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David then conversely say how terrible it is. What you you can have it both ways. In 2009 prior to the passage of the aca the rates paid to Medicare Advantage plans exceeding that traditional medicare but about 18 . The aca required changes to Medicare Advantage payment rate to better align with the costs associated with traditional medicare. These changes were estimated by the Congressional Budget Office disabled a 135 billion over 10 years. So you cant have it both ways. Every time we identified a way to save money, my colleagues on the other side of the aisle say, this is so terrible, this is being cut, thats been cut, and then they claim that the aca is causing costs to rise. Cant have it both ways. According to the 2010 Medicare Payment Advisory Commission report to the congress, the 2009 medicare spent about 14 billion more than the fisheries beneficiaries enrolled in medicarMedicare Advantage plansn wouldve spent if they stayed in traditional medicare. I want to go along the lin

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