Paul Ryan has an abysmal record on most anything, healthcare is his signature failure - over 60 House votes to outright repeal, one failure and one passed today.  So to take his "word" on it - "I got a commitment from the Speaker to take care of the disproportionate cost — we and Illinois are really hurt the worst, but we think we can take care of that," Young said is an utter, unbelievable pile of steaming code.