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He also argues that President Obama’s proposed spending plan is misguided because it depends on a panel of “15 unelected, unaccountable bureaucrats” to decide how much doctors get paid for providing Medicare services and which services are covered under the plan. These price controls don’t work, he says, because they “encourage more consumption, and they force doctors to charge their non-Medicare patients more,”

“That pushes costs up, not down,” he said.

Under the Ryan plan, Republican say the system would remain untouched for Americans 55 years old or older, while those entering the elderly care system after that would receive a subsidy from the federal government to help them cover the cost of private health insurance.

“Rather than putting the government in charge, our plan provides financial support to help future Medicare patients pay for the insurance plan that works best for them and their families,” Mr. Ryan said.