"She's talking about switching from one supplement to another, specifically from Plan G to Plan N. It's unlikely that even in that scenario, sicker people are going to want to do that because of the copays they incur under Plan N."                   ...

My thoughts exactly. Also the MA plans cost us the taxpayers $2.5K more for every person enrolled in MA. 

It’s in the March 2024 MedPAC Report to Congress, Chapter 12. MedPAC is the congressional advisory commission that audits Medicare spending. None of the changes by "new CMS Sheriff in town" eliminate the overpayment..

On average, Medicare Advantage costs the federal government about 20–22% more per beneficiary — roughly $2.5k extra per person per year — compared with Original Medicare.  Either end the MA subsidies or give us the same subsidy to cover our costs. Se...

I never said the purpose of Medigap was to hold down costs.  I understand what the purpose of a Medigap plan is and that it is NOT part of Medicare at all but a way for your out of pocket cost to be covered by some private plan.  I said if the purpos...