For all the talk of a new class-conscious GOP, the Republican Party sounded much like its old self when, in December, Vivek Ramaswamy laid out the mission of the nascent Department of Government Efficiency (DOGE). “Medicare, Medicaid, Social Security,” Ramaswamy complained. “The dirty little secret is that many of those entitlement dollars aren’t even going to people who they were supposed to.” There it is again: “entitlement” reform.