President Donald Trump on Thursday called for a major overhaul and “big changes” to Medicare and the Medicaid program, and pledged to end “the gravy train.”
Trump made the comments in a speech to Republican donors in Washington, DC, on Thursday.
He called for replacing “the death spiral” of Medicare with “a massive, dramatic overhaul of the entitlement program,” including changes to Medicare premiums, deductibles and other fees.
“We’re going to have to change the way we pay for these things,” Trump said.
“We’re getting it wrong.
We have a massive, tremendous system, we have a disaster, we’re in debt and we’re getting stuck in a death spiral, we are in a terrible mess, and the gravy train is getting worse.”
Trump said the program has “gravy trains” in place.
He did not specify how.
“You are going to see this in the future,” Trump added.
“The system has gravy train lines.
It’s a disaster.”
The president also called for repealing the Affordable Care Act, or Obamacare, as well as replacing it with a “much more compassionate” alternative.
“I’m going to take care of everybody.
And the most compassionate thing I can do is to repeal Obamacare,” Trump continued.
“I’m not going to repeal it.
I’m not even going to say how much.
I can’t get a score, but I’m going take care.”
Trump has proposed ending the ACA’s coverage of dental, vision and other medical care for people with pre-existing conditions and has pledged to do so.
Trump has repeatedly promised that the GOP would repeal Obamacare.
He has promised to repeal and replace it, but has not offered specifics on how he would do that.
In the speech, Trump did not say whether he would repeal the ACA and instead proposed a different plan to replace it.
“The ACA is dead,” Trump told the crowd.
“It’s just a disaster.
We’re going in a very different direction.
And I’m really excited about it.”
Trump is expected to announce his decision on the ACA later this week, according to the Associated Press.