6. Cut Medicare by more than $500 billion. Trump promised on the campaign that he would not touch Social Security or Medicare, but he uses this budget to propose a major cut to Medicare for the first time. Trump wants to "reduce wasteful spending" on Medicare by expanding the list of treatments that require prior authorization before the procedure can be done and putting medical providers on notice who charge more than others. The administration argues these cost savings will help ensure Medicare can last for many years to come, but some argue it will result in people who need treatment having it delayed or not receiving it because of extra paperwork and hurdles.