Medicare System Explained by Paul Ryan

I like the way he explains the problem. The solution in the Ryan Plan Budget is not as well described. Doesn't the injection of insurance companies in place of a government bureaucracy create a similar disconnect between the patients and providers. There is still a third party payer involved? And, why is the government mandating the type of coverage that must be offered by the insurance companies? Doesn't that create the likelihood that politicians will keep heaping required benefits into the law, and causing the costs to go up?