Medicare pays the plans a pre-determined monthly amount for each enrollee. Higher rates are paid for sicker patients, and lower amounts for people in good health. The "risk adjustment" policy is intended to avoid the problem of plans cutting corners on healthcare to boost profits. But the audits found pervasive problems with many plans overstating the severity of enrollees' medical conditions, with little documentation of the medical conditions being claimed. .For nearly 30 million Americans, access to a trauma center is over an hour's drive. It's no exaggeration to say the fate of health care programs for rural America could mean life or death for the communities that feed, fuel, and clothe the rest of the country. .The additional cost from adopting private accounts poses a much greater threat to the Social Security Trust Fund's solvency than it currently faces. Consequently, I have always adamantly opposed "private" accounts, or "individual" accounts, or "personal accounts" – regardless of what they're called. They're a big gamble and a risky deal for workers, retirees, and taxpayers alike. .It's do or die time for Congress. Unless they can pass a federal government funding bill in the next 10 days the government will shut down on October And those 10 days are not all working days unless they decide to work through next weekend. .I am writing for assistance in applying for the Notch Settlement on behalf of my widowed mother who has been a supporter of this cause for several years. .While the benefit cuts were negotiated in secret and enacted swiftly with virtually no public debate, Congress passed up the opportunity to close another and far bigger Social Security loophole — one that allows people with the nation's highest wages (including all Members of Congress) to get an enormous tax break, while paying Social Security (FICA) taxes on just a fraction of what they earn. In fact, about 6% of all wage earners, according to the Social Security Administration, pay no Social Security taxes at all on earnings over 8,500. Once they have earned 8,500, these workers get to keep 6.2% of every dollar earned over that amount in wages. .At a recent hearing from the House Ways and Means Health Subcommittee, experts in the MA field warned that their plans will not be able to absorb the looming cuts, and they will likely have to trim benefits or increase out-of-pocket costs as they are phased in over the next decade. One witness, Chris Wing – the CEO of SCAN Health Plans – said his MA plan that covers nearly 200,000 seniors in California and Arizona will have to begin limiting provider networks or withdraw from a few markets altogether. .In particular, the expert witnesses at last week's hearing focused on isolation from the community, Medicare penalties for late enrollment, and a lack of funding for State Health Insurance Assistance Programs (SHIPs), which help older Americans navigate Medicare enrollment. .Social Security and Medicare benefits are paid for through payroll tax deductions from workers and their employers. Even after starting to receive benefits, close to 56 percent of retirees continue to pay into the programs through income taxes on a portion of their Social Security benefits. Medicare beneficiaries also pay premiums for Part B doctors and hospital outpatient insurance. Both programs are relied upon by tens of millions of older Americans for income and healthcare benefits. "According to the most recent surveys by The Senior Citizens League the public wants their lawmakers to protect these programs, but not by cutting benefits." Johnson notes.