Should Paul Ryan with or without Trump go ahead with his plans, a lot of people are going to be severely hurt, both in their health care and economically. On the other hand, as David Frum wrote in The Atlantic recently, Trump and his minions might concoct a financial bubble producing shovel ready jobs in exchange for blowing up the deficit and debt, maybe getting out of office before the debt comes due. The hypocrisy of Trump is exceeded only by the hypocrisy of the Republican Congress.

I am very happy with my Medicare coverage reinforced by supplemental insurance and part D. Altogether it costs me about $300/mo. Every front-desk person at various clinics has told me my coverage is excellent. I would hate to lose Medicare to some right-wing folly, but that's the situation some 40 million people face.