The Hill 
  (2/8, Pecquet) reports in its "Healthwatch" blog, "Americans who are 
eligible for Medicare benefits can't give them up, a federal appeals 
court ruled Tuesday. The unusual case was brought by five people who 
would prefer not to be on Medicare because their private insurer limits 
hospital coverage for customers who are entitled to the government 
health program."  The plaintiffs, "who include former House Majority 
Leader Dick Armey (R-Texas), sued to stop their automatic enrollment 
into Medicare," but the court explained in
its decision that the plaintiffs "seek a legal declaration that Medicare
 Part A benefits cannot be paid on their behalf" and concluded that the 
law "does not provide a mechanism for beneficiaries to opt out."
       
The AP 
  (2/8) reports, "'We understand plaintiffs' frustration with their 
insurance situation and appreciate their desire for better private 
insurance coverage,' Judge Brett Kavanaugh wrote in a majority opinion 
joined by Douglas Ginsburg, both Republican appointees. But they agreed 
with the Obama administration that the law says those over age 65 who 
enroll in Social Security are automatically entitled to Medicare Part A,
 which covers services including hospital, nursing home care, hospice 
and home health care." Meanwhile, attorney Kent
Brown, "who argued the case for the plaintiffs, says they want to keep 
their Social Security because they believe they earned it, but none of 
them want Medicare Part A," and he vowed to appeal the ruling, calling 
it "outrageous" and contending that it was never intended by Congress to
 be unable to "decline Medicare Part A and not opt out of Social 
Security."
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