"Over the past year, an entitlement revolution has taken place on Capitol Hill. It has gotten relatively little attention from the media. Yet its implications for the budget deficit and the health care of senior citizens are enormous.
"The revolution involves Medicare, the health-care program for the elderly and the single biggest cause of America's looming debt crisis. Reform of Medicare would be achieved by a policy known as 'premium support.' It would bring consumer choice and spending restraint to the beleaguered program.
"You may not have heard of premium support. But thanks to the efforts of Paul Ryan, the Republican chairman of the House Budget Committee, it is now the leading alternative to current, fee-for-service Medicare. Indeed, it is the only credible alternative...
"Mr. Ryan says the arrival of the large freshman class of House Republicans accelerated the drive for Medicare reform. But it's Mr. Ryan, 42, who deserves the bulk of the credit. He's the top Republican thinker on domestic issues. And he has a keen political sense. He's been on a roll since he took apart ObamaCare in front of Mr. Obama at the White House health-care summit in 2010.
"Because of his tireless proselytizing, premium support has emerged as the most sensible way to reform Medicare."
Whole thing here.