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This discussion does not occur in a vacuum; the political landscape is charged with various interests pushing their agendas. For instance, the nomination of Dr. Oz to lead the Centers for Medicare and Medicaid Services signals a potential shift in how these programs may be managed moving forward. Dr. Oz has advocated for a system where every American lacking Medicaid could enroll in privatized Medicare Advantage plans, which critics view as an invitation for profit-driven motives at the expense of patients' comprehensive care needs.