Issuing a voucher for Medicare insurance is not a "cut to entitlements", it's a means of providing the same benefit at a long-term lower cost. Private insurance firms are more efficient providers than is the government bureaucracy -- and far better at controlling/minimizing fraud.
Speaking of which, I'm "on the dole" according to your definition -- a recipient of both Social Security and Medicare -- and I have no issue whatsoever with the Ryan budget. Indeed, I'm cheering for it as a step in the right direction.
Glad to hear it! However, yor are the minority.
We need more like you to speak up, and be willing to say “This is what I want!”