I am honestly not up to date on his plans for Medicare, but he isn't POTUS yet and Congress will have to approve if any changes anyway so I'd hold off judgement at this time. Why is he stacking his cabinet with the 1%? Because they are successful and the right people for the job. He isn't looking at sex, color, or some other irrelevant demographic. He's looking for talent. I don't know how much the secret service will cost, perhaps Trump will give them discount rent.