Wednesday, March 5, 2025

Means Testing Medicare (Letter)

"Means Testing Medicare" WSJ

https://www.wsj.com/opinion/means-testing-medicare-would-do-no-harm-spending-rich-healthcare-d48a7441

BQ:

Means-testing Medicare is much odder than this indicates, and I'm glad comments are open. 

First, Medicare Part B and Part D are heavily means testing - earn $150K while getting Medicare and your premium will be $1000 a month, not $200. Part B and D are minimaly subsidized today, for higher-earners. 

Second, Medicare Part A is the same for everyone. But if you want free markets for "the top 20 percenters," and no government involved, look to having exclusion for pre-existing conditions in 75 year olds, and look to hospitalizations costing $300,000 out of pocket instead of the $30,000 Medicare Part A pays at. 

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