Ok... cool story, bro. Not Medicare beneficiaries aren't paying for it with their tax dollars. Particularly those enrolled in MAPD's. They are no longer paying those taxes at all since they are no longer working.
Actually if people's social security is high enough it is taxable - both federal and in some, but not all, states. Also if they have pensions, money they need to take out of their retirement account (eg the minimum distribution requirements from most accounts although not Roth IRA's and money taken out of them is not taxable as tax was paid on that money before the put it in the Roth account) is taxable. So many people are still paying income tax.
Those aren't the people on MAPD... so again... cool story, bro!
That's not true. Plenty of people who are on MAPD's aren't dual eligible and have enough in social security, pensions, other retirement accounts that they do have to pay taxes on some of their social security and other income (including other retirement income).
www.kff.org
That your clients don't doesn't mean all don't.A Snapshot of Sources of Coverage Among Medicare Beneficiaries | KFF
This brief analyzes the different types of coverage that people with Medicare have and the demographic characteristics of Medicare beneficiaries with these different coverage types.
The overwhelming majority of medicare beneficiaries on MAPD receive less than $25,000/year. Also, part A is funded by FICA taxes. They don't pay FICA at all on unearned income. Part B is only partially funded by general revenues (74%).
Like I said, the people I sit with do not pay into anything. Other than their Part B which is a sunk costs. They pay it either way.
On the other hand before they were eligible for medicare most of them paid into a system (via taxes) that they weren't using so it did cost them something at one point in time. I suppose you could look at it as "getting their money back".
