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Trump Medicare Promise Causes Heartburn for GOP: The Hill by Scott Wong—Time and again on the campaign trail, Donald Trump pledged to his supporters that he wouldn’t gut Medicare as president. Trump’s incoming chief of staff, Reince Priebus, doubled down on that position over the weekend, insisting that his boss wouldn't "meddle" with Medicare or Social Security. But a week before Trump’s inauguration, that campaign promise is already encountering fierce resistance from Republicans on Capitol Hill. For years, GOP lawmakers—led by Speaker Paul Ryan (Wis.)—have been sounding the alarm that a major overhaul to Medicare and other entitlements are needed to ensure they don’t go bankrupt.