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Their constituents, they say, have a right to stay in the original Medicare program and receive comprehensive drug benefits.
They pulled back an earlier draft because of strong bipartisan criticism that it lacked drug benefits for people who stayed in the original Medicare program.
The new handbook, "Medicare and You 2007," begins with a chart comparing the original Medicare program with "Medicare Advantage plans like H.M.O.'s and P.P.O.'s".
"The original Medicare program is and remains an option for those who prefer it,'' said Dr. McClellan, who plans to step down next month.
Many studies have found that Medicare spends more on people in such private plans than it would spend for the same beneficiaries in the original Medicare program.
Congress is again weighing plans to increase payments to health plans, which have been popular with beneficiaries because they cover prescription drugs and other items not in the original Medicare program.
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As they begin drafting legislation, lawmakers face some of the most sensitive questions in the politics of health care: Will the nation's elderly get better care from H.M.O.'s and other private plans than from the original government-run Medicare program?
*The original fee-for-service Medicare program would directly compete with health maintenance organizations in an experiment in four regions.
People dropped from an H.M.O. can enroll in another if one is available in their area, or they can enroll in the original fee-for-service Medicare program.
Mr. Thompson would not say what drug benefits, if any, would be offered to the 35 million people in the original fee-for-service Medicare program.
The report says, "Medicare spends more per beneficiary in Medicare Advantage than it does for beneficiaries in the original Medicare fee-for-service program, at an estimated additional cost to Medicare of $54 billion from 2009 through 2012".
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