Nowhere in the column does the author mention that Medicare Advantage is in the form of government subsidies to the inefficient insurance industry that run at 115% of the cost of regular Medicare.

Welfare for the insurance companies anyone?

To pay for this expansion, the bill takes $529 billion from Medicare, with roughly 39 percent of the cut coming from the Medicare Advantage program. This represents a large transfer of resources, sacrificing the care of the elderly in order to increase the Medicaid rolls.