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Understand that this proposal is to allow people to *buy in* to medicare, with the goal to keep it revenue neutral. That means that people under 65 would have to pay the full premiums, unlike those signing up at 65 (for parts A and B that's over $700 per month).

Even if exempted wouldn't 401k plans be affected by the wider market spreads as fund managers move in and out of stocks. Adding 0.5% yearly cost (due to spreads, not the tax) to a modest $100,000 401k will cost the 'exempted' middle-class employee tens of thousands of dollars over 30 years. And...