Robert Parry in In These Times examines how Paul Ryan's budget test would turn health care for the elderly into one big free-market death panel.

Ryan's plan privatizes Medicare, replacing it with premium support for insurance companies. That means the government would kick in a fixed amount of money towards insurance premiums for Americans over age 65. Ryan also wants to repeal the Affordable Care Act, which requires insurers to cover people with preexisting conditions. Ryan's plan doesn't guarantee that Americans over 65 could get insurance in the first place. Even if they could find an insurer willing to take them, there is no reason to believe that premium support would cover more than part of the cost.