Paul Ryan's plan is to scrap the entire program and replace it with coupons for private insurance. Coupons which would, in many cases, be insufficient to purchase coverage. Medicare, which provides efficient coverage to all seniors, and which has drastically reduced the poverty rate in our elderly population, would cease to exist. There would be a program called Medicare, but it would have none of the functionality, structure, or benefits of Medicare.
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Paul Ryan's plan is to scrap the entire program and replace it with coupons for private insurance. Coupons which would, in many cases, be insufficient to purchase coverage. Medicare, which provides efficient coverage to all seniors, and which has drastically reduced the poverty rate in our elderly population, would cease to exist. There would be a program called Medicare, but it would have none of the functionality, structure, or benefits of Medicare.
TPM has a good quick overview of the differences.
It's also worth noting that while Ryan wants to repeal the ACA, his plan is to keep the Medicare cuts.