When SS was started, almost no one lived to be 65. Now, most folks live to be 80. People who were never supposed to live long enough to collect, are collecting. As for Medicare, I think anyone of welfare can use Medicare. But I am probably wrong. Many doctors no longer take Medicare because they think they are losing money by accepting it. It pays much less than what they normally charge but they cannot charge more, so they do not treat Medicare patients.
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