The Inflation Reduction Act has brought tangible improvements to Pennsylvanians' lives.

Health care premiums are declining, monthly insulin costs are now capped, vaccinations are provided free of charge and out-of-pocket expenses are decreasing. More than 80,000 Pennsylvanians on Medicare Parts B and D now pay a maximum of $35 per month for insulin.

Steven Lubin, a retired ICU registered nurse in Philadelphia, emphasized the importance of affordable diabetes medication and applauded the Inflation Reduction Act for helping him save on insulin costs. Ludin noted he used to pay high copays, but now has access to vital medicines without sacrificing other essentials.

"When you're on Medicare, you end up spending a lot more money," Lubin pointed out. "By the end of the year, I've spent a couple thousand dollars on insulin. So, $35 a month for the insulin that I use for when I'm eating. And then I have a long-acting insulin that I also pay $35 a month for."

Lubin emphasized the importance of expanding the Affordable Care Act to more Pennsylvanians. He added Pennsylvania has taken steps to widen health insurance coverage in the state and stressed the ongoing need for affordability assistance.

Lubin said for millions of Americans with diabetes, access to affordable medication and treatment is quite literally a matter of life and health. He added he witnessed firsthand the dire consequences when diabetic patients are unable to afford their insulin and other essential medications due to high costs.

"Over the years, I have definitely had a number of patients that were unable to afford their rents when they either had to ration the amount of insulin they were taking," Lubin recounted. "At times they were unable to fill the prescription at all, because it was several hundred dollars per vial if you had to pay for it out of pocket."

Lubin added it is essential for Pennsylvanians to work with their members of Congress to find the best solution to expanding the $35 co-pay for insulin throughout all insurance plans and helping people without medical insurance.


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A New York City music school's faculty is back in the classroom after a weeklong strike.

The Manhattan School of Music's Precollege Program faculty walked off the job after lengthy union negotiations broke down. The teachers have been working without a union contract since last August. While the union has made concessions, it said the school has been reluctant to compromise.

Adam Kent, president of the Manhattan School of Music Precollege Faculty Union, said they were forced to strike because the school was not taking the union seriously.

"We gave them over three weeks. We asked them if they wanted to reconsider their last proposal and they spelled it out that, no, they wouldn't be making any new proposals," Kent recounted. "We gave them two days notice when we actually declared the strike, and their first response was to try to line up 'scabs.'"

He noted the union is heading back to the bargaining table with the hope of getting a cost of living increase aligned with other schools, such as the Mannes School of Music and Juilliard. In a statement, the Manhattan School called the union's actions "disruptive to student learning" and argued they have had little or no availability to negotiate. Students, parents and other union members have joined the faculty's picket line.

While this was the first strike, Kent said he cannot say whether it will be the last. He cautioned there could be another, longer strike if the pattern of bargaining continues. He added recent comments from the school's attorney regarding the union's National Labor Relations Board case against the school make him leery about what lies ahead.

"The attorney made a comment to us, 'Good luck with your board,' in the context of the eviscerating of all of these federal agencies under the new administration, and we were really chilled by that," Kent acknowledged. "We really saw it as part of this idea of people claiming impunity and taking advantage of the current political climate."

Throughout negotiations, there have been questions about how much money is available for faculty raises. The school has continuously said there are not enough funds for a pay raise, but tax filing data show the school's president and executives received large pay increases last year. Other data indicate the school's tuition has risen 58% since 2014.


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Whether it's pressure from inflation or health-care costs eating away at savings, a reliable "nest egg" is still up in the air for many Americans.

There are calls to bring more certainty and retirement simplicity to the table for workers. Pensions offered to public employees are seen as more stable because they're not shaken by movements in the financial markets.

In recent polling from the National Institute on Retirement Security, 86% of Americans say all workers, including the private sector, should have a retirement plan that is more pension-driven.

Dan Doonan, executive director of the National Institute on Retirement Security, says retirement coverage is still too spotty for non-wealthy workers, leaving them on their own to put away savings.

"In general, we're just asking way too much of individuals to get all this right. And saving during the middle years of your life to provide income throughout retirement, it really is a challenging endeavor," he explained.

He added the good news is that more states, including Minnesota, are setting up programs that enroll private-sector workers in an IRA-style plan.

The goal is to step in when a company can't or won't offer retirement perks. Experts say they're easy for states to operate and benefit small businesses because they don't have to contribute. But for the workers, the IRAs typically have lower contribution limits, meaning the retirement savings might not stretch as far.

Just like state and local governments, Doonan said a more simplified network of retirement programs around the country can help companies in the private sector avoid staff turnover.

"As they do move in that direction, I think what you'll see is more loyalty in return to the company. So, there are some benefits for private employers, especially employers who value retention," he continued.

Congress has taken its own steps by adopting policies such as the Secure 2.0 Act, which updates federal rules dealing with retirement plans in hopes of boosting access. Doonan said those reforms could steer more people toward savings accounts similar to pensions. But he warns rising health care costs for older populations still could put a damper on things. And partisan divides remain in Congress over the future of Social Security.


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A recent round of employee cuts at the Environmental Protection Agency and other efforts by President Donald Trump's administration to follow through on the president's campaign promise to reduce the size of the federal government have prompted concern among government employees.

In Iowa, the cuts will have an effect on a number of employees.

Charlie Wishman, president of the Iowa AFL-CIO, said the cuts or job reclassifications threaten veterans' services employees, civil servants who work at Offutt Air Force Base in Omaha, just across Iowa's western border, programs that help people access Social Security benefits, or work in government security jobs in Des Moines. He said all the moves are not being made based on facts.

"Beyond that, it's a real problem to transform the professional civil service into an army of political appointees that are just loyal to one person and not to the mission to the American public or to what their job is actually supposed to be," asserted,

The American Federation of Government Employees marched in Washington, D.C., on Monday to rally against, among a host of measures, House Resolution 201, which would recalculate the way federal agencies evaluate employee performance and calculate their pay. The administration said it is making good on President Trump's campaign pledge to reduce the size of the federal government.

Wishman acknowledged while the looming job cuts across Iowa and the country create uncertainty among government employees, there is a bright spot.

"People understand that the way for them to fight back is collectively," emphasized. "AFGE has seen their numbers of new members jump by thousands since the president got his pen out and started writing executive orders, some of which aren't even legal."

A federal judge late last week ordered a temporary hold on Trump's order to effectively dismantle
the U.S. Agency for International Development, saying the affected employees would suffer "irreparable harm" from layoffs with no notice.