I'll never understand why we pretend that things are this expensive.
USA, of course, because I can't imagine anywhere else in the world working this much harder and not at all smarter.
FYI, Medicare is our government insurance for older or disabled people and is paid for mainly with taxpayer dollars as well as "small" premiums by members.
And those adjustments aren’t actually paid to anyone. They’re just the different price if that’s the insurance you have.