Rep. Paul Ryan on why Medicare reforms that bring choice and competition to seniors would lower costs better than IPAB - a board of 15 unelected people with the power to deny seniors care. "What our concern is, is if we invest all of the power and the funding decisions with a board of 15 people - who's decisions go into law and don't even go through Congress - is that the best way to save this entitlement and restrain spending? We believe there's a better way."