Nearly 50 years ago, we made a promise to ensure quality, affordable healthcare for all American seniors. In order to protect that promise, we must promote excellence and efficiency in Medicare, while being more fiscally responsible. One of the most important ways we can achieve those critical goals is to fix the broken Medicare physician payment system, which has created uncertainty and instability for seniors, healthcare providers, and the federal budget for decades. Because of the failed physician payment system, there is a looming crisis facing seniors and the doctors who care for them: on January 1, 2013 doctors could be hit with a scheduled reduction in Medicare payments of more than 30 percent. .Second, one new cosponsor – Representative Sean Patrick Maloney (NY-18) – signed on to the Improving Access to Affordable Prescription Drugs Act (H.R. 1776). The cosponsor total is now up to twenty-three. If adopted, this comprehensive bill would require the federal government to negotiate lower Medicare Part D prices, allow the importation of prescription drugs from Canada, and cap monthly prescription drug expenses at 0, among other things. .Sen. Sanders organized a petition drive that has garnered 400,000 signatures so far, and he is hopeful that his campaign will help prevent the adoption of benefit cuts like the "chained" Consumer Price Index (CPI). While some conferees seem to agree with Sen. Sanders, others feel that changes like increased Medicare means testing should be considered as part of a package to replace the automatic sequester cuts, which are scheduled take effect on January 15th. .Minimal Workplace Enforcement—A Contributing Factor .When AZT, the first effective drug for combating the virus that causes AIDS, was introduced in 1992, it was priced at up to ,000 a year or about 0 a month. It was the most expensive prescription drug in history, at that time. The price was widely denounced as "inhuman." Today that price gets you some drugs for toenail fungus. .CMS Announces Preliminary MA Payment Changes .The Medicare Trustees estimated in their April 2020 annual report that the base 2021 Part B premium would rise by .70 (6 percent), from 4.60 to 3.30.[1] The annual report was written prior to the coronavirus national emergency and does not incorporate the effects of the coronavirus caused recession, the interaction with an extremely low COLA. .Finally, one new cosponsor – Rep. Joyce Beatty (OH-3) – signed on to the Social Security Fairness Act (H.R. 1795) this week, bringing the total up to ninety-four. If signed into law, the bill would repeal the Government Pension Offset (GPO) and the Windfall Elimination Provision (WEP) – two provisions that unfairly reduce the earned Social Security benefits of millions of state and local government employees each year. .Now there are ads in various parts of the country being run by the Democratic Congressional Campaign Committee, accusing House Republicans of doing the bidding of drug industry donors by opposing the bill. Unremarked upon are the House Democrats who've also received money from the industry — and whose opposition is seen as potentially fatal to the legislation.