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Paul Ryan's Second Act

The Wisconsin congressman looks to 2012 and beyond.

4:03 PM, Nov 1, 2011 • By JOHN MCCORMACK
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Ryan explains empathetically and articulately that people now on Medicare will be grandfathered into the old system, that those in the new system could not be denied coverage by providers, that high-risk subsidies would stabilize their rates, and that Obamacare is what will "collapse the health care system, and especially the Medicare system." 

"You have a very unique health care condition. I'm very familiar with it," Ryan says. "The federal government basically stepped up and said, let's cover this disease because there's no way private insurance can cover this. We learned a lot about end-stage renal disease, and that is this: There are some people in society who through no fault of their own--you're a perfect example--get hit with an unpredictable extremely expensive illness." 

Ryan explains that the solution is state-based "high-risk pools," which would protect the 8 percent of the population that needs such subsidies and lower premiums for the other 92 percent.

The audience applauds. And the man suffering from end-stage renal failure sits back down.

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