From Ezra Klein - The Washington Post.
There’s difference between cutting costs and shifting them. As the Congressional Budget Office noted, a lot of what Ryan’s budget does is shift costs from the federal budget to someone else’s budget: Medicaid’s costs moves to the states, and then when the states cut it, to the people who need it, or to their families. Medicare’s costs move to seniors, or to the families of seniors. The budget doesn’t have a clear theory for how to spend less on health care. It has a clear theory for how the federal budget can spend less, and other people can spend more. But that’s not good enough.