 people of the sort of lower end of the income scale who have Medigap, they might feel priced out of the market. In the end, the bill failed. Zarin said legislators sided with the insurance companies, but his group will keep pushing for this reform. For patient Judith Dambowick, she says all she can do is educate friends and other cancer patients about their Medicare options so they know what they're signing up for from the start and how difficult it might be to change.