As a result of inflation, people on fixed incomes find that their incomes decline in value over time. One extremely important feature of Social Security is that its benefits are adjusted every year automatically to offset increases in inflation, so that the modest, but vital, benefits do not erode over time. It is important to understand that these adjustments are not increases. They are intended to simply allow people to tread water, to maintain their purchasing power.
Unfortunately, the government’s cost of living adjustment for Social Security is based on inflation experienced by workers and not by retirees and people with disabilities who are unable to work. Older people and people with disabilities have, on average, higher health care costs; those costs tend to rise considerably faster than overall inflation. For that and other reasons, Social Security beneficiaries generally experience higher costs of living than workers, so Social Security adjustments are often inappropriately low. Consequently, Social Security beneficiaries are not even treading water, but rather losing ground. Nevertheless, even inadequate adjustments are better than none.
For 2019, Social Security beneficiaries will receive a cost of living adjustment or COLA of 2.8 percent, an average of $39 a month or $468 a year. That is good news for Social Security beneficiaries, many of whom have little or no other income. The bad news is that millions of people likely will not experience that full increase.
Most people with Medicare who receive monthly Social Security benefits have their Medicare Part B premiums deducted directly from those Social Security payments. For these people, Congress has provided that the annual increase in the Medicare Part B premium must be no larger than the Social Security cost of living adjustment or COLA. (An exception to this rule is if you are higher income and subject to the Income-Related Higher Income Amount.)
People who are protected can’t lose some of their Social Security benefits, but they can certainly see no cost of living adjustment, despite the 2.8 percent increase. In 2018, about one quarter of beneficiaries saw no increase whatsoever and another 18 percent received a monthly benefit that was only $5.00 or less.
People who do not have their Medicare premiums deducted automatically from their Social Security benefits can, indeed, wind up with less net income, despite the increase. And, of course, in addition to premiums for health insurance covering doctors’ costs, there are premiums for prescription drugs, as well as costs for copays and deductibles. As a result, instead of treading water, people are sinking below the surface. Indeed, bankruptcies among those aged 65 and older are skyrocketing.
This is unacceptable. After a lifetime of work, Americans should have enough guaranteed Social Security to maintain their standards of living. The solution is three-fold. First, Congress should enact a better, more accurate measure of inflation for people receiving Social Security benefits. In addition, benefits, which are modest, but vital, should be increased. Finally, Congress should improve Medicare by expanding it to cover such vital services as hearing aids, dental work, and vision care. Premiums, copays, and deductibles should be eliminated. And everyone should be covered. Improved Medicare for All will improve the nation’s health outcomes while costing a fraction of what we pay today.
It is long past time to enact a more accurate cost of living adjustment for Social Security, expand its benefits, improve Medicare, and extend it to everyone. That is profoundly wise policy. It also represents the views of the vast majority of us.
If you want Congress to expand Social Security, please sign this petition.
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