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If the overpayments were invested in Original Medicare , which is available to all people with Medicare throughout the country , additional benefits could be provided more equitably . It also relied upon evidence that the loss would be even greater if , as a result of a finding of unlawfulness , it had to provide equipment to all people with disabilities . There is no nationally funded service that provides assistance to all people with moderate to severe incontinence . It costs $ 47 billion to make the Medicare drug benefit available to all people with Medicare including those also covered by Medicaid as provided for in HR 1 .