“The fatal conceit of Obamacare is that we’re just gonna make everybody buy our health insurance at the federal-government level, young and healthy people are going to go into the market and pay for the older, sicker people. So, the young healthy person is going to be made to buy health care, and they’re going to pay for the person, you know, gets breast cancer in her 40s or who gets heart disease in his 50s. […] The whole idea of Obamacare is … the people who are healthy pay for the people who are sick. It’s not working, and that’s why it’s in a death spiral.”

—  Paul Ryan

Presentation for Capital Hill reporters, MSNBC "Paul Ryan flubs the basic idea behind insurance" http://www.msnbc.com/rachel-maddow-show/paul-ryan-flubs-the-basic-idea-behind-insurance 9 March 2017

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