Ryancare, like Obamacare, involves cross subsidies. Some people wind up subsidizing other people. The resulting landslide of rules and regulations will shut down competition, with the result that everyone plus the government winds up paying unreasonable prices.
Ryancare requires that insurance cover people with pre-existing conditions. That is not insurance, that is a handout. If the government is going to give people handouts, should be done openly through government funded hospitals and the like. If you rope private enterprise into giving handouts, you will find that this turns out to be a stupendously expensive way of providing handouts, not a cheap way.
You order private enterprise to give handouts, you wind up giving them monopolies so that they can fund these handouts, and they wind up abusing these monopolies. Further, people receiving handouts tend to be problem people. Some of them are unlucky, but most of them are no good. You don’t want no good people showing up to hospital in front of the good people who are actually paying for the hospital, or you get the Canadian situation, where no Canadian who can avoid it goes to a Canadian hospital but rather nips across the nearby border to an American hospital, because the Canadian hospital is full of homeless and drug addicts. And when I say full, I mean very full indeed, with beds in the corridors and urine soaked sheets, and not a normal middle class person in sight.
If the government is going to give handouts to people with pre-existing conditions, or handouts to anyone, it needs to keep the insurance companies and private sector hospitals out of it. Handouts need to be done openly and need to appear on the books as handouts. Hidden handouts inadvertently shut down the free market system, resulting in at best socialist levels of service, at worst socialist levels of service with staggeringly high costs.
Ryancare is the continuing ratchet leftwards, Ryancare is Republicans doing their jobs as tax collectors for the welfare state, where Democrats create unfunded entitlements, and Republicans proceed to make white middle class males pay for them.
Ryancare means that Republicans get to take the blame for Obamacare. If you are not going to repeal Obamacare, at least hang it on the Democrats.