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Policy Basics

Medicare provides health coverage to 60 million Americans, mainly people age 65 and older but also several million younger adults with permanent disabilities.

We analyze proposals that would affect Medicare (such as replacing its guarantee of coverage with a premium-support voucher) to evaluate their impact on beneficiaries. We also monitor Medicare’s finances and work to ensure that proposals to strengthen its financial health do not unduly burden beneficiaries, such as by slashing benefits or shifting costs to them.

Medicare in the 2020 Trump Budget

President Trump’s 2020 budget proposes nearly $600 billion in net Medicare spending reductions over ten years (see table). Most of the proposals would reduce payments to health care providers and...