NORRIS, Circuit Judge:
Title XVIII of the Social Security Act establishes a federally subsidized health insurance program for elderly and disabled persons. 42 U.S.C. § 1395 (1982 & Supp. II 1984) ("Medicare Act" or "Act"). Part A of the Medicare Act covers institutional health costs, such as hospital expenses, and is financed by mandatory payroll deductions. 42 U.S.C. §§ 1395c-1395i-2. Part B of the Act is an optional insurance program for supplementary...
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