After reading the discussion below, respond the peer comments.

1. I work for the Dept. of Children and families in Florida we are somehow connected to Social Security offices we share information since Social Security recipients seek help with their premiums which is the part b of your Medicare benefits. For what I have learned so far is that they look at back for the past 5 years where you accumulated the most and based on this they do a percent to give you monthly, however some people retire early but they don't get their Medicare benefits until they actually turned 65. Is true when people don't understand how they decide how much you get and what their decision is based on. The main issue is that if you never accumulated a big amount of money within the years if pretty much you stayed at the same job until you retire and never had a big change on you pay then you are pretty much stuck to this I have seen many people working very hard the last 5 years before they retired to try to accumulate a bit more so they can get a little bump for their social security income. I think this system is working ok, however I think employers laws could be adjusted to help us get a rational amount when we retired.

2. Social Security is in financial trouble. Its solvency is defined as the ability of the trust to pay the full schedule of funds as prescribed by law, on a timely basis. Due to an aging population, Americans living longer and entering the retirement, there are fewer workers to support the system by paying taxes. Social Security Trusts are projected to be depleted by the year 2034. Without current legislative action, 81 million current beneficiaries will face across the board cuts by 2034. Additionally, disable Americans, and their families will face cuts to benefits as well, of nearly 11%. There are budgetary imbalances that continue to grow into cash deficits. This depletes the trust. The current projected deficit as of 2016 is 73 billion. By 2034, it can be nearly 2.8 trillion. However, some solutions can make Social Security sustainable for the long term. Solutions such as revising the COLA (Cost Of Living Adjustments), lifting the cap on payroll taxes, or rising the retirement age can all have a profound effect. However, even with these and other solutions, there are significant differences in the way Social Security is viewed. Fiscal conservatives in government feel are it is a personal responsibility of individuals and families should be more in control of their retirement, thus exposing them to greater risk. President G.W. Bush, upon entering the office, attempted to privatize Social Security, wanting to create spending accounts and having those accounts linked to the stock market. Senior citizen groups such as AARP and others were so enraged with this idea, they lobbied Washington to prevent this from occurring, and the plan was eliminated. Medical Costs 1. It's time for a fundamentally new strategy. At its core is maximizing value for patients: that is, achieving the best outcomes at the lowest cost. We must move away from a supply-driven health care system organized around what physicians do and toward a patient-centered system organized around what patients need. We must shift the focus from the volume and profitability of services provided-physician visits, hospitalizations, procedures, and tests-to the patient outcomes achieved. And we must replace today's fragmented system, in which every local provider offers a full range of services, with a system in which services for particular medical conditions are concentrated in health-delivery organizations and in the right locations to deliver high-value care. The first step in solving any problem is to define the proper goal. Efforts to reform health care have been hobbled by lack of clarity about the goal, or even by the pursuit of the wrong goal. Narrow goals such as improving access to care, containing costs, and boosting profits have been $5.