Mr. Vielkind,

This isn't really much of an improvement over the previous attempt:

But Gibson never embraced Republican proposals to move Medicare from a fee-for-services model, where the government reimburses doctors and hospitals for eligible procedures and care, to one in which government offers cash support for future enrollees to buy private health insurance from pre-approved companies.

You are still comparing how the docs get paid, of which fee-for-service is just one method, to how people obtain access to coverage, which in the case of Medicare is a matter of hitting a certain age and becoming eligible for the tax- and premium-supported single-payer plan.

The Ryan proposal basically throws seniors to the wolves. The Ryan proposal offers vouchers to obtain coverage in the private market, as opposed to automatic coverage through the government plan.

Here's where your research and reporting should take you next: how will seniors fare in trying to obtain affordable, useful coverage in the private market?

Hint: insurance companies desire to take in more money than they pay out. Hint two: seniors require more medical care than younger people. Hint three: no more hints.

Your descriptions, and Gibson's dodging, of these issues are not helpful and serve to confuse.

Yours sincerely, etc., etc.