There was skepticism about whether presumptive Republican presidential nominee Donald Trump would embrace it, particularly its politically volatile calls to cap Medicaid spending and turn Medicare into a defined-contribution program, exposing future retirees to higher out-of-pocket costs. During the primaries, Trump repeatedly criticized Ryan's past efforts to restructure and cut those programs, and blamed his proposals for Mitt Romney's loss in the 2012 presidential election. Some think Trump is likely to repudiate the Medicare part of the GOP plan, though other parts overlap with his own brief seven-point proposal.
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