Older Americans who were enrolled in Medicare health plans had advantages over those who opted for private insurance plans or were covered through their employers, according to a study from Commonwealth Fund, a private health-policy advocacy foundation. The group surveyed 4,000 U.S. adults in 2010 to compare access to medical care and ease of payment of medical bills. Twenty-three percent of Medicare beneficiaries could not afford necessary care, while the same was true for 37 percent of employer-sponsored health plans and those who purchased their own insurance. Twenty percent of adults with coverage from their jobs and 33 percent of adults who purchased their own coverage reported dissatisfaction with their insurance, while only 8 percent of people with Medicare rated their insurance poorly. 

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