Mr. Ryan's proposal would apply to those currently under the age of 55, and for those Americans would convert Medicare into a "premium support" system. Participants from that group would choose from an array of private insurance plans when they reach 65 and become eligible, and the government would pay about the first $15,000 in premiums. Those who are poorer or less healthy would receive bigger payments than others.
At age 65 even present day, you'll be lucky if $15,000 pays for one year of health insurance premiums. Look at anyone who is fired at 60 or more years old and their COBRA premium and you'll know. Good luck with those deductibles and co-pays too. That first bypass or stroke treatment, well in a decade coverage max, and if not, good luck $2,500 a month in premiums. At this is for ten years into the future. In ten years? You'll be lucky to buy four months of insurance before you're paying insurance out of your own pocket.
The poor and elderly are pretty much cast out on an ice shelf in the ocean under this plan.
But hey, rich assholes will be just fine.