No one was really surprised when House Speaker Paul Ryan lined up behind the rest of the GOP party leadership to endorse Donald Trump.  It’s also not too surprising that Ryan is confident Trump will support the Ryan/House agenda, regardless of his pesky campaign promises to leave seniors’ programs alone:

“We’ve discussed how the House can be a driver of policy ideas. We’ve talked about how important these reforms are to saving our country. Through these conversations, I feel confident he would help us turn the ideas in this agenda into laws to help improve people’s lives. That’s why I’ll be voting for him this fall.”...Rep. Paul Ryan

Modern Healthcare says:

“Last month, I raised the question of whether Trump would follow the politically risky healthcare policy path Ryan has blazed on Medicare, Medicaid and other big issues.

The House speaker apparently has concluded that he would.

Ryan
 has spearheaded a series of partisan House budget outlines that would significantly restructure Medicare and Medicaid and sharply reduce federal spending on those two programs. The Wisconsin Republican wants to convert Medicare into a defined-contribution, voucher-style program and change Medicaid into a capped state block grant program. Some experts say the plan would impose significantly higher costs on seniors.”

Let’s not forget that it’s already been reported by sources in on the Ryan/Trump Capitol Hill meeting that cutting Social Security and Medicare was something Trump could “morally support”.  He just doesn’t think he can win if he says it.

“From a moral standpoint, I believe in it,” Trump told Ryan. “But you also have to get elected. And there’s no way a Republican is going to beat a Democrat when the Republican is saying, ‘We’re going to cut your Social Security’ and the Democrat is saying, ‘We’re going to keep it and give you more.’ ”

Which also fits with the message his campaign staff delivered to fiscal hawks at last month’s annual Pete Peterson “how to cut middle-class benefits” soiree:

“After the administration has been in place, then we will start to take a look at all of the programs, including entitlement programs like Social Security and Medicare. We’ll start taking a hard look at those to start seeing what we can do in a bipartisan way.”

 

“...I think that whoever [is] the next president is going to have a horrible time in dealing with this, because those entitlements will race to the front of all the economic issues we have in this country.”...Sam Clovis, Trump campaign chief policy advisor.

So, while Trump’s actual plans for Social Security, Medicare and Medicaid remain ever-elusive Paul Ryan’s plans for these programs – which he apparently believes President Trump will deliver on – are very clear

“The House GOP’s budget would privatize Medicare with a voucher plan, leaving seniors and the disabled – some of our most vulnerable Americans – hostage to the whims of private insurance companies.  Over time, this will end traditional Medicare and make it harder for seniors to choose their own doctor.  Vouchers will not keep up with the increasing cost of health insurance… that is why seniors will pay more.  Incredibly, the GOP budget also tries to have it both ways by counting the savings in Medicare since the passage of health care reform and then repealing the law that delivered those same savings. Seniors need to pay careful attention to this next fact: if the GOP isn’t stopped from repealing healthcare reform, Medicare beneficiaries would immediately lose billions in prescription drug savings, wellness visits and preventative services with no out-of-pocket costs, and years of solvency will be lost to the Medicare program.” ...Max Richtman, NCPSSM President/CEO.