Americans Forced to Accept Entitlements?
It remains a remarkable fact that America obliges most citizens over the age of 65 to take that rickety government health plan known as Medicare. Judging by today's growing number of health-savings options (HSAs, medical FSAs), some Americans would prefer to maintain private coverage upon retirement, rather than be compelled into second-rate Medicare. Yet the idea of patient choice offends many in government, and in 1993 the Clinton Administration promulgated so-called POMS rules that say seniors who withdraw from Medicare Part A (which covers hospital and outpatient services) must forfeit their Social Security benefits.
When seniors challenged this in court in 2008, it appeared that they were winning their case.
Yet in a stunning reversal, Judge Collyer last week revisited her decision and dismissed the case. In direct contravention to her prior ruling, the judge said the Medicare statute does—with a little creative reading—contain a requirement that Social Security recipients take government health care. The Medicare statute provides that only individuals who are "entitled" to Social Security are "entitled" to Medicare. Therefore, argues the judge, "The only way to avoid entitlement to Medicare Part A at age 65 is to forego the source of that entitlement, i.e., Social Security Retirement benefits."
This is convoluted enough, but Judge Collyer's truly novel finding comes with her implicit argument that to be "entitled" to a government benefit is to be obligated to accept it. This is a startling break with existing legal understandings and raises profound questions as to whether Americans have a duty to accept other "entitlements," say, food stamps or public housing. Or, as the plaintiffs attorney, Kent Masterson Brown, warns: "Anyone concerned with what will happen when the bureaucrats start writing the thousands of pages of rules that will govern" ObamaCare need only look at this ruling. "Nothing will be optional."
So you can't get Social Security without Medicare. Or perhaps, you won't be entitled to IRS deductions if you don't sign up for Obamacare. This is absurdity at its highest level.
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