Originally Posted by AemJeff
Great! Except that it's not consistent with what Ryan's plan explicitly says about that.
The point I am trying to make is a narrower one: at a given level of funding, everyone should prefer the mechanism for providing healthcare to seniors that Ryan is proposing.
You are correct that Ryan combines that with a lower level of spending meaning you might end up with lower benefits if the efficiency gains don't exceed the effects of the decreased funding (CBO thinks so).
These are two distinct components of national healthcare policy, however: (i) the mechanism for providing funding (Ryan's vs Medicare under ACA), and (ii) the amount of funding.
Reasonable people can disagree about an appropriate level of funding and that view may change over time. But surely funding levels will be the subject of negotiation for years to come. Why not take this opportunity to fundamentally improve the system by changing the mechanism. By not doing so we are creating real suffering, we are throwing away resources that could make people's lives better.