Ryan doesn't actually believe in helping the disadvantaged get healthcare, since he's a Randian (https://www.theatlantic.com/politics/archive/2012/04/audio-surfaces-paul-ryans-effusive-love-ayn-rand/328754/), so it's no surprise Ryancare helps the rich while hosing the poor:
http://www.huffingtonpost.com/entry/paul-ryan-wonk-health-care_us_58c3553ae4b0ed71826cdce2?jc91c1mj1jxajor
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