GOP lawmakers are defending their burden-shift argument with House Budget Committee Chairman Paul Ryan’s leadership on a reform strategy for Medicare. Why not give retirees vouchers to spend on private insurance in a public exchange, if it’s going to save the system from bankruptcy?

It’s not a new concept. Employers eye consumer-driven health options as a cost solution to mitigate obscenely rising premiums. But, as Mark Miller of Reuters notes, it’s a change that not many employers are ready for.

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