WASHINGTON (AP) — A debt-busting deal on the scale that President Barack Obama and House Speaker John Boehner are seeking all but guarantees that people on Medicare would feel at least some of the pain.

Low-income people on Medicaid wouldn't escape totally, either. If a deal ultimately leads to overhauling taxes, workers and their families could be on the hook also, facing potential limits on the tax-free status of job-based health insurance.

Health care is a main ingredient on both the spending and tax sides of the elusive agreement that Obama and Boehner, R-Ohio, are trying to reach.

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