That we need to increase it over the next 10 years before we can start bringing it down by eliminating Medicare. And this is called a Serious and Courageous plan? UPDATE: From Matthew Yglesias: “All the various cuts that take place before the Great Medicare Phaseout don’t compensate for the tax cuts that Ryan proposes, so relative to current law debt goes up. Then further out in the future if we implement the Medicare elimination plan, debt starts to decline.”