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>I note you ignored the issue of Medicare covering your footcare when it refuses for the vast majority of others.

I live in a community of "active seniors" 55 and over.

When my late wife and I first went to foot MD here in Hamilton for toenail clipping we met most of our neighbors there. It's a 90 day social ritual here.
We had found the same thing on Long Island before moving to NJ.
Maybe we have some esoteric thing.. beats me, but the MD makes his living, as did the one in Long Island, by clipping toenails for Medicare recipients every 3 months and calling it "tissue removal."
When my wife broke her foot on Long Island, she went to the toenail clipper and he referred her to an orthopedist (that's a bone MD in English, I think)