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There is a significant difference between Social Security and Medicare payments, which have been earned through mandatory income taxation and are paid from (dis)Trust Funds ; and, Medicaid and Welfare payments, which are unearned and paid from current tax revenue and federal borrowing. Lumping them together under the heading "Entitlements" is a conscious effort to blur that distinction.

The gutting of the Social Security and Medicare (dis)Trust Funds and their chronic under-funding were not accidents, but conscious decisions inconsistent with the recommendations of the programs' actuaries.

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