According to the Congressional Budget Office,┬áthe public would have to pay an extra $20 trillion over the next 75 years (an amount that is approximately equal to 4 times the projected Social Security shortfall) if Representative Ryan’s plan for a Medicare voucher system is adopted.

There may be questions of values here, but most immediately the question is whether we want to take money from low and middle income people and give it to these industries [private insurance and healthcare providers].