The core of the Ryan proposal is a plan to privatize and defund Medicare.

瑞安提案的核心，就是一份“老年医保”私有化和不向“老年医保”提供资金的计划。

It includes a plan to privatize and defund Medicare that would leave many if not most seniors unable to afford health care.

提案包括了一份对“医保”实施私有化并从中撤资的计划，该计划将让许多(如果不是大多数的话)老年人无法支付医疗保健。

We were able to stop Republican efforts to defund the Affordable Care Act as well as Planned Parenthood and international family planning programs.

我们可以阻止共和党人对可支付医疗法案，计划生育和国际性计划生育计划进行撤资。