We all knew this was coming and true to form Paul Ryan is busy preparing for Medicare, Social Security, and Medicaid cuts this year. But as our Healthcare in America Senior Correspondent, Donna Smith says, the cuts may be subtle until after the mid-terms in November. Subtle but impactful including raising the age of retirement from 65 to 70, adjustments to Medicaid qualifications and other measures. Some changes could come as inclusions in other bills that are passed. “We must remain vigilant and involved”, says Smith.