Aaron Carroll : But that would have been a one-time savings , and it would n't bend the cost curve much at all . Ryan 's proposals for Medicare , Medicaid sharply differ from Obama 's . He says Obama 's Medicare plan could improve quality of care , increase benefits to seniors . He says plan for block grants to states to pay for Medicaid would result in benefit cuts to poor , old . Carroll : Ryan '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 Obama 's Medicare plan could improve quality of care , increase benefits to seniors . He says plan for block grants to states to pay for Medicaid would result in benefit cuts to poor , old . Carroll : Ryan 's approach is different ; ideally a compromise would keep best of both plans .