# America's Elder Crisis, Medicare Edition

**URL:** <https://boards.straightdope.com/t/americas-elder-crisis-medicare-edition/937146>\
**Category:** Miscellaneous and Personal Stuff I Must Share\
**Created:** [March 4, 2021, 5:55am UTC](https://boards.straightdope.com/t/americas-elder-crisis-medicare-edition/937146 "2021-03-04T05:55:49Z")\
**Posts on this page:** 1\
**Showing post:** 292

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**Author:** ![Voyager](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/voyager/32/133_2.png) [@Voyager](https://boards.straightdope.com/u/Voyager)\
**Post date:** [January 25, 2024, 11:52pm UTC](https://boards.straightdope.com/t/americas-elder-crisis-medicare-edition/937146/292 "2024-01-25T23:52:04Z")

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> [@teelabrown](#):
>
> Here in California, the gain might be considerable if you’ve owned your home for decades, and Social Security/Medicare will assume you made a buttload of money during the year of sale and your Part B might go through the roof. Yay.

When I first went on Medicare, right after I retired, they computed the Part B cost based on my work income and it was high. It eventually went down though.

> [@teelabrown](#):
>
> And I keep reading articles asking why boomers are staying put in their too-large homes in retirement rather than moving to smaller quarters. This Medicare Part B issue, the capital gains tax on the profit from your home sale, the California homeowners insurance meltdown, the 6% realtor’s fee, and in our case a sewer lateral repair requirement before home sale, might be why!

My gain would be a lot more than $500K, not that I’m complaining. The tax on the excess is a lot more of a worry than Part B, not that I’m complaining. On the bright side, the 6% reduces your gain.  
We have a lot of geezers like me in our neighborhood for this very reason, and my old boss who has renewed his real estate license confirms that it is an issue.

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