It looks bad when Trump promises that he will NOT cut medicaid and then approves a huge cut. And Trump's Treasury Secretary says tax cuts for the rich will be matched by reductions in deductions and will not impact the middle class-- the tax cuts in the House Bill apply only to those in the top brackets and no one else. Everyone else pays taxes to support the program and have their benefits cut or pay more for their coverage. As a Republican staffer told me when asked why the big tax cut, he said so Ivanka, Jared, and Trump's sons can get a $200,000 tax break each year and not have to ask daddy for spending money-- I took it as a joke, but it has meaning. Not everyone will get such a break-- it may be only $50,000 a year for some, but that still covers their insurance costs plus money leftover.