Your assumptions are not worthy of discussion as they are fraught with propaganda.

First there is some mythical assumption that Republicans won't pay for medicare.

Second as you know there are more than one Ryan "proposal", which one are you referring to, the throw grandma over the cliff one or the more recent one? Typical of your ilk, you use imagery and half truths.

Third there is some mythical assumption that Republicans won't help the poor. Typical of your ilk, you cannot argue the size of the safety net, it simply must be bigger and of course government mandated and controlled.

I did not suggest any options especially dying quickly, that came from your ilk.

Liberalism is a mental disorder and that is one should stop paying for immediately.