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"Also, do you think their satisfaction is based on informed knowledge of alternative medical systems that are available in other countries . . . or Medicare?"

My doctor recently sent all his customers an email......

Starting next year, the entire practice of 110+ doctors will not accept any new Medicare patients. they will see legacy Medicare patients if you have been going to them. Probably have 1/3rd the town of 300,000 as patients including a lot of specialists.

In 2019, you must sign up with one of three "Medicare Advantage Plans" they accept. All new people turning 65 if they want to continue to see them (if they were on company plans) must sign up for Medicare Advantage.

Apparently the collect a lot more $$$$ from Medicare Advantage plans.....and that's the way they are going.

I've been on Medicare for 7 years so I'm set.

Of course, Medicare Advantage plans are LOCAL. If you travel, you are shafted if you have routine needs elsewhere - anything other than a MAJOR event, and most of the people seeing you will be 'out of network' and you'll wind up with horrendous bills.

Oh well....that's the future probably for most of America. Stay home. Don't travel .....stay 'in network'......

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