Paul Krugman Simply Explains Why Ryan Care Ends Medicare As We Know It

It’s vouchercare, not Medicare.

Medicare is a government-run insurance system that directly pays health-care providers. Vouchercare would cut checks to insurance companies instead. Specifically, the program would pay a fixed amount toward private health insurance -- higher for the poor, lower for the rich, but not varying at all with the actual level of premiums. If you couldn't afford a policy adequate for your needs, even with the voucher, that would be your problem.

 

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