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A new analysis from The Senior Citizens League indicates that Social Security checks in 2019 are as much as 18 percent lower due to the impact of extremely low COLAs over the past ten years. From 2000 to 2010, COLAs routinely averaged 3 percent annually. People who have been receiving Social Security benefits since 2009, have only seen a COLA higher than 2.8 percent one time..The big difference between the CPI-W used to calculate your COLA, and the CPI-E, is the weight or portion of income that the Bureau of Labor Statistics gives to each category. While seniors occasionally benefit from the heavier weighting of transportation costs and food costs under the CPI-W when food and gasoline prices spike, in the majority of years they fall behind due to the lower weighting of medical care..The public frequently confuses the two programs. Like Social Security, people become eligible for Medicare based on payroll tax withholdings from their earnings. Eligibility for Medicaid is based on low income. Medicaid is a combined state and federal program, in which the federal government pays roughly 60% of program costs for all whose income is low enough to qualify under current law. The new House law would end the open ended nature of funding and cap per person costs, adjusting reimbursements for inflation using the consumer price index..Thousands of prescriptions are abandoned at pharmacies each year, often due to high prices. There are several things you can do to bring that cost down to a more manageable level..In 2019, there are a total of ten different Medigap plans, "A" through "N." Congress closed Plans "F" and "C" because they cover the Medicare Part B deductible. The thinking is that deductibles prevent "over utilization" of Medicare benefits. The Part B deductible is 5.50 this year and it rises at the same pace as the Part B premium. According to research by Johnson, Part B premiums have increased about 10 percent per year since 2000, making it one of the fastest growing costs in retirement. "Requiring retirees to pay deductibles, or higher deductibles, has the biggest financial and health impact on middle-income Medicare beneficiaries with modest means," says Johnson. "Many put off medically necessary care if they can't afford the deductible, and their health can get worse when they do," she says..This order is not only vehemently opposed by the pharmaceutical industry but also by many conservative groups that have otherwise been supportive of Trump during his time in office..Lawmakers Reach Deal to Avert Fiscal Cliff.The blueprint also calls for billion in Social Security cuts, and it would fully repeal the Affordable Care Act and replace it with the House-passed American Health Care Act. That change would leave millions of older Americans not yet eligible for Medicare without health insurance coverage due to high costs. It would also impact around 11 million Medicare beneficiaries who are also enrolled in the Medicaid program many of whom are patients in costly nursing home facilities..Rep. Elijah Cummings introduced H.R. 3513 on September 10, 201It has since been referred to the Committee on Energy and Commerce and to the Committee on Ways and Means.