^ (sorry, arrow was pointed at Benvolio, but chrisrobin posted in the meanwhile before I could finish my post. Chris, you INTRUDER you, haha!!!)
Yes, a monthly deduction...which is far, FAR less than any insurance premium that I have had in decades, even including my Medigap insurance and prescription part which I both pay manually. (You're right, B, it's not strictly single-payer because I do have to have those two ancillary plans - Medigap is with Mutual of Omaha - if I want my Medicare to be complete.)
And in the 18 months I've had Medicare, the plan has paid more of my medical costs than has ever been paid any time previously in my lifetime OTHER THAN in 1975 (adjusted for inflation) and 2004.
And, on a whole, Medicare has still "made money" off me.