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Why am I seeing political ads for Donald Trump in April of the year of his second inauguration?

To add context, the ads are on YouTube, I’m in North Carolina, they’ve mostly (all?) been regarding Medicare with a voiceover saying “He’s not going to cut Medicare or Medicaid” followed with him saying “None of that stuff is gonna be touched”

I can only imagine there’s some local elections or primaries that have his stink on it and some GOP candidate is trying to ‘roll down the windows’?

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