representative paul dax ryan has done well enough score. >> we share altogether as a country the problemrep ryan is that health care needs to become sustainable and our country. there are two ways to do that and one way is to cut. you can cut a budget and take things away for people and his plan does that effectively. the beneficiaries lose a lot. there is an alternative to that and that is to make care better and that is the strategy that i am more committed to. there is nothing proposed by paul ryan that improves care. that is the way to make it sustainable. >> one of the things they representative ryan's plan does did they id shows that it seniors are empowered in choosing their own health insurance that they will help to drive better care. they will help drive lower cost. isn't that the way the market works in this country? >> the great way of being involved with the medicare program is to work for seniors for them. we are unified voice on behalf of the beneficiaries. vouchers would erode steadily over time. i think medicare is paying 68% of care for the beneficiaries. over time, tha