What you don't know about Medicare supplements (Medigap) or Medicare Advantage plans could cost you dearly. The system is rigged in favor of Medicare insurers, and consumers often have little idea what they will need or be able to afford. Here are a few tips: .The explosive cost of specialty drugs, that offer major treatment advances for people with life-threatening diseases, is not only threatening access to these treatments, but threatens to drain retirement savings, and leave widows and widowers in poverty after the death of a spouse. Unlike Medicare Advantage plans, and health insurance plans covering working-age adults, Medicare Part D has no annual out-of-pocket maximum to protect people with the highest drug costs. .Sources: "An 87 Year Old Nun Said She Was Raped In Her Nursing Home. Here's Why She Couldn't Sue," Haley Sweetland Edwards, Time, November 16, 201"House Passes Ban on Forced Arbitration, Class Action Limits, Jaclyn Diaz, Bloomberg Government, September 20, 2019. .This sounds similar to the current Medicare Advantage system except for one big difference — the Health and Human Services secretary would be given authority to set beneficiary cost-sharing "based on evidence of the value of services." Under this criterion, who do you think would be more likely to get the best coverage for expensive services like CT scans that can cost ,000 — an 84-year-old, or a 43-year-old mother with two children? Finally, the recommendation would require insurers to pay a surcharge on the Medigap policies that they offer to beneficiaries. This proposal is not new. .Surveys have found that public opposition to cutting benefits is widespread, but there is support for changes that would make Social Security payroll taxes more equitable. According to TSCL's 2017 Senior Survey, 73% of survey participants support abolishing the taxable maximum cap and to apply the full 12.4% payroll tax to all earnings. .Only one other time in recent years, in 2009 at the peak of Great Recession job losses, has the AWI ever gone negative. The 2009 AWI dipped by 1.51% and retirees who were born in 1949 were affected. Although the problem was known at the time, the reductions to benefits were considered small and Congress took no action to prevent those reductions. .How do you envision your perfect day in retirement? Are you the type that needs to be busy with work and projects to feel fulfilled, or do you look forward to spending time puttering around on your own, traveling or just enjoying leisure? Note how you like to spend your time. ."In the event that you have the choice to get vaccinated, I'd encourage you to take the vaccine that you're given," John Brooks, the chief medical officer of the Centers for Disease Control and Prevention's Covid-19 response, said at a briefing Friday." .Require new deductibles and cost-sharing while limiting what Medigap plans could cover. Because Medicare doesn't cover all of the costs, seniors purchase supplemental coverage, known as "Medigap," to cover deductibles, and co-insurance. A proposal from President Obama's Fiscal Commission would impose a new deductible of 0 and new cost-sharing. Then, it would restrict what Medigap plans could cover, adding up to ,000 in new out-of-pocket costs that the more comprehensive Medigap plans cover now.