On Tuesday evening, President Obama gave his fifth State of the Union Address before both chambers of Congress. To The Senior Citizens League's (TSCL's) surprise, the sixty-five minute speech included no mention of Social Security or Medicare, but the President did speak briefly about immigration reform and a new retirement savings plan called "myRA." .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. .The expert witnesses at the hearing focused their suggestions on improving the marketplace. Edmud Hailsmaier – Senior Research Fellow at The Heritage Foundation – said policymakers should change how they see the individual market. He said it should be thought of as two distinct pools which include (1) individuals wishing to be protected against the financial liability of large health expenses, and (2) those who are very sick and have no other insurance options. .Back in April, President Trump picked out a single computer model of coronavirus spread to use for guidance about the coronavirus. It turns out that that model initially had rosier estimates than others, and it projected many fewer Covid-19 deaths. .Earnings may cause your Social Security benefits to be subject to taxation. A portion of your Social Security benefits may be taxable if your income is over certain thresholds —,000 and up (individuals) or ,000 and up (couples filing jointly). .The proposal is not new. Former Federal Reserve Chairman Alan Greenspan supported a similar proposal in the late 1990s. In fact, it's one of a series of technical changes to the CPI recommended by the Boskin Commission in 1996 — which said that the CPI overstates inflation and that the COLA overpays seniors by about 1.1%. The Bureau of Labor Statistics busily instituted a number of those changes from 1995 through 2000 that, by my estimates, have already cut the rate of growth in the CPI and average Social Security benefits, compared to previous CPI measurement methodology by about 5 annually over the past ten years. If Congress were to adopt the chained CPI to calculate COLA starting with the COLA payable in 2012, that would additionally cut the growth in average benefits by about ,429 over the next ten years. .Such logic would be disastrous if it were applied to a successful COVID vaccine. COVID-19 has shut down countless businesses, creating record-high unemployment. And the medical consequences of severe COVID-19 mean weeks of highly expensive intensive care. .The cost of additional coverage varies significantly. There are pros and cons that need to be weighed for the type of selection you make for your additional coverage. For example, you should ensure that your Part D or Medicare Advantage plan is selected based on the drugs you take, and the doctors and hospitals you actually use. (A Medicare benefits counselor will check this information for you on the Medicare website.) While the cost of this additional coverage varies, the coverage offered may be identical, and that is why we recommend getting help from a SHIP counselor, who can help you find coverage to keep your costs to a minimum. Medigap insurance, for example, costs more for the premium, but you would have minimal out-of-pocket costs. On the other hand, you might pay less for the premium of a Medicare Advantage plan, and perhaps get some additional benefits like vision care, but you would have co-pays or co-insurance for each service. In Central Virginia, for example, a Medigap G policy may be found for about 0 per month, and roughly per month for the drug plan (or even less). .If these aren't challenges enough, The Senior Citizens League (TSCL) recently estimated that the Social Security benefits of the first wave of baby boomers have taken a hit from the economic downturn. Due to two years of no cost-of-living-adjustments (COLAs), and lower than expected COLAs, as well as an unprecedented drop in wages over the past decade, retiring seniors' benefits based on average earnings could be impacted as much as ,000. This impact is compounded when the losses in personal retirement savings and 401(k) plans are accounted for.