to address our budget, we cannot fix our fiscal problems on the backs of our seniors. We also must not use our economic future as a bargaining chip to advance unrelated partisan interests. During my time in Congress I'm proud to fight for Medicare benefits for our next generation of seniors. As we look forward to the next 50 years I am cognizant of some of the challenges facing Medicare. But I also see opportunity:.Mary Johnson, a policy analyst for The Senior Citizens League, said earlier this week: "The combination of higher premium costs and lower premium subsidies that people would receive under the replacement plan would make health insurance unaffordable for millions of low and middle income Americans … Anyone who cares about his or her health coverage should contact their Members of Congress now.".Currently, 62 percent of Americans ages 65 and older suffer from multiple chronic conditions which require person-centered, coordinated care. Direct Care Workers, such as nursing assistants, home health aides, or personal care aides provide an estimated 70 to 80 percent of the paid, hands-on, long-term care and personal assistance received by older adults in the U.S. DCWs are not, however, often recognized as essential contributors to care teams. Few existing models provide DCWs with the advanced training necessary to take on increased responsibilities.