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Medicare Advantage is a private health insurance program that competes directly with the government-run Medicare program. In 2009 23% of all Medicare beneficiaries are enrolled in a Medicare Advantage plan. Both insure people age 65 and older and some younger, disabled people. Under Medicare Advantage, the government contracts with private insurers, which offer policies that cover doctor visits, hospitalization and sometimes prescription medications. Medicare Advantage plans must offer at least the same benefits as traditional Medicare, but many providers include more in a bid to attract customers. Such plans were introduced in the 1970s in an effort to cut Medicare costs. However, as the government sought to add coverage in underserved -- often rural -- areas, costs soared. According to the independent Medicare Payment Advisory Commission, Medicare Advantage now costs the government 14% more per beneficiary than traditional Medicare.  
 
Medicare Advantage is a private health insurance program that competes directly with the government-run Medicare program. In 2009 23% of all Medicare beneficiaries are enrolled in a Medicare Advantage plan. Both insure people age 65 and older and some younger, disabled people. Under Medicare Advantage, the government contracts with private insurers, which offer policies that cover doctor visits, hospitalization and sometimes prescription medications. Medicare Advantage plans must offer at least the same benefits as traditional Medicare, but many providers include more in a bid to attract customers. Such plans were introduced in the 1970s in an effort to cut Medicare costs. However, as the government sought to add coverage in underserved -- often rural -- areas, costs soared. According to the independent Medicare Payment Advisory Commission, Medicare Advantage now costs the government 14% more per beneficiary than traditional Medicare.  
 
==Politics==
 
==Politics==
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Medicare began as part of President [[Lyndon B. Johnson]]'s [[Great Society]] in 1965.  The Senate voted for the program by 68 to 21, with 13 Republicans joining 55 Democrats in favor, and 7 Democrats joining 14 Republicans in opposition. In 2003, some Democrats in both the House and the Senate voted with most Republicans to add a prescription drug benefit to Medicare.
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Medicare was first implemented as part of President [[Lyndon B. Johnson]]'s [[Great Society]] in 1965.  The Senate voted for the program by a vote of 68 to 21, with 13 Republicans joining 55 Democrats in favor, and 7 Democrats joining 14 Republicans in opposition.
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==Cost==
 
   
Medicare accounts for more than one-fifth of all health spending in the U.S.. Its costs per beneficiary, about $12,000 in 2008, rose at an average annual rate of 8.5% a year from 1970 to 2007.
 
Medicare accounts for more than one-fifth of all health spending in the U.S.. Its costs per beneficiary, about $12,000 in 2008, rose at an average annual rate of 8.5% a year from 1970 to 2007.
  
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