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In VP Debate, Paul Ryan Attacks Same Medicare Cuts In His Own Budget (VIDEO)

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The cuts come in the form of reimbursement rate reductions to mostly hospitals and private insurance companies under Medicare Advantage over the next 10 years. Mitt Romney has repeatedly evoked the cuts to fend off attacks against his and Ryan's push to convert Medicare into a subsidized private insurance -- or voucher -- system for those 55 and under.

The savings are the one part of Obamacare that Ryan's budget does not repeal -- he accepted them as a way to achieve his deficit targets. The plan was passed by the House in 2011 and 2012 and won overwhelming Republican support in the Senate.

Vice President Joe Biden didn't go after Ryan for the contradiction but noted that Medicare Advantage enrollment has increased since the ACA took effect.