Those rich dudes don't pay the piddlin $88 to Part B, that doesn't even begin to pay the total cost of Part B!!! And they certainly don't care about the Part D plans AT ALL!!! So any of us middle class anti-government types that want to be included OUT of B & D can chose not to participate in those coverages.
Of course not participating in Part B will help the government in providing you and me that coverage if they don't want to take advantage of it. You're an activist on a vendetta and you really thought you had me there, din'tcha?!?! Ha Ha Ha !!!