The Senate-passed bill includes a repeal of the Affordable Care Act's individual mandate, which experts predict will result in a loss of health insurance coverage for 4 million individuals, many of whom are older Americans who are not yet eligible for Medicare. Those who remain insured through the individual market are expected to see premium increases of 10 percent or more – a hike that would make health insurance unaffordable for many. Most House Republicans have said they support a repeal of the mandate, and it is expected to be included in the final version of the bill. .That represents a huge liability to the Social Security Trust Fund, should there be an amnesty. Every year the SSA processes millions of W2s. When a name or SSN on a W2 doesn't match the SSA's records, the wage report goes into an "Earnings Suspense File" (ESF) until the discrepancy can be reconciled. The ESF file today contains more than 312.7 million wage items representing 5 trillion in wages. Wages are what the Social Security Administration uses to determine entitlement to Social Security, rather than the amount of taxes paid. Immigration reform advocates say that although payroll taxes are withheld from the checks of illegal workers, they have little chance of collecting benefits. .Get signed up for Medicare now in order to have your coverage start the month you turn 65! .According to Bloomberg News, "Budget officials analyzed prices of 176 popular brand name drugs and found the price for a 30-day supply of medication was 8 on average through Medicaid and 3 through Medicare Part D, which pays for prescription drugs in retail pharmacies. The government also paid twice as much on the same drugs through Medicare versus the Veterans Affairs program." .The costs shown in the chart below assumed plan coverage started on September 1, 2017 for a new enrollee. The Medicare Drug Plan Finder cost estimates include premiums, and out-of-pocket cost sharing for 201Costs shown are estimates and the actual costs may vary somewhat depending on pharmacy used. The prices illustrated in the chart are likely to change for 2018. .Each year, the "taxable maximum" increases according to growth in the national average wage index. However, the percentage of earnings subject to the payroll tax has decreased over time, since earnings by the wealthiest have grown faster than earnings by the rest of the population. Increasing the "taxable maximum" to cover a larger portion of income could responsibly cover the cost of the Notch Fairness Act. Third, Congress could allow the temporary Social Security payroll tax holiday to expire. For nearly two years, employees have enjoyed a two - percent payroll tax cut, but it has done little to stimulate the economy and it has undermined the self-sustaining nature of Social Security. .Use of a consumer price index (CPI) that does not reflect the costs experienced by retirees to calculate the annual cost of living adjustment (COLA) suppresses the amount of lifetime Social Security income received. It reduces your Social Security benefit payments by thousands of dollars over the course of a retirement. .It remains unclear, however, how broadly the order will be implemented — the executive order does not specify what drugs it covers. Instead, the order directs the Food and Drug Administration to decide which medicines will be subject to the new requirements. Certain drugs can also be exempted from the executive order if they are too expensive to make in the U.S. or the U.S. is not already making them. .But among other things, if consumers can't find the cost of health care, the idea of the free market is impossible.