Ryan wants to end Medicare, replace it with a voucher system. Ryan’s latest budget transforms the existing version of Medicare, in which government provides seniors with a guaranteed benefit, into a “premium support” system. All future retirees would receive a government contribution to purchase insurance from an exchange of private plans or traditional fee-for-service Medicare. But since the premium support voucher does not keep up with increasing health care costs, the Congressional Budget Offices estimates that new beneficiaries could pay up to $1,200 more by 2030 and more than $5,900 more by 2050. A recent study also found that had the plan been implemented in 2009, 24 million beneficiares enrolled in the program would have paid higher premiums to maintain their choice of plan and doctors. Ryan would also raise Medicare’s age of eligibility to 67.