(Washington, DC) – Seventy-eight percent of retirees think Congress should cap what Medicare beneficiaries must spend out-of-pocket on prescription drugs, according to new survey by The Senior Citizens League (TSCL). Unlike other types of insurance, Medicare Part D has no annual out-of-pocket maximum. This leaves the sickest retirees spending hundreds, or even thousands, of dollars in pharmacy costs for prescription medications every year. .Low and middle-income earners pay taxes on all of their earnings. In recent years, however, the share of total wages earned in the U.S. and subject to Social Security payroll tax has declined because the earnings of the most highly paid workers have grown rapidly. Most of the proposals to increase the taxable maximum would also raise benefits of the affected workers by counting earnings above the old cap in the benefit formula. The non-partisan Congressional Budget Office (CBO) has estimated that eliminating the taxable maximum would extend the Social Security solvency as much as 50 years.[1] .Get an annual check up. Case in point: I recently helped a senior who hadn't seen a doctor in years, despite being a smoker. It took some urging, but she finally got a physical. She was shocked to learn that her blood pressure was high — dangerously so — and wound up driving straight to the pharmacy with a prescription for blood pressure medication. Visits to the doctor are far less expensive when you get there under your own steam rather than via an ambulance gurney. Starting this year, Medicare covers a yearly annual "wellness" exam and you pay nothing, if your doctor "accepts assignment" or the amount Medicare pays for the service. Do this before I have to nag you, too. .Part B premiums are only part of what Medicare recipients pay. People also have premiums for a Medigap supplement and Part D plan, or a Medicare Advantage plan and those premiums are rising as well. Hold harmless protection does not apply to premium increases in these private plans, and any increase would leave retirees .By delaying the start of your benefit until your full retirement age of 66, your benefit will be 25% higher. Delay until age 70, and your Social Security payment will be 65% higher than if you start it at age 6This can make a huge difference in the monthly income you receive. For example, if entitled to a monthly benefit of ,000 at age 66, you would receive only 0 per month at age 6And if you can delay until age 70 you could take a retirement benefit of ,320. .Doc Fix for Medicare Providers – Establish a permanent solution in order to bring greater stability to doctor reimbursements, ensuring continued access. .According to a report in The Hill newspaper, "House Democratic leaders are intent on including a measure that would allow the secretary of Health and Human Services to negotiate lower prices for prescription drugs, sources say." .TSCL believes the increased use of observation stays is denying Medicare beneficiaries access to medically necessary skilled nursing care. All days spent in a hospital should count toward Medicare's three-day hospital stay requirement. TSCL supports the Improving Access to Medicare Coverage Act (H.R. 1179) introduced by Representatives Joseph Courtney (CT-2) and Tom Latham (IA-3), and (S. 569) introduced by Senators Sherrod Brown, (OH) and Susan Collins (ME). The legislation would deem time an individual spends under observation status eligible towards satisfying Medicare's three-day requirement. .New Medicare Enrollees in 201Because these people are new to Medicare, they pay the full amount in 2017 when they sign up.