Up to 3 million middle class Americans could qualify for Medicaid because social security benefits would no longer be counted as income for determining eligibility. A married couple could have an annual income of $64,000 and get nearly free health insurance intended for the poor according the the Health and Human Services Department. Medicare actuary Richard Foster says the situation keeps him up at night, and as he raises the issue with various policymakers, people are not rushing to say… we need to do anything about this.