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You should know that there are some groups who call themselves senior groups but are funded mostly by the drug makers and other corporate interests. Whereas TSCL is beholden only to you, those groups dare not oppose the corporations that fund them, whether it is in the interests of seniors or not..Medicare has begun a major program change that affects diabetics who get supplies home delivered and other seniors who rent medical equipment like home oxygen gear and wheel chairs. The program is intended to help seniors save money when they buy supplies and rent equipment, but TSCL believes it is more likely to first cause confusion and surprise unanticipated costs until patients figure out the new system..According to the Center for Disease Control, it has been recognized for many years that people 65 years and older are at high risk of developing serious complications from flu compared with young, healthy adults. This risk is due in part to changes in immune defenses with increasing age. While flu seasons vary in severity, during most seasons, people 65 years and older bear the greatest burden of severe flu disease. In recent years, for example, it is estimated that between 70 percent and 85 percent of seasonal flu-related deaths have occurred in people 65 years and older, and between 50 percent and 70 percent of seasonal flu-related hospitalizations have occurred among people in this age group..The U.S. currently has 21 Social Security Totalization Agreements in effect with other nations. The agreements allow workers who split their careers working in two countries to avoid double taxation on the same work. In addition, workers are allowed to combine earnings from both countries in order to qualify for Social Security benefits under one or both systems. The agreement with Mexico presumably would have a very different impact, however, for a number of reasons, including the fact that no other totalization agreement is with a country where so many of its citizens are living and working in our country illegally..TSCL is supportive of the President's efforts, but we are taking a wait-and-see approach because, as so many things are in Washington, D.C., the devil is in the details..Questions To Ask Your Member Of Congress At Your Next Town Hall.The hold-harmless provision was again triggered on a nation-wide basis in 2016, when the COLA was zero, and again in 2017, when it was just 0.03 percent. In the meantime the Part B premium rose to 4.00 per month. In 2018, the COLA finally boosted benefits by 2 percent, but even so, roughly half of all beneficiaries reported that the increase in Part B premiums offset their entire COLA this year..Reps. Steven Rothman and Michael Michaud signed on to Rep. Charlie Gonzalez's CPI-E Act. The co-sponsor total is now at 33..TSCL believes that Medicare healthcare costs already cause many beneficiaries to shoulder a heavy financial burden in retirement. Cutting Medicare benefits, while shifting more costs to beneficiaries, would be the wrong way to strengthen program financing.