Donald Trump publicly resisted Medicaid cuts — until his budget director, Russell Vought, convinced the president that reductions to heath coverage for low-income people, embedded in the Republican tax bill,

Another 5.1 million people would become uninsured from a combination of expiring Affordable Care Act subsidies and new ACA rules that Trump’s health department proposed, the Congressional Budget Office said. Those coverage losses are separate from the CBO’s official score of the tax bill.

David Sacks, the president’s AI and crypto czar, admits Republicans are preparing to gut Medicaid as Trump and Mike Johnson pretend they aren’t.