Mike O'Malley, 55, left, and Sharon O'Malley, 53, pose for a photo in Chicago. Mitt Romney's Medicare plan would have very different effects on couples and siblings just a few years apart in age. (AP Photo/Sitthixay Ditthavong)

CHICAGO (AP) — Mike O’Malley is 55; wife Sharon is 53. So what?

So they’re on opposite sides of the age cutoff in Mitt Romney’s Medicare plan, and that could create a bumpy transition for the suburban Chicago couple and others like them. It would be the difference between being in the traditional program for the elderly and a less certain future.

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