'This Week' Transcript: Vicki Kennedy, Jack Lew and Paul Ryan

And I know the House is scheduled to have a repeal vote a little later this month. When you do that, will you also vote to preserve any of these programs? Or does everything go?

RYAN: Well, we -- we will vote to repeal the entire law on, I believe, July 11th. And what's frustrating about this is, when Obamacare was being deliberated, we were offering patient-centered solutions. I'll just say this. We can have a health care system in America where everybody has affordable access to health insurance, including people with pre-existing conditions, without a government takeover.

And those are the kinds of patient-centered solutions we're going to be advancing. We were proposing them then. We're proposing them now, so we can address these very legitimate concerns without a complete government takeover of 17 percent of our economy.

STEPHANOPOULOS: But to -- to be specific, those provisions that are already in place now, like closing the doughnut hole, covering young adults under the age of 26, not placing lifetime limits on care, those are all going to go in the House vote? You're not going to vote to replace them?

RYAN: We're going to repeal the entire law, and then we're going to advance patient-centered reforms which address these kinds of issues. By the way, the market was already moving on, say, the 26-year-old. Insurance companies were already announcing they're going to keep that in place anyway.

STEPHANOPOULOS: So you're not going to require it.

RYAN: So if you allow the market to work to appeal to consumers -- no, but what I would say is, if you take a look at a lot of the comprehensive plans many of us have authored, it does address these things. What I'm trying to tell you, George, is we can address these legitimate problems and needs without a government takeover.

I think this, at the end of the day, is a big philosophy difference. What -- what Mrs. Kennedy and others were saying is this is new government-granted right. We disagree with the notion that our rights come from government, that the government can now grant us and define our rights.

Those are ours. Those come from nature and God, according to the Declaration of Independence, a huge difference in philosophy. And so what we're saying is, there are principles and reforms that we could have passed into law, which we still want to, that address these legitimate problems without putting the government in such a central role in our lives and in our economy, which we think is going to hurt our economy, bring us toward a debt crisis, and -- and make the American health care system that much worse.

STEPHANOPOULOS: Finally, I asked Jack Lew this. Will this election turn on health care?

RYAN: Health care and the economy. Look, this is the most important election in our lifetimes. This ruling -- and I guess this was John Roberts' thinking -- he raised the stakes of this election higher than it could have been raised.

This election is a choice of two futures. Do you want a government-centered society in a government-driven economy and government-rationed health care? Or do you want the American opportunity society with a safety net, a free economy, economic freedom, personal liberty? That's what we want. That's the American idea. We have one more chance as a people to get that back, and that chance is going to come on November the 6th.

STEPHANOPOULOS: Big choice ahead. Congressman Ryan, thanks very much for your time this morning.

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