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The two thoughts are related b/c I've long that that Medicare recipients should be paying more for their benefits. Charging more in premiums, means tested, was a method I've been in favor of in the past; but this is fine too.
But this isn't forcing Medicare recipients to pay more for their benefits. It's forcing people aged 25-65 to pay more in taxes to provide those benefits to people aged 65-110.
I like that it's not inflation-adjusted. Accomplishes the charging more, but means-tested, in an approximate way.
My point is that whatever its current value, it will not last.
The Senate does not currrently have any form of PayGo, IIRC. Just the House.
And given that the House waives Paygo whenever it feels like it, what makes you think that the Senate version would be any more effective?
It's like saying that you've quit smoking, except for when you want a cigarette.