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The financial transaction rules may be based upon transaction amounts, aggregate spending amounts over a period, merchant categories, specific merchants, geographic locations, or the like.
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But from the standpoint of sustainability, ten-fold growth in Medicare would be easily manageable if we expected a ten-fold growth in aggregate inflation-adjusted worker earnings during the same period.
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Looking only at M2, the U.S. broad money aggregate, it has only risen 20% in that time period.
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