Rising healthcare costs are a major concern for older Americans, and it's affecting their finances and political priorities. Open enrollment for Medicare began in October, with changes in costs and coverage. Prescription drug prices remain high and that's forcing some people to ration medications. Long-term care costs have also increased significantly. Social Security's future is uncertain, with potential benefit reductions by 2034 if funding issues aren't addressed. One 83-year-old retiree from Ohio says she faces financial strain due to medical expenses despite her careful retirement planning. Barbara Weigand recently withdrew $4,000 from her retirement account to cover cancer treatment costs.

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President Donald Trump talks with reporters after arriving on Air Force One, Friday, Oct. 23, 2026, at President Donald J. Trump International Airport in West Palm Beach, Fla., as Health and Human Services Secretary Robert F. Kennedy Jr. and Centers for Medicare & Medicaid Services administrator Dr. Mehmet Oz listen. (AP Photo/Mark Schiefelbein)

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President Donald Trump speaks in the Oval Office of the White House, Tuesday, Oct. 20, 2026, in Washington, as Nick Shirley, from left, Centers for Medicare & Medicaid Services administrator Dr. Mehmet Oz, Vice President JD Vance and Andrew Ferguson, chairman of the Federal Trade Commission, listen. (AP Photo/Jacquelyn Martin)

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President Donald Trump listens as Centers for Medicare & Medicaid Services administrator Dr. Mehmet Oz speaks in the Oval Office of the White House, Tuesday, Oct. 20, 2026, in Washington. (AP Photo/Jacquelyn Martin)

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President Donald Trump's Trump’s promised $90 Medicare rebate rolls out this week, but millions of people will be left out. The rebates are estimated to cost $2 billion and are intended to help more than 20 million Medicare enrollees with their Part B premiums. Less than one-third of all Medicare recipients are eligible for the payouts. Not eligible are roughly 35 million Medicare Advantage enrollees, millions of other people with disabilities and low-income Medicare recipients. The election-year promise comes as the Novembers midterms are fast approaching, with the cost of living and healthcare expenses among the top issues for voters. Critics say the move is a political stunt.

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FILE - A Medicare Advantage PPO card rests on top of a Medicare card in Portland, Ore., June 10, 2024. (AP Photo/Jenny Kane, File)