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Many veterans who receive care at the VA also enroll in taxpayer-funded Medicare Advantage, yet ~25% of these dually enrolled individuals don't end up ever using their Medicare Advantage plan. That means the federal government is literally handing over $13k/enrollee to insurance companies that don't provide any additional value to veterans. It doesn’t make sense for the government to fork over payments to private insurance companies, without any incremental result from doing so. Our veterans deserve better health outcomes, not an optical illusion that comes with a bill to taxpayers.