The surcharge is a major departure from the traditional arrangement under which seniors have generally paid the same premium.
It is expected to affect one million to two million beneficiaries: individuals with incomes exceeding $80,000 and married couples with more than $160,000 of income. For individuals with incomes over $200,000, the premium, now $88.50 a month, is expected to quadruple by 2009.
The surcharge was established under a little-noticed provision of the 2003 law that added a prescription drug benefit to Medicare.
So the Republican leadership of Congress let that slip into the 2003 bill. You can thank them for that.
Do it in November, neighbors.
Federal officials have repeatedly said that Medicare is financially unsustainable in its current form.Yeah, well after all the wars and tax breaks for millionaires, sure.
Theodore R. Marmor, a professor of political science at Yale, said the surcharge was more important for the politics of Medicare than for the financing of the program.“The new income-related premium is fundamentally at odds with the premises of social insurance,” Mr. Marmor said. “Large numbers of upper-income people will eventually want to find alternatives to Part B of Medicare and will no longer be in the same pool with other people who are 65 and older or disabled. Congress will then have less reluctance to cut the program.”