The Medicare Trustees issued their annual report outlining the financial status of Medicare last week. At the end of the document was a formal rebuke from the chief Medicare actuary, casting doubt on the rosy portrayal of the main report. “It is difficult to overstate how unusual this development is. The normal process with the annual Trustees’ Reports is for the Trustees to develop and publish the best available projections for the future finances of Social Security and Medicare. The respective Social Security and Medicare actuaries then sign a pro forma blessing of those projections, which is tacked to the back of the report when released to the public.”