The Ryan Plan is the wrong way. It does not take the incremental approach. It fully funds Medicare for the next 10 years which merely prolongs the Ponzi scheme. The inflationary spiral of health-care costs (for the same decade) will continue unabated.
The incremental approach must begin now! Gradually increase the Medicare patient's deductibility and co-pay. Deregulate the provider-side of health-care to break up the monopolies. Allow physician-owned hospitals to operate. (Currently under ObamaCare, the giant hospitals [both corporate and non-profit] enjoy hegemony with severe restrictions against the doctor-owned hospitals. Monopolies hate competition!) Loosen licensing requirements for providers -- free enterprise will reward the good doctors (plus the bad doctors will be weeded out due to intense competition, negative publicity and lawsuits.)
The Medicare patient must have more "skin in the game." But his family must be active participants. Because of things like dementia, there must be mechanisms for power of attorney with loved ones (for dealings with the government bureaucracy and health-care providers.) Nevertheless, when the Medicare patient (or his family) has more financial stake in medical care, there is a less likelihood for the doctors to order unnecessary tests (to bilk more money out of Medicare).
Please read my other posts in this blogsite to get a more complete picture of health-care reform. Those other articles include further insights ... as well as my critiques of ObamaCare, RomneyCare and RyanCare. The purpose of my blog is to make people think "outside the box." Hopefully, it'll aid you to come up with solutions that may be better than my own.