The most popular position in the GOP's coalition isn't that Medicare needs a complete overhaul, as Ryan thinks. It isn't that it needs major changes, or even that it needs minor changes. It's that we shouldn't try and control costs at all. That's not true for the Democrats' coalition, where both "minor changes" and "major changes" beat "no cost control," and it's not true for the independent coalition, where "minor changes" at least tie cost control.
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