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Ladies and gentlemen, coming. Our topic today is medicare, the largest care player in the american, a huge growing federal entitlement. And a little more than ten years, medicare will increase in enrollment from 65 million to nearly 80 million enrollees and total Program Spending will double today, roughly. Its 1 trillion. And within ten years it will be nearly 2 trillion. At the same time, medicare is changing. Today, half of all seniors are enrolled in Medicare Advantage or a system of private coverage, which is the alternative to traditional medicare. And Medicare Advantage is a defined contribution. And what that means is, is that the government makes a contribution on behalf of a beneficiary to the beneficiary chosen plan. Given current trends, Medicare Advantage will soon be the dominant form of medicare. The question before the house and before the nation is a very, very big one. That is, how do we provide high quality medical care to a huge and, rapidly growing older population

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