# Your Medicare Premium Is Rising Twice as Fast as Your Social Security Check — Here's What to Do About It Page: https://stenobird.com/podcast/economics-matters-with-laurence-kotlikoff-6614501/your-medicare-premium-is-rising-twice-as-fast-as-your-social-security-check-here-s-what-to-do-about-it Text version: https://stenobird.com/podcast/economics-matters-with-laurence-kotlikoff-6614501/your-medicare-premium-is-rising-twice-as-fast-as-your-social-security-check-here-s-what-to-do-about-it.md Podcast: [Economics Matters with Laurence Kotlikoff](https://stenobird.com/podcast/economics-matters-with-laurence-kotlikoff-6614501) Published: 2026-08-19T03:42:27+00:00 Episode link: https://podcasters.spotify.com/pod/show/economics-matters/episodes/Your-Medicare-Premium-Is-Rising-Twice-as-Fast-as-Your-Social-Security-Check--Heres-What-to-Do-About-It-e3nit8d Audio file: https://anchor.fm/s/e8bfdf7c/podcast/play/124400333/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2026-7-18%2F430086738-44100-2-a6c5e30f66b96.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/economics-matters-with-laurence-kotlikoff-6614501/episodes/your-medicare-premium-is-rising-twice-as-fast-as-your-social-security-check-here-s-what-to-do-about-it Duration seconds: 4178 ## Resource What if the Medicare premium increases heading your way aren't just a number, they're a signal that the entire system is heading somewhere most retirees aren't prepared for? Phil Moeller has co-written a New York Times bestseller on Social Security, authored the definitive consumer guide to Medicare, and spent decades covering personal finance for US News, PBS NewsHour, and Money Magazine. He's also a Medicare enrollee with strong opinions about what's working, what isn't, and what you should do before your next open enrollment window. In this episode, Professor Kotlikoff sits down with his longtime friend and co-author for a conversation that starts with the nuts and bolts of Medicare: Medigap, Part D strategy, Medicare Advantage trade-offs, the birthday rule — and ends somewhere bigger: a frank discussion of whether America's healthcare and retirement trajectory is fixable at all. What You'll Learn: [00:03:45] Why Phil chose traditional Medicare with Plan G Medigap — and why he still thinks it's right for people of means [00:05:42] The $1 million hospital bill story — how a $3,500 Medigap premium produced zero out-of-pocket cost [00:06:38] The $5-a-month Part D strategy — and when to stop caring about the deductible [00:09:48] Why the Part B premium is rising at roughly twice the Social Security cost-of-living rate [00:15:23] When Medicare Advantage makes sense — and where it breaks down when you need it most [00:18:23] The birthday rule most people have never heard of [00:19:39] What the One Big Beautiful Bill means for Medicaid in your state [00:27:45] The hidden $600-$700 billion annual subsidy inside Parts B and D — and who's really paying [00:35:32] How seniors went from the poorest to the wealthiest generation — and what that data looks like [00:44:51] What Phi… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/economics-matters-with-laurence-kotlikoff-6614501/episodes/your-medicare-premium-is-rising-twice-as-fast-as-your-social-security-check-here-s-what-to-do-about-it/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/economics-matters-with-laurence-kotlikoff-6614501/your-medicare-premium-is-rising-twice-as-fast-as-your-social-security-check-here-s-what-to-do-about-it.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.