President Trump has repeatedly vowed not to cut Medicare. Paul Ryan insists it's still an 'open question.'

During a press conference ahead of President Trump's joint address to Congress on Tuesday night, House Speaker Paul Ryan (R-Wis.) insisted that he thinks Medicare cuts remain an "open question" for Trump. "From all my conversations with the president, he says, 'I don't want to change Medicare benefits for people in or near retirement,' and we agree with that," said Ryan, who like many congressional Republicans is an ardent proponent of reforming entitlement programs to slash federal spending.
Ryan's interpretation of Trump's point of view seems at odds with the clear message Trump repeated on the campaign trail. Last year Trump tweeted, "I was the first and only potential GOP candidate to state there will be no cuts to Social Security, Medicare, and Medicaid."
But Ryan insists Trump understands entitlement reform will be necessary, especially in light of Trump's budget proposal released Monday that suggests big cuts to domestic spending to offset a $54 billion increase in military spending. It's not yet clear whether those cuts will end up targeting agency budgets or entitlement programs. "I've been a big-time entitlement reformer for a long time because if you don't start bending the curve in the out years, we are hosed," Ryan said.
Subscribe to The Week
Escape your echo chamber. Get the facts behind the news, plus analysis from multiple perspectives.

Sign up for The Week's Free Newsletters
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.
Trump is expected to elaborate on his budgetary plans Tuesday night.
Sign up for Today's Best Articles in your inbox
A free daily email with the biggest news stories of the day – and the best features from TheWeek.com
-
Today's political cartoons - February 23, 2025
Cartoons Saturday's cartoons - loser's game, unexpected consequences, and more
By The Week US Published
-
5 slow on the draw cartoons about Democrats' response to Trump
Cartoons Artists take on taking a stand, staying still as a statue, and more
By The Week US Published
-
A road trip through Zimbabwe
The Week Recommends The country is 'friendly and relaxed', with plenty to see for those who wish to explore
By The Week UK Published
-
Mitch McConnell won't seek reelection
Speed Read The longest-serving Senate party leader is retiring
By Rafi Schwartz, The Week US Published
-
Trump reportedly wants to take over US Postal Service
Speed Read President Trump is making plans to disband the leadership of USPS and absorb the agency into his administration
By Peter Weber, The Week US Published
-
Trump seeks to end New York's congestion pricing
Speed Read The MTA quickly filed a lawsuit to stop the move
By Peter Weber, The Week US Published
-
Trump officials try to reverse DOGE-led firings
Speed Read Mass firings by Elon Musk's team have included employees working on the H5N1 bird flu epidemic and US nuclear weapons programs
By Peter Weber, The Week US Published
-
Trump blames Ukraine for war after US-Russia talks
Speed Read The US and Russia have agreed to work together on ending the Ukraine war — but President Trump has flipped America's approach
By Peter Weber, The Week US Published
-
Musk's DOGE seeks access to IRS, Social Security files
Speed Read If cleared, the Department of Government Efficiency would have access to tax returns, bank records and other highly personal information about most Americans
By Peter Weber, The Week US Published
-
Senate confirms RFK Jr. as health secretary
Speed Read The noted vaccine skeptic is now in charge of America's massive public health system
By Peter Weber, The Week US Published
-
Trump lays out plans for broad 'reciprocal' tariffs
Speed Read Tariffs imposed on countries that are deemed to be treating the US unfairly could ignite a global trade war and worsen American inflation
By Peter Weber, The Week US Published