Seventy percent said they support higher taxes to raise additional Medicare funds.
But they said changes to the programs shouldn't be made immediately, according to the results of AARP-sponsored questionnaires.
Split about beneficiaries
Respondents are divided about which changes they support. A slight majority (53 percent) said wealthier retirees should get less or nothing from Social Security.
George Osborne, 71, of Erwin, was typical of that view. He said Social Security "was put in place to keep people from being in poverty in old age. It was not meant to supplement someone's [very high] income."
But 47 percent said upper-income workers should get higher Social Security benefits because they paid more into the system.
Osborne is one of about 4,500 Tennesseans who filled out questionnaires about Social Security and about 4,600 who answered questions about Medicare. Responses were collected at AARP Tennessee events, on the website, by phone and from surveys printed in the AARP Bulletin.
The results were presented to congressional candidates, and they will inform AARP's advocacy this year as policymakers consider possible changes to Medicare and Social Security.
"People were talking about how the government took funds out of Social Security, and they want the government to pay back into that fund so Social Security wouldn't be on the brink of bankruptcy," said Bob Paredes, 68, of Murfreesboro. "They seemed to appreciate the fact that somebody was listening to them." Paredes is the AARP chapter president for Murfreesboro and helped collect responses.
Congress is likely to consider ideas to change the programs, including an increase in the amount of income subject to the payroll tax that finances most of Social Security and some of Medicare; benefit reductions; an increase in the eligibility age for both programs; a curb in the cost-of-living increases for Social Security beneficiaries; and higher Medicare premiums for higher income enrollees.
Osborne, who collects railroad retirement and is enrolled in Medicare, would like to see people become eligible for Medicare benefits at an earlier age.
"I'd like to see it encompass people back to 55 or 50 years old."
Support for taxes
Among the Tennessee residents who filled out the questionnaire, more than two of three said higher taxes should pay for additional Medicare costs. Thirty-five percent said the best source is higher payroll taxes; 35 percent chose general federal revenues; and 10 percent said higher Medicare premiums.
Among the other findings:
- Eighty-four percent say all future retirees should get the same guaranteed insurance coverage and care that current Medicare enrollees receive. Sixteen percent said future retirees should receive a set amount of money to choose and buy their own insurance plan.
- Few people think the programs are so broken they should be completely overhauled for future Social Security recipients (5 percent) and future Medicare enrollees (4 percent).
- Forty-four percent say the rising cost of health care is the biggest challenge facing Medicare. Other issues identified as Medicare's biggest challenges are the growing population of older people and longer retirement (21 percent) and that Medicare payroll taxes are not keeping up with benefit needs (20 percent).
- Opinions were split fairly equally about the biggest challenge facing Social Security. Thirty-three percent said it is the growing senior population, 22 percent said fewer workers are paying into the program, and 28 percent said higher-paid workers are not paying enough into the program.
"We saw the most consensus among people wanting to save the programs," said Shelley Courington, AARP Tennessee associate state director for advocacy.
Hollie Deese is a writer living in Gallatin, Tenn.