Trump administration opens door to let states impose Medicaid work requirements
Source: Washington Post
The Trump administration issued guidance to states early Thursday that will allow them to compel people to work or prepare for jobs in order to receive Medicaid for the first time in the half-century history of this pillar of the nations social safety net.
The letter to state Medicaid directors opens the door for states to cut off Medicaid benefits to Americans unless they have a job, are in school, are a caregiver or participate in other approved forms of community engagement an idea that some states had broached over the past several years but that the Obama administration had consistently rebuffed.
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Unlike the 1996 rewrite of welfare law, which explicitly mentions work as a goal, Medicaids law contains no such element, and critics contend rules that could deny people coverage contradict its objectives. To get around this, the 10-page letter argues that working promotes good health and repeatedly asserts that the change fits within the programs objectives. The guidance cites research that it says demonstrates people who work tend to have higher incomes associated with longer life spans, while those who are unemployed are more prone to depression, poorer general health, and even death.
[A] growing body of evidence suggests that targeting certain health determinants, including productive work and community engagement, may improve health outcomes the letter says. While high-quality health care is important for an individuals health and well-being, there are many other determinants of health.
Read more: https://www.washingtonpost.com/national/health-science/trump-administration-opens-door-to-let-states-impose-medicaid-work-requirements/2018/01/11/d6374482-f628-11e7-a9e3-ab18ce41436a_story.html?utm_term=.3e005eef689c
So now people will die in the streets simply because they have no job.
tanyev
(42,559 posts)And that one of the critical elements is that you are in some way unable to work.
progree
(10,908 posts)That's true for SSI and SSDI, but I don't think it is true for Medicaid. My understanding is that Medicaid is tied to income -- below a certain threshold you are qualified (138% of federal poverty level) in Medicaid expansion states, much less, and varying by state for non-expansion states.
A friend of mine works and gets Medicaid (and didn't lie about it on her application). Makes a couple $thou less than the 138% threshold in our Medicaid expansion state (Minnesota)
MUCH MUCH MORE: https://www.medicaid.gov/medicaid/eligibility/
Uggh. In a lot of states, there is no coverage for childless adults based on income. One has to qualify in other ways like disability, SSI, ...
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From: https://www.kff.org/medicaid/fact-sheet/where-are-states-today-medicaid-and-chip/
turbinetree
(24,703 posts)The Trump Files: When Donald Took Revenge by Cutting Off Health Coverage for a Sick Infant
http://www.motherjones.com/politics/2016/08/trump-files-donald-sick-infant-medical-care/
What a complete unadulterated asshole---------------FUCK YOU TRUMP , your still a fucking sexual predator and a TRAITOR
November 2018 cannot get here fast enough..........................
Judi Lynn
(160,542 posts)This will have them cavorting in the street, just as Trump claimed Muslim people did in NYC after the attack on the WTC.
jmbar2
(4,888 posts)Online job application systems are designed to screen out all but the top 5% of matches. Most medicaid recipients wouldn't stand a chance. They are imposing an unachievable requirement on this population.
If this passes, they must include a requirement that companies hire these people, without forcing them through the electronic screen-out process. The people advocating for this bill have not had to apply for a job in many decades. They have no idea how it works today.
Ohiogal
(32,002 posts)Are 1. Children 2. Elderly 3. Disabled 4. Working Poor
It's like they are trying to get blood from a stone, the nasty miscreants. I despise Republicans.
Sunlei
(22,651 posts)Our prisons will fill even more when some street people around here are off their meds.
It's disgusting our country is "owned" by Corporations "FOR PROFIT" medical businesses.
not fooled
(5,801 posts)could literally be a matter of life or death now. I hope the blue states don't participate in this cruelty.
And, who determines whether the person is able-bodied?
Oh, and Slimy Worma is a ghoul.
Oh, and all this so that money can be shoveled upwards.
I hope 'Murica has had enough of puke policies by now. Of course, that should have been the case at the raygun stage of the malignancy.
Bayard
(22,075 posts)This degrading down to throwing off people who may be physically capable, but not mentally......schizophrenia, bipolar, etc.
So they're already throwing 24 million people off health insurance. This should pretty much take care of the rest of them.
Stonepounder
(4,033 posts)My father had to divorce my mother because even though the made a decent income, he couldn't afford a 24x7 companion for her and needed to institutionalize her so she could get the care she needed. But she couldn't get on Medicaid because he made too much money.
Or my MIL who lived with us until we couldn't take care of her any more. Her 'income' was about $20/mo over the limit for Medicaid. Luckily KY had a program where she arranged to send them the 'overage' and they got her into Medicaid so she could spend the rest of her life in a nice (not luxurious by any stretch, but clean and well run) nursing home. There was no way in Hell she could have gotten a job. She was 92, totally deaf, and didn't have the energy or the mental acuity to hold any job.
But, hey, lets give a huge tax break to the rich so they can buy a 5th (of 15th) home, or a new personal jet, or a 120' yacht. Or just so they can brag that their bank account is bigger than someone else's bank account.
Javaman
(62,530 posts)you know that, right?
Akoto
(4,266 posts)I have been straight up ruled unable to work in any role in the economy, during a disability hearing. What happens to people like us?