The headline is literal.
— American Bridge (@American_Bridge) March 17, 2017
RYAN: "Sending [Medicaid] back to the states; capping its growth rate. We've been dreaming about this since you and I were drinking out of a keg."
Ha! Get it? Because cutting healthcare for the poor, disabled, and elderly is what every Randian shitheel who attends college on Social Security survivor benefits dreams about.
Imagine being such a dorky piece of shit that you fantasized about cutting Medicaid at frat parties.
I'm surprised Ryan had time to ponder anything else between scoping out the girls he wanted to drug.