Medicare Advantage (MA) was created in 1997 to move the Medicare program further into the private insurance marketplace. It was a Republican led effort to privatize Medicare by offering people cheaper premiums and enticing them with things like gym memberships and cheaper drugs.

Over the years the plan has been so successful that more than 50% of Medicare beneficiaries have moved to the plans. The federal government was paying private insurers handsomely to offer the plans and they were rolling in a new source of income. But things are changing and some insurance companies are dropping the plans because they are not continuing to make the level of profit they have become accustomed to.

Health insurance is not about health because it treats individuals as if they were profit centers. Insurers count on people not using their product too much. But when a company insures seniors they will eventually end up having too many sick people use their insurance and that is not a good thing for them.