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Accordingly , NCD recommends that if economic eligibility standards are used to determine eligibility for any benefits , Congress take notice of all available data concerning the income of Medicare recipients with disabilities under the age of 65 , whose average incomes are likely to be lower than those of the Medicare-recipient population as a whole . Although estimates of California personal income are not yet available for early 1996 , there is indirect evidence that the acceleration of income growth continued this year : the state government reports that income tax withholdings in the first four months of 1996 were running 9 percent ahead of last year 's pace . The ratios of Medicare payments to personal income are 3.31 percent in nonmetropolitan counties and 2.34 percent in metropolitan counties . Summary : The authors examine the distributional implications of selective compliance in sample surveys , whereby households with different incomes are not equally likely to participate . I find it interesting that they consider this a positive factor after recently highlighting the book " The Two Income Trap " , which argues that rapidly rising housing costs as a percentage of a total income are one of the main causes of suburban bankrupcy . To the extent that such authority is not granted , general revenue transfers to compensate the trust fund for this lost income are appropriate .