Do Republicans like Ryan understand the Social Security is the question asked or feign ignorance.

The Affordable Care Act has accomplished one of its goals which was to increase the percentage of Americans who have health insurance coverage.
For ideologues like Ryan, this all translates into a "fundamentally broken" law. In an op-ed in Wednesday's USA Today (bad timing), Ryan writes, "Congress can't save Obamacare with a few tweaks."
Because the facts and figures don't support his conclusion, Ryan has no choice but to offer fabricated complaints. Right off the bat, he writes: "The law takes power away from patients and hands it to bureaucrats."
The Americans have been manipulated by bureaucrats working for insurance carriers for years now and have been denied coverage for people with pre-existing illnesses. The Affordable Care Act has eliminated all these terms.
Ryan rakes up the cancellation of 2.6 million policies. He does not mention that this was so due to noncompliance with the ACA norms. According to a study by the Urban Institute, half the people were eligible for subsidies and low-cost replacement insurance. Approximately 1 million Americans had to pay full premiums – with more comprehensive benefits.
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Yes. The law dictates what insurance plans must cover; it mandates, in fact, that insurance actually offer value by meeting minimum benefit standards.
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Source: Michael Hiltzik
Source-Medindia