A portrait shot of Paul Ryan, looking straight ahead. He has short brown hair, and is wearing a dark navy blazer with a red and blue striped tie over a light blue collared shirt. In the background is the American flag.

House Speaker Paul Ryan (R-WI) has long called for replacing the current Medicare system, which is essentially single-payer health care for seniors and people with disabilities, with “premium supports” for those beneficiaries to buy private insurance. Official Congressional portrait.

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