Thank you for contacting me regarding funding for the Medicare Advantage  program. I appreciate having the benefit of your comments on this  issue.
Although passage of the Medicare Prescription Drug, Improvement,  and Modernization Act of 2003 (P.L. 108“173) presents a framework for reform,  the Medicare program is still in need of improvement. Medicare's largest  expense”the Hospital Insurance Trust Fund”provides funding to cover hospital  care. According to the 2007 Annual Report of the Hospital Insurance and Supplementary Medical  Insurance Trust Funds, the Hospital Insurance Trust began running  deficits in 2004, and unless changes are made, the fund will be exhausted by  2019.
The Medicare program's long-term financial prognosis can be  attributed to a number of factors, including an aging population, less healthy  participants, and the escalating cost of healthcare. In addition, prior to the  enactment of P.L. 108“173, the Medicare program had not undergone significant  reform since 1965”the year it was championed by President Lyndon B. Johnson as  part of the Great Society. As such, Medicare has been unable to keep pace with  four decades of healthcare changes”operating as a less than optimal  program.
To strengthen Medicare and ensure that it meets the health care  challenges of current and future American seniors, we must continue our reform  efforts and develop long-term solutions to the program's antiquated policies. We  must encourage market-oriented policies that foster competition and lower costs;  increase provider and consumer responsibility and accountability; and promote  cost efficiency, fair access, and preventive health measures.
Medicare  Advantage Plans have been instrumental in providing seniors with affordable  health care. I believe that it is important for seniors to continue to have  access and choice in their Medicare Advantage Plans. Although I am not a member  of the Senate  Finance Committee, which has jurisdiction over this issue, you may be  certain that I will keep your views in mind as the full Senate considers  proposals to reform the Medicare program during the 110th Congress.
I  appreciate having the opportunity to represent the interests of Texans in the  United States Senate. Thank you for taking the time to contact me.
Sincerely,
JOHN  CORNYN
United States Senator
517 Hart Senate  Office Building
Washington, DC  20510
Tel: (202)  224-2934
Fax: (202)  228-2856
http://www.cornyn.senate.gov
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PLEASE  NOTE:
Due to the nature of electronic communication, if you did not receive  this e-mail directly from my office, I cannot guarantee that the text has not  been altered. If you have questions about the validity of this message, or would  like to respond to this message, please use the web form available at my  website, http://www.cornyn.senate.gov/contact.
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