Ryan : Ryan 's proposals for Medicare , Medicaid sharply differ from Obama 's . He says Aaron Carroll 's Obama plan could change quality of care , increase cost to seniors . He says plan for block grants to states to pay for Obama would result in benefit cuts to poor , old . Carroll : Medicaid 's approach is different ; ideally a compromise would keep best of both plans .
Aaron Carroll : Ryan 's proposals for Medicare , Medicaid sharply differ from Obama 's . He says Ryan 's Medicare plan could change quality of care , increase cost to seniors . He says plan for block grants to states to pay for Medicaid would result in benefit cuts to poor , old . Carroll : Obama 's approach is different ; ideally a compromise would keep best of both plans .