couple of thoughts:

insurance is not a guarantee of healthcare (no matter what is promised - e.g., our state has one of those proverbial death panels tasked with denying promised services). The only part which is guaranteed is the tax you're paying in order to have the peace of mind that paying should keep the healthcare professionals from the IRS from darkening your door;

in fact, SSI benefits purchasing power began diminishing in earnest when Shrub signed that oh-so-caring pharmacological deal into law, in that the cost is charged against the beneficiaries monthly cash benefit check. Which, coupled with the minimal COLA's* -for some years now- the recipients have not been keeping up with retail inflation of essential consumer goods and services. So, on those two counts alone, it's been a lose lose proposition for millions of individuals based on promising promises. * likely related to the Congress allowing the Fed to maintain nearly non existent interest rates, which had other deleterious intended consequences.

In the end, as a result of these two continuing liabilities (ACA & SS), AND the numerous other unmentioned unfunded liabilities littering our debt-ridden economy, benefits will continue to decline, while the promise(s) will undoubtedly become more expansive; along with the fearmongering at carefully selected intervals. just sayin' GM

p.s. most probably don't recall, that as late as the seventies, SSI was billed as a retirement program in their official literature. Which I would argue, deceived large segments of the populace into not planning to provide for their own retirement, i.e., to not take responsibility in their own behalf. SSI might have worked out for Americans but for the fact -in the 70's- the professional liars* voted to make the accumulated SSI assets available to the general fund, while progressively expanding SSI expenses by expanding services and loosening eligibility requirements, whereupon the SSI Ponzi scheme transformed into a perpetual fearful campaign issue by the 'We have your best interests in mind' class. * a GOP President and a Dem Congress, as I recall.

In order to become the master, the politician poses as the servant. ~ Charles de Gaulle as but one knowing confessor