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I heard someone talking about the public perception of health care. We need to move away from a money for service point of view towards a basic public need. The metaphor that was used was that of a public utility.

I mean that we have learned to expect public roads, working sewer systems, heat and water. And hopefully in the future we can expect healthcare.

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Thanks Christa. I like the road analogy. It is a part of our country's infrastructure.

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If you can, go with a Medi-GAP policy—not Medicare Advantage. Start with the best GAP insurance you can.

Medicare Advantage banks on having enough healthy participants to offset expensive, unhealthy patients, and guess what? As you age, things aren’t going to improve. In my area, Medicare Advantage has been getting publicity for denying claims, even for in-network care.

Another reason to avoid Medicare Advantage: Once you’re in, it’s very hard to switch out. You have to show you do not have a number of pre-existing conditions before a private, -Gap insurer will take you on. So, get the best -Gap policy you can at the get-go.

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