Your medical needs total $15,000 ...

 ... but your voucher is only worth, say, $5,000. "You're shit outta luck" say the repugicans. That's the privatization way.

In a leaked party platform circulating on the eve of their cabal, repugicans reveal in candid detail how they intend to remake medicare. - More

Oh, and Democrats ... could you show some fuckin' backbone and start calling social security, etc as "earned benefits?" Cut the crap with the repugican talking point phraseology of "entitlements."

We pay into the program. We earn the right to collect on the benefits of paying into the programs..