This is mailed to all Medicare participants. I got one. Does not appear to have anything to do with owe-bamacare.
Just a stupid liberal story about a Tea Party member named RUIZ trashing owe-bama? Nope, just a lazy owe-bama, union member supporter dumping mail in a dumpster rather than putting out the effort to deliver it.
Article written by a wetback named Cervantes about another wetback named Ruiz who probably carried an 80# bale of pot across the border, but didn't want to carry that 10# of mail to the end of his route.