At 61, Alexander Remus has pared his life down to the essentials. He lives on a modest pension, avoids restaurants, and allows himself just one visit to a movie theater a month to stay sane. Even his prescriptions for a chronic health condition aren't guaranteed some months, he skips doses to stretch his budget. The sacrifices are painful, but he said they're the only way to keep up with the cost of living as a retired highway maintenance worker.