plambrace a ththe r yan n and move forward? >> we need to continue medicare as we know it for those 55 and above and allow the seniors to have that certainty. when i am talking to my constituents, some of my seniors are saying we want more choice and more options. they would like to see some more of choices and options available to them. what we want to make certain we do is to provide stability and certainty in medicare process. we have to realize the medicare trustees have told us that we are spending more money that we're taking in. we have to be mindful of putting this on a stable platform and returning that medicare program to fiscal health. it means we do need to go through some reforms that are going to provide some certainty, stability and take a long-term view. >> congressman ryan a 2020 start date. see you think they should go to it sooner? >> that is a debate we should have. individuals, as you look at the premium support, i think that is something that is a worthy debate for the american people. what i want to make