(WASHINGTON POST) — Conservative House Republicans on Tuesday set up what appears to be a potential re-run of last year’s turbulent domestic policy fight with President Barack Obama, putting forward an election-year budget manifesto that would blend steep social program cuts with reduced tax rates.

The GOP plan released by House Budget Committee Chairman Paul Ryan would, if enacted into law, wrestle the deficit to a manageable size in short order, but only by cutting Medicaid, food stamps, Pell Grants and a host of other programs that Obama has promised to protect.

To deal with the influx of retiring Baby Boomers, the GOP budget reprises a controversial approach to overhauling Medicare that would switch the program — for those under 55 today — from a traditional “fee for service” framework in which the government pays doctor and hospital bills to a voucherlike “premium support” approach in which the government subsidizes purchases of health insurance.

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