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Thread: Kentucky imposes work requirements for Medicaid

  1. #1
    Established Member Bronwyn's Avatar
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    Kentucky imposes work requirements for Medicaid

    Kentucky on Friday became the first U.S. state to receive approval from the federal government to implement work requirements in Medicaid, a fundamental change to the 50-year-old government health insurance program for the poor.
    The approval came one day after the Centers for Medicare and Medicaid Services issued policy guidance allowing states to design and propose test programs that require work or jobs training as a condition of receiving Medicaid, which has never had such conditions attached.

    https://www.msn.com/en-us/news/us/ke...D=ansmsnnews11

    Time to pull the crutch on people who are able bodied but too lazy to work.
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    Veteran Member TNVolunteer73's Avatar
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    Makes sense to me. working for something what a novel Idea,
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    The majority of people benefiting from Medicaid are children, disabled, or elderly, and would be exempt from work requirements. If you exclude pregnant women and parents with young children, the number of affected people shrinks even more. The majority of the remaining non-disabled adults are working. And some of them can only work because they get Medicaid — such as people who have mental illnesses or struggle with substance abuse but who, with reliable health care, are healthy and stable enough to work. Making work a prerequisite for Medicaid could, perversely, wind up preventing such people from working.

    Nearly two-thirds of Medicaid recipients are children, blind or otherwise disabled, or elderly. Work requirements would be plainly inappropriate in those cases, and so proposals typically exclude them. Kentucky’s proposed plan applies only to “‘able-bodied’ working age adults,” not including students and caregivers, per the Kaiser Family Foundation. If you drill down into the third or so of Medicaid beneficiaries who are working-age adults and don’t get Supplemental Security Income for a disability, you find that the majority work, and an even larger majority live in households where someone works. Those who don’t have understandable reasons, as this chart from Kaiser Family Foundation president Drew Altman suggests — they’re sick, they’re in school, they’re retired, or they can’t find a job:



    This is a solution in search of a problem,” Sara Rosenbaum, a professor of health policy at George Washington University who serves on a board advising Congress on Medicaid policy, says. “There’s just no evidence that too many people aren’t working who can work. If you say ‘able-bodied’ enough times, you give a sense that there are people just sitting around who could work, but that’s just not the case.”

    https://www.vox.com/2017/4/6/1518131...irements-trump

    So another "policy" that won't really do much, but appeals to his base.

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    Veteran Member Madeline's Avatar
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    Quote Originally Posted by Bronwyn View Post
    Kentucky on Friday became the first U.S. state to receive approval from the federal government to implement work requirements in Medicaid, a fundamental change to the 50-year-old government health insurance program for the poor.
    The approval came one day after the Centers for Medicare and Medicaid Services issued policy guidance allowing states to design and propose test programs that require work or jobs training as a condition of receiving Medicaid, which has never had such conditions attached.

    https://www.msn.com/en-us/news/us/ke...D=ansmsnnews11

    Time to pull the crutch on people who are able bodied but too lazy to work.
    This actually affects very few people. TANF (welfare) has had work requirements since the Clinton administration. Not surprisingly, they turned out to be 100% failures at returning able-bodied people to work, and cost the states billions -- but they are fabulous at making millionaires out of friends of government.

    A Democratic Party hat trick of long, long standing.

    So, to feel new work obligations, a person would have to be OFF welfare but nonetheless enrolled in Medicaid.

    (Social Security recipients receive Medicare, including the children on SSI.)

    I can think of nobody this would apply to, apart from impoverished elderly who require skilled nursing care.

    Who obviously are not "able-bodied".

    It's an appealing idea. I have suggested that we require community service from anyone drawing unemployment insurance.

    But to date, it is a wholesale failure in the U.S.
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    Established Member Bronwyn's Avatar
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    There's enough in just that 8% that need to go to work. It should appeal to you too, but then again, you want to pay for leeches who live off taxpayers.

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    Established Member Bronwyn's Avatar
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    Quote Originally Posted by Madeline View Post
    This actually affects very few people. TANF (welfare) has had work requirements since the Clinton administration. Not surprisingly, they turned out to be 100% failures at returning able-bodied people to work, and cost the states billions -- but they are fabulous at making millionaires out of friends of government.

    A Democratic Party hat trick of long, long standing.

    So, to feel new work obligations, a person would have to be OFF welfare but nonetheless enrolled in Medicaid.

    (Social Security recipients receive Medicare, including the children on SSI.)

    I can think of nobody this would apply to, apart from impoverished elderly who require skilled nursing care.

    Who obviously are not "able-bodied".

    It's an appealing idea. I have suggested that we require community service from anyone drawing unemployment insurance.

    But to date, it is a wholesale failure in the U.S.
    I would agree with community service, as well as drug testing. Millions of dollars are scammed from our social systems. It needs to be stopped.

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    Nuisance Factor Yeti 8 Jungle Swing Champion, YetiSports 4 - Albatross Overload Champion, YetiSports7 - Snowboard FreeRide Champion, Alu`s Revenge Champion boontito's Avatar
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    Yeah... meh. I don't have a problem with this. It's mostly feel-good legislation. It won't really accomplish anything but they can high-five each other that they took it the poor again. Pretty harmless.
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    Quote Originally Posted by Madeline View Post
    This actually affects very few people. TANF (welfare) has had work requirements since the Clinton administration. Not surprisingly, they turned out to be 100% failures at returning able-bodied people to work, and cost the states billions -- but they are fabulous at making millionaires out of friends of government.

    A Democratic Party hat trick of long, long standing.

    So, to feel new work obligations, a person would have to be OFF welfare but nonetheless enrolled in Medicaid.

    (Social Security recipients receive Medicare, including the children on SSI.)

    I can think of nobody this would apply to, apart from impoverished elderly who require skilled nursing care.

    Who obviously are not "able-bodied".

    It's an appealing idea. I have suggested that we require community service from anyone drawing unemployment insurance.

    But to date, it is a wholesale failure in the U.S.
    How was TANF a failure??

    The FY 2016 national average overall work participation rate was 51.9 percent

    https://www.acf.hhs.gov/ofa/resource...es-for-fy-2016

    And welfare is very different than Medicaid.

    But your right in the sense that these new "work" requirements are not going to apply to many people.

  9. #9
    Veteran Member Madeline's Avatar
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    Quote Originally Posted by TNVolunteer73 View Post
    Makes sense to me. working for something what a novel Idea,
    You might want to examine the UK experience in this area. They have had a much broader social safety net, and as an austerity measure, are trying desperately to force beneficiaries to return to work.

    So far, this has been a dismal failure, costing billions in failed government initiatives.

    There, as here, the problem is there are no jobs.

    Humans are self-interested. Believe me, if Chevrolet reopened its plants here and paid as before (or even just paid well), the welfare rolls here would be almost empty.

    But people will do things for $60,000 a year plus benefits that they won't do for 30 hours on a split shift at McDonald's.

    Want to make fewer welfare recipients? Make fewer poor people.

    99% of those in poverty will move up into the middle class if a means to do so is available.
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    "Mr. Original". the watchman's Avatar
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    why require something that's just going to be challenged in court and likely prohibited?

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