Hours after pledging that the safety net program “isn’t going to be touched,” Trump surprised some of his own staff Wednesday when he endorsed a House budget that would gut Medicaid.

Big changes could be coming for government benefits. House Republicans just unveiled a budget plan that includes massive spending cuts—$880 billion from Medicaid over the next decade. Social Security?

The president’s record shows a consistent openness to Medicaid cuts, which would seem required for his big goal of extending tax cuts.