Ryan's plan would set up "Medicare exchanges" where private insurance companies would compete with traditional government-run Medicare for customers. Obamacare exchanges sell only private insurance plans.
People would get "premium support" from the government to pay for their insurance under the Ryan Medicare plan.
The subsidy would be tied to the price of a specific plan offered by an insurer on the exchange, much like the Affordable Care Act subsidy is tied to the second-cheapest "silver" plans.
And the payment would be linked to a recipient's income, so lower-income people would get a bigger subsidy. The subsidy would rise as beneficiaries get sicker, to ensure access to insurance. Like in Obamacare, people who choose plans that cost more than the government subsidy would have to pay the balance.
I'm not surprised. Obamacare is a Republican plan that worked well in Republican-led Massachusetts. They just didn't want Obama getting any credit for a program they know is very successful. And that truly disgusts me. These are discussions of life or death of millions of Americans, and they chose to play politics with that.