I believe the most important aspect of Medicare is not the structure of the program but the guarantee to all Americans that they will have high quality health care as they get older.

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It's one of the worst-kept secrets of family life that all parents have a preferred son or daughter and the rules for acknowledging it are the same everywhere: The favored kids recognize their status and keep quiet about it - the better to preserve the good thing they've got going and to keep their siblings off their back.