Alexandria, VA (April 5, 2011) Congress is considering three major deficit reduction proposals that would make seniors pay even more for their Medicare than they do now. The debate over federal spending on Medicare is occurring at the same time a majority of seniors are reporting higher out-of-pocket Medicare costs, according to a new survey by The Senior Citizens League (TSCL), one of the nation's largest nonpartisan seniors groups. Retirees received no annual cost-of-living adjustment (COLA) in both 2010 and 2011, leaving them with less Social Security income to cover much higher monthly bills. About 47 percent of respondents report receiving lower Social Security payments this year, and more than 60 percent said their overall monthly expenses had increased or more. .TSCL is hopeful that Congress will pass these commonsense solutions as soon as possible to restore the solvency of the Social Security and Medicare programs. For more information on legislation that would strengthen these programs, visit the Bill Tracking section of our website. .TSCL believes that Congress should strengthen Social Security's protections by enacting legislation to prohibit the use of unauthorized earnings from being counted toward eligibility for Social Security benefits, "a change that should be made regardless of the outcome of the Supreme Court decision or whether Congress moves on immigration or Social Security reform," Cates says. .The calculation of the COLA is based on the percentage of difference in the average third quarter change in the Consumer Price Index for Urban Clerical Workers and Wage Earners (CPI-W) from one year to the next. In late August of 2005, Hurricane Katrina knocked out petroleum production, causing gasoline and other consumer prices to surge in September. The CPI-W shot up an astonishing 1.5 percent between August and September of that year. But since Katrina, the CPI-W has increased .042 percent on average from August to September. "Even if costs were to rise as much as they did after Katrina, the COLA for 2018 would still be about 2 percent," Johnson says. .Social Security is one of the only types of retirement income that provides a small increase annually to keep up with inflation. But in recent years, inflation as measured by the government's Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W) has been almost non-existent, averaging just 1.2 percent per year since 2010, less than half the 3 percent inflation averaged the decade prior to 2010. .TSCL plans to continue hosting town hall meetings in the future. If you are interested in helping us plan a meeting in your area, click HERE. .House Postpones Thursday AHCA Vote .The hold harmless provision usually affects only a small number of beneficiaries in any given year, which has a relatively minimal impact on Part B financing. Since 2010, however, the hold harmless provision has been triggered on a nationwide basis an unprecedented four times. This occurred when inflation was so low that the COLA was zero in 2010, 2011 and 2016 and just 0.3 percent in 2017. .The costs of custodial care pose a big challenge for Alzheimer's patients and their families. According to a survey of long term care costs by Genworth Financial, Inc., a semi-private room in a nursing home can cost ,148 a month, or ,750 per month in an assisted living facility. Even a home health care aide costs per hour. Many families work to put together a caregiving network with family, friends, churches and community services in the early stages of Alzheimer's treatment.