No “consensual spending” with your own doctor. Unfair!
Not only is the whole thing unfair, it’s unconstitutional on more than just 10th A principals....death panels are not part of the US Constitution.
You can’t upgrade things like cataract implant lens when on Medicare. I would have gladly paid the difference for a lens to correct my astigmatism when I had cataract surgery 6 weeks ago. Just like I had to pay for my RX custom orthotics for my shoes, because I’m not a diabetic, but have peripheral neuropathy in both legs and feet. They work, and worth every penny of the $315 I spent on them. IF you are a diabetic they pay for them.