I have written often about the flaws in the Medicare Advantage program. It seemed a good idea when it was conceived. Pay private insurance companies a fixed amount to provide necessary medical care to a Medicare enrollee. If it costs less than the fixed amount to care for the beneficiary, the company gets to keep the difference. If it costs more, the company has to pay the extra. The taxpayers get certainty and the expected advantage of a private company that can provide health care efficiently. Medicare Advantage was touted as a win-win that would save the taxpayers money. Except
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