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Premium support payment or subsidy, voucher, whatever term you want to use, so they can buy private insurance. >> if they were able to do that, what would happen to the v.a. hospital? >> the v.a. hospitals could be opened up to compete with every other hospital in america. right now one of the biggest problems in america is that these hospital systems have become monopolies in certain parts of the country. they charge whatever they want to charge. they don't have to compete with other hospitals, so the price of health care goes up. if you let the v.a. in the hospital system and they compete, t...

Market. so what i do, similar to what congressman paul ryan described is ultimately reshape medicare not for current retirees, but retirees in the future, more like medicare advantage today where individuals are able to choose with a premium support payment either traditional medicare or private medicare plans. and they can make the choice between the two different plans and decide which is best for them. that, i believe is right to protect medicare for future generations and to allow doctors to compete with one another and hospitals to compete. i did the best way to keep quality up and cost d...

Current medicare program. but instead would be entitled to a premium support payment to help them purchase private insurance. that reads to me, congressman, from cbo that these people voted to end medicare. >> well, they did. that's exactly what it is. you know, congressman ryan is saying the cost of medicare is too much and i think the democrats have to acknowledge that the cost of health care, not just medicare, is too much and that's why we need to reform the way we deliver health care. but medicare has been successful because it's an entitlement and successful because seniors are able to s...