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However, the initial cost of $400 billion was understated and it is expected that the bill will eventually cost as much as one trillion dollars (CMS, 2003).

Who was involved in setting the agenda for this policy change?

Those involved in setting the agenda for this policy change included the beneficiaries, who are the recipients of this bill...

Local communities, including medical personnel, drug companies, who will directly or indirectly be providing a service to Medicare beneficiaries. The taxpayers, who inadvertently have to foot the bill for Medical services, the political decision-makers, who made the bill a reality; lobbyists and advocates for seniors and those with disabilities (National Institute of Health Policy, 2002)...

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