Employees cannot reject Medicare part A without also rejecting SS benefits

US court of appeals has upheld a lower court ruling: see link to a brief snippet on this: http://newsroom.highroads.com/hr-compliance-connection/emplo...

This basically says, if I understand properly, that you can pay into SS and medicare via your taxes, but if you want to opt out of medicare A but would still like to receive SS payments it's a no go.

From a strictly financial aspect, wouldn't this make sense to accept whenever possible, someone rejecting medicare but having paid into it? that would seem like they (CMS) have reduced their risk while taking all those taxes would help them keep the agency financially solvent (or more so at least).

Second, it says that you MUST be a part of the full system or reject it entirely....however, you cannot opt out of SS and medicare taxation to my knowledge.

Interesting, if nothing else.