Paul Ryan likened a mechanism to control health care spending to “death panels,” during a town hall at the University of Central Florida in Orlando on Saturday.

After listening to Ryan repeatedly call for the repeal of the Affordable Care Act, an elderly man asked the Republican vice presidential nominee about “the death panels.” Rather than dissuading the man from what PolitiFact named  2009′s Lie of the Year , Ryan laughed and responded, “that’s not the word I’d choose to use to describe it. It’s actually called….the Independent Payment Advisory Board”: