IMO-The real point about medicare services is not structure but assurance of adequate funding and adequate resources in the medical community. Dark makes a good point about the current trajectory of the existing system. How to beat the inflation and tax fairly is the crux. I don’t expect Romney plans if elected to go with any “Ryan plan”. He would make his own anyway. Vice Presidents are (at best) beck seat drives of policy.

Socialized and underfunded or privatized and underfunded is not a sane set of options.