"It's never been a secret that Paul Ryan's fondest dream has been to blow up the social safety net, every single part of it, but particularly the big three: Social Security, Medicare, and Medicaid. In no small part that's because they are a direct refutation of his dystopian, Ayn Rand-inspired philosophy of government as a force for evil. Ironic, yes, given he got to where he is today with the Social Security survivor benefits his family received after his father died when he was still a teen. But a pretty typical Republican response: I got mine, the hell with you. So here we arrive at Trumpcare and his big opportunity to take down both Medicare and Medicaid."