#8217;s and other health care programs without a nationalized program that everyone can receive fair treatment. Since there are some 6 million people using Medicare in HMO’s something needs to be done to restore these patients faith in the treatment they receive. There are also many differences that need to be considered between HMO and Medigap coverage. The Medicare HMO market is less mature than the Medigap market, dating back to 1966. HMO benefit and premium levels exhibit greater geographic variation than Medigap policies, reflecting differences in county-based Medicare payment levels to HMO’s.” [6] So HMO’s need plenty of time to evolve before we can really make policy changes. HMO’s need to be understood by the American people in order for the government to implement policy changes and control services provided to those beneficiaries. In conclusion, there still needs to be a lot of work done to health care in the United States. Other nations provide universal health care to their citizens, but this can cause dilemmas in balancing two often conflicting policy goals: providing the elderly with equitable access to needed pharmaceuticals while controlling the costs. Universal health care probably would not work in the U.S. because our nation is so diverse and our economy is so complex. The system we have now obviously has its problems, but it tends to work for the most part. HMO’s will still create a problem for people to receive absolute fairness in the treatment they receive, but our main concern should be to get people more informed about the treatment they could receive at the right price. ...