Under growing pressure to reduce the federal deficit, the prospect of major Social Security and Medicare cuts is the greatest it's been in almost three decades. The recent debt limit deal calls for a bipartisan committee that has until Thanksgiving to come up with a plan to cut the deficit by .2 trillion. TSCL believes that the committee would very likely include a change to a more slowly growing consumer price index that would cut annual-cost-of-living adjustments. There are also proposals that would require seniors to pay a bigger portion of their Medicare costs..Nearly twenty new initiatives were revealed at Monday's conference. In his speech, President Obama announced one that will encourage workers to save more for retirement by helping states create new workplace-based savings opportunities. Currently, around one-third of all employees do not have access to a workplace retirement plan. The initiative announced on Monday will "provide a clear path forward for states to create retirement savings programs" by the end of this year, President Obama said..Physical, occupational and speech therapy services for some patients, especially those who have long-term severe illnesses, are the services that have been impacted the most. Under a new Medicare reimbursement system, home health agencies now have a stronger financial incentive to treat patients who need short-term therapy after a stay in the hospital or rehabilitation facility. Payments under the new reimbursement system are higher for people who are discharged from an institution and have services provided within the first 30 days - and get lower after that..In a statement that was released after the final vote, Senator McCain said: "We must now return to the correct way of legislating and send the bill back to committee, hold hearings, receive input from both sides of the aisle, heed the recommendations of the nation's governors, and produce a bill that finally delivers affordable health care for the American people. We must do the hard work our citizens expect of us and deserve." In addition, Senator Murkowski told reporters: "We cannot let the public believe that we are done with health care. We're just beginning.".While you can count medical bills for you, your spouse and dependents listed on your tax return, you may also be able to count some medical expenses that you paid for a family member who's not considered a dependent for tax purposes. This is the sort of question you should discuss with a tax professional..Be sure to check out the TSCL website, for updates to bill co-sponsor lists and for newly introduced legislation. As TSCL continues to work with people on Capitol Hill to make your issues known, your help is also needed and greatly appreciated..Then, in our Oct. 3 Update we reported that the chairmen of the House Ways and Means Oversight and Health subcommittees had sent a letter to Health and Human Services Secretary Alex Azar requesting more information about the discount card. Among the questions they were asking was what legal authority is being used to justify the program and how it will be paid for..Social Security provides an essential foundation to American's retirement plans, but it simply was never designed to be the sole source of retirement income. Social Security replaces about 40% percent of earnings of the typical retiree. TSCL believes that today's retirement crisis calls for more adequate, not reduced, benefits..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?