Telephone scammers are bilking Medicare out of billions of dollars, and bombarding millions of older U.S. consumers with multiple daily automated phone calls for everything from "free" back braces to genetic tests. While Medicare scams have been with us for decades, what's new is the use of automated calling technology, and the massive international scale of the scams. .We may not all agree on ways to reform the system, but at the very least it is time for our colleagues on the other side of the aisle to wake up and admit that we can't continue to defend the status quo. These new reports from the Medicare trustees make that much perfectly clear. .The COLA will be announced on October 19th, and Medicare premiums and deductibles also will be announced in the fall. Seniors who are already retired and those nearing retirement have few options if the benefits they rely on today were to be cut. TSCL is fighting such proposals affecting the benefits of current retirees, believing that seniors need a COLA that more adequately protects the buying power of Social Security, and TSCL supports H.R. 776, the Guaranteed 3% COLA Act, introduced by Representative Eliot Engel (NY-17). .Medicare Advantage — Medicare Advantage (MA) plans are popular because they tend to have much lower, or even zero premiums. In addition, many MA plans offer drug coverage. These plans may have deductibles, and charge co-pays for most services, leaving you at risk of more in out-of-pocket costs when you use services. Starting in 2011 for the first time, all plans include a limit on out-of-pocket spending that cannot exceed ,700. .That said, the SSDI program paid .2 billion in benefits to ineligible people in FY2012 according to the Social Security Administration's Office of the Inspector General. And skyrocketing enrollment is putting added financial strains on the program. Both the Social Security Trustees and the Congressional Budget Office have recently forecast that the SSDI trust fund will become fully depleted in three years. When that occurs, program revenues will only be sufficient to pay about 80% of benefits. Unless Congress takes action, severely disabled beneficiaries would face benefit cuts of 20%. .Congress should allow Medicare to negotiate drug prices by tying U.S. prices to prices paid in other industrialized countries like Canada, Great Britain and Japan where prices are lower. — 85 percent support, 13 percent not sure, and only 2 percent opposed. .The foam has been more effective in clearing most of Graves' symptoms and her Medicare Part D plan has paid for most of the cost of the "golden foam" so far. But Graves is keeping use of the medicine to a minimum, not only for health reasons, but because she doesn't want to run through her Part D initial coverage limit and hit the doughnut hole. .Negotiations thus far seem to be moving slowly, and it remains to be seen whether or not the conferees will reach an agreement before the looming deadline. TSCL will keep a close eye on the evolving negotiations, and we will continue to inform the conferees about the harms that would result from including harsh benefit cuts in a budget package. For updates, visit the Legislative News section of our website. .Usually, your doctor's order is necessary. Before you need emergency care, put a plan into place, including someone to help take care of you should you become seriously ill. Often, doctors will order observation care when you are too sick to safely go home from the emergency room. Although this can still occur even with the best-laid plan, you may be able to reduce the length of an observation stay if you have someone who will take care of you once you are released. If you learn that your patient status was changed after your admission as an inpatient you have a right to appeal decisions about healthcare payment, coverage of services and prescription drug coverage.