www.politicususa.com/2014/04/01/unfortunately-paul-ryans-cruel-budget-proposal-april-fools-day-joke.html
"Ryan also fulfills another fantasy in his budget by pushing for Medicare to be a voucher program. This is something that he proposed during the 2012 campaign and turned out to be troubling for him and Mitt Romney. Essentially, he is calling for the death of Medicare. Instead of Medicare being a government-run insurance program, it will in essence just be a subsidy that senior citizens get to buy insurance from private companies. If the insurance is more than the voucher, then the senior citizen will have to pay the remainder of their premium out of pocket."