Trump’s $90 Checks to Seniors Look a Lot Like Vote Buying

With less than three weeks until Election Day and Republican approval numbers down, President Donald Trump is taking unorthodox measures to drum up support for the GOP.  Last week, Trump sent out $90 payments to over 20 million Americans on Medicare Part B—which covers doctor visits and regular checkups. The money was made available to help seniors “pay for their Medicare Part B premiums,” which cost $202 per month.  

In a Truth Social post, Trump said the money is coming from “a pointless ‘Slush Fund'” known as the Medicare Improvement Fund, which, though bombastic, is an accurate telling of how lawmakers have used the account. 

The fund was created in 2008 “to improve program management” of Medicare. However, as a 2023 report from the Congressional Budget Office (CBO) points out, this fund has really served one purpose far above supporting Medicare: sneaky government accounting.

As the CBO wrote, “No funds have been spent by [Centers for Medicare & Medicaid Services] from either improvement fund since their establishment in 2008.” Instead of using the fund to support Medicare programs, Congresses have filled up the fund with money scheduled for use only in the distant future, then siphoned that money away to other legislation. Under CBO accounting rules, canceling or redirecting future spending is a “credit” to the bill’s total cost—a helpful trick for legislators who want to couch their initiatives as being affordable. This trick was used to finance nearly $21 billion of the Affordable Care Act and has been used for a scattering of legislation since. 

While Trump says this disbursement is needed to help enrollees pay premiums, the timing of the announcement—weeks before the midterms—and Trump’s history of using taxpayer money to win over senior citizens make the claim dubious. In the One Big Beautiful Bill Act, for instance, seniors were given a $6,000 tax deduction. Trump has also consistently defended senior-focused entitlement programs like Social Security and Medicare, which are both facing a funding cliff in the coming years. Trump siphoning off public money to turn out the electorate hasn’t been limited to senior citizens either. Last month he promised to hand out $5,000 checks to all Americans—conditional upon Republican victory in the midterms. 

Despite grumbling by some Democrats about Trump’s decision to empty the Medicare Improvement Fund, it seems unlikely the choice will detract from Medicare’s ability to provide services. The bigger concern is that the president is using his office to hand out personally signed checks to voters weeks before an election. Pre-election vote grabbing through irresponsible spending is not unprecedented, but it has rarely been so characteristic. 

The fiscal ramifications of Trump’s unorthodox spending are also concerning. Medicare is already teetering toward insolvency, and entitlement spending continues to balloon. Neither Congress’ playbook of deceptive accounting nor Trump’s vote buying will address these problems. Without raising taxes or lowering benefits, these programs cannot continue as they are.

But raising taxes and cutting benefits is no way to win an election. Trump knows this and seems perfectly willing to sacrifice America’s fiscal stability for a quick boost in the polls.