my uncle is a cardiologist in boston, and i've talked to a lot of health care folks up there who what's happening is because costs are getting out of control, premiums are increasing in massachusetts, and now you have a bureaucracy that is having to put all these cost controls and now rationing on the system. this idea of having the government be the sole, you know, single regulator of health insurance, defining what kind of health insurance you can have, and then an individual mandate, it is a fatal conceit, and these kinds of systems as we're now seeing in massachusetts are unsustainable. >> "these kind of systems as we're now seeing in massachusetts are unsustainable." so i guess you could add being sharply and publicly critical of romney care to the list of paul ryan's cons. joining me now, jonathan chait, daily columnist for newyorkmagazine.com, who's written extensively on congressman ryan. and john nicholls, washington correspondent for "the nation" and associate editor of the