I believe you'll find that the essence of Ryan's entitlement proposals focus only on Medicare. The essence of his proposal is a shifting of the risk of increasing medical costs from the government to the individual. He would cap the amount the government would pay in "premium support" should seniors choose private insurance instead of Medicare, which the structure of his proposals would encourage them to do. His proposal does nothing to reduce medical costs or assure broadened coverage for more Americans. His proposal is designed to shift more of the insurance away from the government to private insurance companies--with heavy dependence of any spending cuts dependent on assumptions of reduced premiums resulting from a greater number of people insured. The end result could be fewer Americans being able to afford health insurance because of unaffordable premiums, threby driving them back to hospital emergency rooms for even basic care.

Would the Ryan proposals cut government spending? That's uncertain based on Government Budget Office scoring. But it's more certain that if his proposals wee adopted, we would return to fewer Americans having health insurance, being increasingly dependent on the beneficence of private insurance companies to assure affordable insurance.