On the Ryan plan to end Medicare as we know it: Peggy Noonon says: "Rep. Paul Ryan['s]... main problem on Medicare is that people fear the complexities and demands of a new delivery system...." But the Ryan plan has no new health-care delivery system. It simply drastically cuts the amount of money the federal government spends on Medicare, and tells you you have to find a private insurance company--and pay all its extra overhead and profits--to dole out the slashed Medicare payments to your doctors.