Yuval Levin writes:

David Axelrod on CNN’s State of the Union referred to “Congressman Ryan’s idea that we should turn Medicare into a voucher program, shifting thousands of dollars ultimately onto the backs of seniors.” But that’s simply a lie — Ryan’s actual Medicare proposal (which Romney has backed) simply doesn’t shift costs to seniors.

Obama and Ryan both propose to cap Medicare spending at the same level, but Ryan seeks to lower costs by introducing competition into the system while Obama has imposed a board of bureaucrats to ration Medicare.