It is a shame that the VP debate did not delve into the proposal of Gov. Romney and Rep. Ryan to block grant Medicaid in a way designed to greatly reduce federal spending on the program; this is where the most profound disagreements on health policy can be found in this election. Aaron Carroll and Austin Frakt have a nice graph depicting both the stark difference in proposed spending on Medicaid between the President and Gov. Romney, as well as the stark similarity in their planned Medicare spending over the next 25 years: