Ryan's Medicare plan a proven failure

Rep. Paul Ryan has proposed to replace Medicare with vouchers for future generations, stating that competition among private sector plans will bring down healthcare costs.
Why does he think that will work, given that we have had private sector competition for 30-plus years, resulting in ever-escalating costs and millions of our fellow citizens uninsured?
This has even been tried with the Medicare population. According to the New York Times, “Medicare Advantage is a 15-year failed experiment in privatization.

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