In throwing out a Florida Medicare Secondary Payer Act claim, the U.S. Court of Appeals for the Eleventh Circuit offered a tutorial on the federal health care plan for seniors.

Judge Amul Thapar from the Sixth Circuit, substituting, wrote the opinion with this promising start, borrowing a phrase from The Federalist No. 62.

“The Medicare statute is almost 'so incoherent [it] cannot be understood,'” Thapar said. “Luckily though, we need not venture very far into its tangled web here. The Medicare provision at issue in this case is clear and clearly bars the plaintiff's claim. Accordingly, we affirm.”