Although it did cost the federal government $62 billion to cover the expenses just a few short years after its implementation, it has been able to cover the all of the costs for most of its recipients. Under the program, numerous private suppliers compete for recipients to enroll in their programs, which have been both a key and dubious element of the extensive scale open protection program (Ketcham, Lucarelli, Miravete & Roebuck, 2012). The justification of the program is to utilize rivalry as a way to control costs and give beneficiaries the chance to pick the arrangement that is financially right for