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The generous benefits of Medicare over the past are going to be phased out selectively to streamline the program and make it more "efficient." The idea that the future Medicare will be like what we've had till now is quite mistaken and those that trust in the promises being made by either party need to wake up to the realities.

Former Federal Reserve Chairman Alan Greenspan has said, "telling America's aging population that its entitlement programs such as Social Security and Medicare will survive without significant changes is dishonest." The debate about the health care reform law or other proposals are important, but like some demonstrations of illusion and "magic," you never see what's really happening.

It controls how much the providers are paid, and by deciding to pay providers less than service costs and capping total costs paid out, it is driving some physicians to leave the field and will discourage the young from entering the field.

Many seniors are comfortable with Medicare the way it has been up to the present time.

What needs to be recognized is that changes are coming no matter what political party or agenda controls those changes, with or without the new health care reform law.

Those on Medicare and Medicaid are already on a government-run plan and are experiencing the effects of decisions made by unelected bureaucrats in Washington, DC.

We need to remember that Medicare passed into law in 1965 and is nominally a "voluntary" program.

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