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By Michelle Singletary | Washington Post

Trump released his 2019 budget last week, and it included $266 billion in cuts to Medicare, which provides health insurance to 58 million Americans 65 and older and people with certain disabilities.

Howard Gleckman, a contributor for Forbes, breaks down the proposed changes: What Trump’s Budget Would Mean For Seniors

— Medicare drug benefit would be restructured to reduce costs for some beneficiaries but raise them for others.

“Trump has proposed eliminating cost-sharing for seniors with very high prescription drug costs, but at the same time he’d increase out-of-pocket expenses for many others, especially those who have significant costs but have not quite reached the threshold where medicine would be free ($8,418 this year).”

— A freeze on most funding under the Older Americans Act, which provides money for social and nutrition services for seniors including Meals on Wheels. While the proposal has a small increase for food programs, it would cut funding for disability programs by about 30 percent, Gleckman reports.

— Gets rid of federal block grants that states use to fund programs for seniors.

— A new six-week family leave program would be created. But it would exclude people caring for frail parents or other relatives with disabilities.

“Each time this proposal surfaces, it focuses only on parents of newborns (and sometimes adoptees) but ignores the needs of families caring for aging parents and other relatives with disabilities,” Gleckman writes. “Families are not just parents and babies. There are millions of adult children — usually daughters — who put their paid jobs at risk by taking time off to help frail parents or disabled siblings.”

— The elimination of the Senior Community Service Employment Program, which provides job training to low-income job seekers ages 55 and older.

It’s more of the same from his first budget introduced last year: In his first budget, Trump to struggling seniors: You’ll be on your own

Nancy Altman, president of Social Security Works, wrote this in response to Trump’s FY19 budget proposal: “Despite Donald Trump’s numerous promises during his presidential campaign to not cut Social Security, Medicare, or Medicaid, he proposes to cut all three in his just-released budget. And not just by a little. He proposes cuts of over $1.8 trillion to the three programs. On top of that, he proposes to slash Meals on Wheels, home heating assistance, and other programs on which seniors rely. It is noteworthy that Republicans just passed, for almost the same price tag, a huge tax giveaway to their donors. So that’s the Republican plan: save money by gutting programs for the elderly and transfer the savings to the billionaire class.”

Original Source: http://wapo.st/2ojMI4x