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it simply asserts spending will go down massively. the bulk of the deficit reduction, which allows for $4 trillion of tax cuts, would come from changing america s health care. now, there, too, ryan s plan is simply unrealistic. the theory behind it is that if individuals have to pay for their health care, they will shop carefully and drive down costs. it s a good theory, but in health care, a huge part of the expenses relate to a small percentage of sick patients and to the last year of life and those two categories overlap. 85% of medicare s costs are generated by just 25% of patients. now, even in the most conservative health alternatives, the health savings account, people get to buy catastrophic insurance. well, the sick 25% of the patient population would have catastrophic insurance which would still explode the medicare budget. so why do i applaud the ryan plan? because it is the first serious effort to begin talking about

Paul ryanHealth careTax cutsDeficit reduction4 trillionHealth savings accountHealth alternativesSick 25Patient population