Episode 100: Senior Care and Trump's Budget with Nathan Boucher

A FACT CHECK at the White House website proclaims “President Trump will always a protect Social Security and Medicare.” It goes on to quote Elon Musk saying “The waste and fraud in entitlement spending — which is most of the federal spending is entitlements — so, that’s, like, the big one to eliminate. That’s the, sort of half-trillion, maybe $6-700 billion a year.”

After a list of “facts” about fraud, improper payments to deceased individuals and improper payments to both SSA and Medicare and Medicaid services, the page goes on to ask “What kind of a person doesn’t support eliminating waste, fraud, and abuse in government spending that ultimately costs taxpayers more?”

Link to the Whitehouse web site:

https://www.whitehouse.gov/articles/2025/03/fact-check-president-trump-will-always-protect-social-security-medicare/

Am I missing something? First, Social Security and Medicare are not entitlements, they are services for which older Americans have paid for by deductions from THEIR salaries.

And , second, where is, in this so-called Fact Sheet, plans for how President Trump is going to preserve Social Security and Medicare except for a statement that reads “The Trump Administration will not cut Social Security, Medicare, or Medicaid benefits. President Trump himself has said it (over and over and over again).”

Conversely, President’s Trump’s budget seeks to reduce or eliminate the Older Americans Act, to dissolve the Administration for Community Living, and cut funding to critical services that help older adults to live independently.

In order to be able to understand more completely what’s going on, we called on Nathan Boucher, to explain the effect of Trump’s real budget proposals on senior care. Nathan is Associate Research Professor in the Sanford School of Public Policy and Duke University faculty at Sanford School of Public Policy, the Medical School, and the Nursing School. He is also a Senior Fellow at the Duke Center for the Study of Aging & Human Development as well as Duke-Margolis Center for Health Policy Core Faculty.

Nathan and I talked about the Older Americans Act and the Administration for Community Living which provide services like Meals on Wheels, Adult Day Care, Falls and Elder Abuse Prevention and Respite care as well as services for younger people with disabilities. We discussed that despite reassurances that Medicare and Medicaid will not be touched, plans are in the works for reducing Medicaid and adding a work requirement and more difficult paperwork which would affect at least 7.6 million people.