I received my new Medicare Insurance provider's formulary for 2014, along with what my costs will be.  Unfortunately, my prescription co-pays for preferred drugs will increase by six times.  Most service co-pays will also increase, with the exception of visits to my general practitioner.  The latter will drop very low, and I am hoping what the insurance provider pays him will not drop so drastically.  If it does, I have a hunch I won't be able to see a general practitioner any longer.  Dire conclusions may be reached about the future of senior citizens.