This is true. Finally, CMS realized that Advantage was going to use up billions of dollars because the reimbursement rate for insurance companies participating in Advantage was so high. Obama and Romney realize that Advantage has to be reined in. Whichever plan prevails (whether Romney wins or the ACA gets implemented), Medicare is unsustainable and recipients face the brick wall of refusal of providers to participate if Advantage is cut and reimbursement rates for providers are cut, as they must be. Between a rock and a hard place?