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Greg Sargent: Trump just made another big move that could hit his voters hard

This is not the story Trump told during the campaign.

FILE - In this March 22, 2017 file photo, Administrator of the Centers for Medicare and Medicaid Services Seema Verma listen at right as President Donald Trump speaks during a meeting in the Roosevelt Room of the White House in Washington. The Trump administration says it's offering a path for states that want to seek work requirements for Medicaid recipients, and that's a major policy shift toward low-income people. (AP Photo/Evan Vucci, File)

Donald Trump ran for president on a narrative of economic populism, pitched mainly to working class whites, that was supposed to contrast sharply with decades of conventional GOP economic orthodoxy, with its emphasis on the idea that the way to help economically struggling Americans is with tax cuts for job creators and liberation from dependence on the safety net.