At least officially, Trump isn't giving up on repealing the Affordable Care Act. The budget proposes enacting a repeal-and-replace bill that closely resembles the plan put forward by Sens. Lindsey Graham (R-SC) and Bill Cassidy (R-LA) last fall, which would have turned much of Obamacare's funding for Medicaid expansion and premium subsidies into block grants for states to create their own health care programs. It would also overhaul Medicaid with a per-person spending cap.
That plan, you will recall, was projected to lead to 20 million fewer Americans having health insurance in 2026, versus Obamacare, and a $215 billion cut to federal health care spending over 10 years.