AM,

I haven't studied SS in detail, but I think you have to look at the retirement age (perhaps pegging that to the ever extending life expectancies?) and also scaling back benefits based on need.

Medicare is an issue I'm too ignorant about to know where to start. But clearly we have to have serious people looking at this.
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The charm of fishing is that it is the pursuit of what is elusive but attainable, a perpetual series of occasions for hope. -John Buchan