Kevin Drum explains it all for you. For every dollar spent on Medicare Advantage (an insurance-company add-on to Medicare for which the program pays a premium over regular Medicare rates) consumers get a whopping 14 cents’ worth of benefit. This program must die.
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My mom would hate (as in “pry it from her cold, dead fingers” level of emotion) to give up her Medicare Advantage — among numerous differences, the regular Medicare had her looking at what family history suggests would be 30 years of retirement without one single basic physical exam; Advantage pays for them at regular intervals. This causes a certain amount of emotional dissonance, as she is revolted by what her insurer, United HealthCare, is doing in every single aspect of its interaction with the world *except* the service it gives her.