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Ryan can talk empowerment and choice all he wants. The bottom line is this, ownership requires the capacity to meet the responsibilities of ownership. Illness diminishes that capacity considerably. I have heard it said that a full 30% of those on Medicare suffer from varying degrees of cognitive deficits. The responsibility of ownership Ryan proposes will inevitably fall on children or other family members. These adult children will then be torn between the responsibilities to their parents and the responsibilities to their own children. And those without children or other family members will be forced to rely on case managers, senior advocates and other social service personnel, whose salaries the Republicans will no doubt refuse to fund.
Paul Ryan demonstrates an alarming lack of understanding of how real lives are lived. His assessment of the human condition is as distorted as his budget projections.
[TPM Reader MM]
Oncology Social Worker