Promise: "I'm not going to cut Social Security like every other Republican and I'm not going to cut Medicare or Medicaid." All three cited sources were independently verified. PBS NewsHour/AP is reachable and contains the quoted phrase verbatim ("some of the most substantial changes to the landmark safety net programs in their history"), documenting over $1 trillion in health/food cuts, ~10 million more uninsured, and the largest Medicaid restructuring in the program's ~60-year history. KFF citing CBO is reachable and confirms the quote — "reduce federal Medicaid spending over a decade by an estimated $911 billion." The Washington Post URL returned HTTP 403 to WebFetch (paywall) but was corroborated via web search: the cited URL is exact and the headline is verbatim "Trump ignored Republican warnings about Medicaid to pass big tax bill," with content confirming Trump proceeded over GOP warnings (Sen. Thom Tillis) about Medicaid cuts, abandoning a campaign promise. HOSTILE is supported: Trump personally championed and signed H.R.1 (One Big Beautiful Bill Act), which enacted the largest Medicaid cut in the program's history via work requirements, provider-tax limits, and cost-shifting to states — active work to defeat a program explicitly named in his pledge, over warnings from his own party. Confidence held at 0.83 (not higher) because the promise is compound: Social Security was not directly cut and Medicare is only indirectly exposed (PAYGO sequestration), so two of three named programs were spared direct cuts, and a rater could reasonably choose MISALIGNED. But because Medicaid — a named component — was gutted by the largest cut in its history under legislation Trump led and signed, HOSTILE is the most accurate single outcome. Rating upheld as-is.