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In fact, unlike the additional Medicare tax on high earners, this 3.8% net investment tax was not even a specific provision of the Affordable Care Act. It was a provision of a separate bill, the Health Care Education and Reconciliation Act of 2010 which was passed about two days after the Affordable Care Act. By setting up the revenues so that they would flow to the General Fund, Congress by-passed earmarking those revenues for Medicare Part A or Part B Trust Fund. That means when the funds are used for other government spending, the Medicare Trust Funds are not earning any interest from the federal government for the use of those funds..This is from STAT News, a company that "delivers trusted and authoritative journalism about health, medicine, and the life sciences..The programs were struggling even before sequester. Federal funding has remained flat for years, even though about 10,000 Baby Boomers retire every day..Another participant, Walgreens, will begin using its federal doses on Feb. 12..Without action by Congress, the situation would also create inequities or a new "notch" in premium costs for new Medicare enrollees in 20New enrollees would be subject to paying the "unadjusted" Medicare premium while those who fall under "hold harmless" protection would continue to pay the adjusted .40 per month. An estimated 850,000 people would be affected in 2010 alone. Here's an example:.Again, according to the Politico report, "Several of the moderate Democrats expressing reservations about the drug pricing bill are the targets of a million-plus campaign by the conservative American Action Network opposing the legislation. The group plans to air ads in the districts of more than 40 Democrats, slamming H.R. 3 as "Nancy Pelosi's socialist prescription drug takeover plan" and warning it would 'cancel new cures for the patients who need them and send American innovation overseas.'".That doesn't even include any other Medicare costs, which are illustrated in the following chart, or costs that aren't covered by Medicare including dental and vision services..Roughly one - half of all retiree households report that a portion of their Social Security benefits are subject to taxation, according to recent survey results from The Senior Citizens League. "This is a tax that was estimated to affect just 10 percent of Social Security beneficiaries when it was first enacted in 1983," says Mary Johnson, a Social Security and Medicare policy analyst for The Senior Citizens League..The median income for those age 65 and older was ,757 in 2010.