I am 54 years old. I (and my employer) have paid 'in' to private insurance for 33 years and my parents paid in to the system before that. I have claimed 'back' essentially nothing.
At 52, I lost my job. My current small business employer can not provide affordable coverage for me, and certainly not for my wife and child. So, I paid in to the system for many decades and have no means to continue to participate, let alone receive benefits based on that contribution. Neither conservative nor liberals should find that fair.
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