Ryan’s plan would have Medicare, beginning in 2022, pay insurance companies a fixed annual payment of about $8,000 and then those seniors entering the system would shop for supplemental insurance from private companies to make up the difference, much as we do now with Medigap. I assume we would also continue to buy Medigap and prescription plan insurance too. No one has said.
There are many other ways of reducing Medicare spending without cutting benefits or forcing recipents to pay so much more, and the Democrats do have a plan for at least beginning that process. They enacted it into law two years ago. It’s called the Affordable Care Act.