In all the Ryan proposals, enrollees in the new regime would use the government's contribution to shop from a broad array of private insurance plans offered by a Medicare exchange. That system is modeled on the highly successful Federal Employee Health Benefits Program, where government workers choose from a wide variety of offerings, from deluxe fee-for-service plans to basic high-deductible programs.It's real, it's currently in effect, it's (supposedly) a model for Paul Ryan's privatization of Medicare, it's "highly successful" even by the measure of a Paul Ryan fan. And as you recall, Darrell Issa and Jack Kingston have proposed opening the doors and letting everybody in American join this "highly successful" program.
But do you see even the slightest movement by anybody in the Republican Party to put those words into action? Of course not.