Number Two - in a heartbeat!!!
Given those two options, and they represent a reasonable choice, I would cheerfully replace my Medicare Insurance with private insurance where I had the opportunity to select my carrier and pay for those benefits in addition to the base benefits as I choose and can afford. I have experienced, twice, Medicare overruling my cardiologists recommendations. The result of these actions have had a severe impact on my health and well-being. Having faceless government bureaucrats with zero accountability making life or death decisions does not satisfy me.
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