Paul Ryan’s budget proposal puts the intentions of the GOP in black and white; the wholesale destruction of the health care safety net and a privatization agenda that would decimate the hard won gains of the 20th century. What rock did Paul Ryan crawl out from under? It’s in Janesville, Wisconsin. Ryan Incorporated Central is the family business, started in 1884; it is a construction company that handles projects up to 50,000,000 dollars. Paul Ryan is, therefore, a landed aristocrat, of sorts. Medicaid costs 27% less for children and 20% less for adults than private insurance. MEDICAID COSTS