(on-screen): The CBO, the Congressional Budget Office, has said that the average senior will end up paying some $6,500 more for their health care.
(UNKNOWN): In 10 years.
(UNKNOWN): By 2020, the whole plan Obama has is going to crash.
RYAN: A few sentences later, CBO also said that the status quo of Medicare is unsustainable.
AMANPOUR: Maybe, but it's going to shift a huge burden on to the elderly.
RYAN: Right. But what the CBO also forgot to add is that we're giving an additional $7,800 for low-income seniors on top of that. And I would argue -- and CBO concurs with this -- comparing any Medicare reform plan with the Medicare status quo is a fiscal fantasy. The Medicare status quo is not going be able to occur, because it's unsustainable.
AMANPOUR (voice-over): And Ryan dismisses any talk that tackling this thorny issue will cost Republicans at the polls.
(on-screen): And now people are getting worried, people in your party. Perhaps they might think it might even cost them the election.
RYAN: Sure. And I hear this all the time from the political people, from the pundits and the pollsters that this could be -- this could hurt us politically. I don't care about that. What I care about is fixing this country and getting this debt situation under control.
Look, literally, Christiane, if all we fear about is our political careers, then we have no business having these jobs. If you want to good at these jobs, you've got to be willing to lose the job.
AMANPOUR (voice-over): Still, politically it's a delicate dance. Just listen to Speaker John Boehner discuss Ryan's plan in an interview with ABC's Jon Karl.
BOEHNER: It's Paul's idea. Other people have other ideas. I'm not wedded to one single idea.
AMANPOUR (on-screen): How do you feel when Speaker Boehner tells ABC News that he's not wedded to your program, it's a good idea, it's one of many?
RYAN: I've talked to John about this. It's an institutional statement reflecting budget resolutions. And what a budget resolution -- which is what we've passed -- it's the architecture of a budget.
AMANPOUR: So you didn't take it personally about...
RYAN: No, not at all. I didn't take it personally. It's not -- it wasn't meant to be personal. I don't take it that way.
AMANPOUR: Are you sure about that?
RYAN: Yeah, yeah. Yeah, I've talked to him quite a bit about this.
AMANPOUR (voice-over): And with that, we arrive at our next stop.
RYAN: Hey, folks. Nice to see you. Thank you very much.
AMANPOUR: Some boos, but mostly cheers. The crowd is largely supportive.
(UNKNOWN): And I'd like to thank you for being a bold person and standing up and saying, "Listen, we can't continue this way."
AMANPOUR: Still, this man is angry that Ryan's plan refuses to consider raising taxes on the wealthiest Americans.
(UNKNOWN): Borrow the money from the rich, fix the problem.
RYAN: Look, I think a lot of people think this is sort of like the magic fairy dust of budgets, that we can just make a small amount of people pay some more taxes and it will fix all of our problems. Well, let's keep our eye on the ball. The eye on the ball is spending. And the sooner we get this thing under control, the better off everybody is going to be.
AMANPOUR (on-screen): How do you feel about being the bogeyman in this whole budget business?