And we already know, from experience with the Medicare Advantage program, that a voucher system would have higher, not lower, costs than our current system.

从医疗优势计划的经验中我们已经明白，与现行体制比较，代金券制度只会提高而不是降低费用。

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Medicare Advantage, which allows Medicare beneficiaries to buy private insurance instead of having Medicare pay bills directly, has consistently had higher costs than the traditional program.

“医保优势”计划允许“老年医保”收益人购买私人保险而不是用“老年医保”直接支付医疗费账单的，这项计划的费用一直比传统的计划高昂。

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Marsha Gold has a wide-ranging review of the market-oriented Medicare Advantage program at Health Affairs.

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But why not allow beneficiaries to use their Medicaid allotment to buy into a Medicare Advantage program?

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And what happened was they didn't bid out competitively this Medicare Advantage program.

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