MedPAC’s Nine “Medicare Challenges” Demonstrate Medicare Is Junk Coverage SHARE “No one I have met who supports Medicare for All understands the Medicare program,” says Donna Shalala, who oversaw the Medicare program for eight years as President Bill Clinton’s (D) Secretary of Health and Human Services. People who do understand the Medicare program pay attention to the Medicare Payment Advisory Commission, or MedPAC, a non‐partisan legislative‐branch agency that advises Congress on how Medicare is performing. This week, MedPAC released its annual Report to the Congress: Medicare Payment Policy. Like previous reports, this year’s report undercuts the narrative that Medicare is efficient, is an excellent price negotiator, “is high‐quality coverage,” and provides equitable access care.