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Reproduced from Kaiser Family Foundation; Note: Costs do not include premiums; Chart: Axios Visuals

More than half of Medicare beneficiaries with a serious illness have struggled to afford a medical bill, and some beneficiaries with chronic conditions pay an astronomical amount out of pocket for their care, two new studies find.

Why it matters: Medicare is supposed to be a safety net for America's seniors, but its lack of a cap on what beneficiaries pay out-of-pocket — and the fact that it doesn't cover some benefits — leads to many seniors falling through the cracks.

Driving the news: A new survey published yesterday in Health Affairs found that 53% of seriously ill Medicare beneficiaries said they'd experienced financial hardships while trying to get care.

  • Respondents reported having problems paying prescription drug bills most often, followed by hospital bills.

A second brief published by the Kaiser Family Foundation broke down Medicare beneficiaries' out-of-pocket spending, which averaged $5,460 in in 2016, including their premiums.

  • The most expensive service for seniors, by far, was long-term care, which isn't covered by Medicare.
  • Beneficiaries with diseases likely to require long-term care — like Alzheimer's, other kinds of dementia, or Parkinson’s — had the highest spending.
  • Older beneficiaries, women and those in poor health faced higher-than-average costs.

The bottom line: Democrats across the ideological spectrum are leaning into expanding Medicare, but the existing program has plenty of holes.

Go deeper: The looming crisis in long-term care

Go deeper

Trump's Tucker mind-meld

Photo illustration: Sarah Grillo/Axios. Photo: Roy Rochlin/Getty Images and BRENDAN SMIALOWSKI/AFP via Getty Images

If you want to understand the rhetorical roots of Trump's Independence Day speech at Mount Rushmore, go back and watch Tucker Carlson's monologues for the past six weeks.

Between the lines: Trump — or rather his speechwriter Stephen Miller — framed the president's opposition to the Black Lives Matter protest movement using the same imagery Carlson has been laying out night after night on Fox.

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Global: Total confirmed cases as of 6 p.m. ET: 11,366,145 — Total deaths: 532,644 — Total recoveries — 6,154,138Map.
  2. U.S.: Total confirmed cases as of 6 p.m. ET: 2,874,396 — Total deaths: 129,870 — Total recoveries: 906,763 — Total tested: 35,512,916Map.
  3. States: Photos of America's pandemic July 4 ICU beds in Arizona hot spot near capacity — Houston mayor warns about hospitals
  4. Public health: U.S. coronavirus infections hit record highs for 3 straight days.
  5. Politics: Former Trump official Tom Bossert says face masks “are not enough”
  6. World: Mexican leaders call for tighter border control as infections rise in U.S.
  7. Sports: Sports return stalked by coronavirus
  8. 1 📽 thing: Drive-in movie theaters are making a comeback.

Bolton's hidden aftershocks

Photo illustration: Sarah Grillo/Axios. Photo: Justin Sullivan/Getty Images

The news media has largely moved on, but foreign government officials remain fixated on John Bolton's memoir, "The Room Where It Happened."

Why it matters: Bolton's detailed inside-the-Oval revelations have raised the blood pressure of allies who were already stressed about President Trump's unreliability.