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Trump Admin. to Let States Impose Medicaid Work Requirements

by Countable | 1.11.18

What’s the story?

The Trump administration is encouraging states to impose work or job-training requirements on Medicaid recipients as a condition for obtaining health insurance.

Why does it matter?

The Centers for Medicare & Medicaid Services (CMS) issued guidelines for states that want certain "able-bodied" adults to work in exchange for health insurance coverage. It would be the first time in the half-century history of the program where such a requirement would be imposed.

CMS Administrator Seema Verma tweeted, "We need to support states and give them more freedom to design innovative programs that get positive results for #Medicaid beneficiaries."

In a follow up tweet, Verma added:

But Suzanne Wikle of the Center for Law and Social Policy told NPR that "access to Medicaid makes it easier for people to look for work and obtain employment." She continued,

"A so-called work requirement does not support work but instead puts a critical support for work at risk."

What do you think?

Will imposing job requirements on Medicaid recipients put "a critical support for work at risk"? Or do we owe them “the opportunity and resources to connect with job skills”? Do you want your state to adopt the work requirement? Hit Take Action and tell your reps, then share your thoughts below.

—Josh Herman

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(Photo Credit: RoschetzkyIstockPhoto / iStockphoto)

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(227)
  • Gerald
    01/12/2018
    ···

    The majority of Medicaid recipients already work. Why must you pick on the poorest of the poor? You also want to impose drug testing. The Nazis had a banner entering death camps saying “work will set you free”. You could probably borrow it for this campaign. You try and make us think all government assistance recipients are freeloaders, druggies, and lazy but they are not. Most were born into poverty, not an upper income home that prided itself in their son the lawyer. You had doors open they had slammed shut. Go out on the streets on you next congressional break( there are many) and live with a family on Medicaid. Find out they are Americans like you or me and discover there but for the grace of God goes You. Leave the poor alone unless it is to help them. How about getting Trumps tax records released and show us what true patriotism is.

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  • Hillary
    01/12/2018
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    This is sickening. Yes, I’m sure there are people who scam the system. But, this is my money we are talking about. I’d rather have some smug lazy person think they put one over on me than to think I let someone who truly needs help suffer. People who are badly hurt may not be able to work. And, where will these jobs come from? Who is going to hire someone so badly hurt or ill? This action supposes that everyone who is on Medicaid is a lazy faker and that they are completely able to work. I find that supposition offensive and ignorant.

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  • Donna
    01/12/2018
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    I find it offensive that most of the posts on this subject seem to indicate every person on Medicaid and able to work are not doing so or even trying. I find it depressing that the general belief is everyone on Medicaid is sitting at home with their feet up eating BonBons and watching TV all day. Is there abuse in the system? Yes. There is abuse in our government like cabinet officials booking themselves private jets so they don't have to mingle with the commoners, for example. Condoning the abuse of power and status by government officials should be viewed in the same light as you view people abusing the Medicaid system. The percentage of Americans 'gaming the Medicaid' system is low, just like the number of Cabinet members wasting our tax dollars for their own self-importance is low. Why is the tolerance for one group higher than the tolerance of the other? Because one has money and one does not? Is our society so corrupt and self-serving that EVERYTHING can be reduced to dollars and cents? May the goddess help us.

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  • Raneiya
    01/12/2018
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    Not everyone on Medicaid is non-working. What are the parameters for being abled bodied? There are disabilities that cannot be seen and that greatly affect work performance. Nobody wants to be on subpar Medicaid, where in some states access to a reasonable health professional is severely limited. I am grateful that I have employer sponsored healthcare. Yet, there are those who don’t receive enough coverage from their employer that they need the additional coverage of Medicaid.

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  • Jessica
    01/12/2018
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    Can we please stop demonizing Medicaid recipients? There is abuse in every system, but I’d much rather you focus on the welfare recipients that ACTUALLY effect the economy - corporations, and work on helping our nation’s most vulnerable, rather than painting them all with the same brush.

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  • Polly
    01/12/2018
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    As a psychologist, I’ve seen many people with mental illness get on Medicaid to help them recover from a bout. It tides them over until they are able to work again. This policy is punitive and senseless.

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  • George
    01/12/2018
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    Let me see if I have this right. The Trump administration believes in states rights when it comes to kicking people off of medicare but when it comes to states rights to legalize medical and recreational marijuana use they appear to be getting ready to crackdown on said states.Maybe someone in his administration should tell him just how hypocritical this is

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  • Jill
    01/12/2018
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    Vote no please. Who decides who is able bodied? When my daughter applied for Disability she was denied, multiple times. When we finally went to court the judge told us that the first time we applied their doctor said she was disabled and couldn’t work. In a system already flawed you want to add more confusion, more delays and more opportunities for people to get screwed or lost in the system? I say NO! When you have children, teens and young adults moving through the Medicaid system due to disabilities (especially those invisible like TBI and PTSD) someone is likely to decide that they are able bodied and destroy their lives.

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  • Carolyn
    01/12/2018
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    This is ridiculous!!! I don’t think anyone has a problem with people on Medicaid being expected to work or be in training, if they are able. But NOBODY should be denied access to healthcare. Do you really think it is okay to place conditions on what could keep someone alive??? This could be akin to a death sentence for some. Government’s main job is to keep its citizens healthy. If we are not doing that then we are no better than a third world country.

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  • Cindy
    01/11/2018
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    A few people who have posted seem to not have read the entire summary. The statement reads “able-bodied” individuals. We need to engage on a new mentality of being accountable and to give back to society for what people believe is free or owed to them. Pride in getting paid for what a person works for is lost in the mad shuffle.

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  • Kristen
    01/11/2018
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    The Republicans have revealed themselves to be so greed-driven that they threw ALL of us under the bus, including our country and environment, selling their own cheap souls to Putin. It’s clear that nothing is too low for them. In 2018 and every subsequent election - if we still have a country after this hideous Trump nightmare ends - we must drive these traitorous, greedy scumbags into political extinction. You picked the wrong side, @GOP.

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  • Heather
    01/12/2018
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    The overwhelming majority of people who have Medicaid and can work already do. I work in a county where many of the people have either full time or multiple jobs but they’re still not able to afford individual insurance if their work doesn’t provide it OR they work and have it through work but can’t afford to pay to give those benefits to their children. In Oregon this also includes all foster children. This effort is frankly a campaign to shame and smear people who work hard and shouldn’t have to choose between food and medications, and to deny children who can’t control if their parents can afford healthcare or are their guardians. The system isn’t perfect but you don’t nix lifesaving care for millions because of a few.

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  • Paulina
    01/11/2018
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    How are you going to impose that rule to people who have retired from work?! What is the purpose of retirement if you still have to show you are working to get Medicaid? Please someone explain to me how Congress is allowing this administration to do this? 300 days until we can swing the states blue?! But in the meantime they are dismantling EVERYTHING! From healthcare, Net neutrality, DREAM ACT!! Ugh this is just so Fucked up!!! Please representatives, you must find a way to get the Republicans to vote against all this BS.

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  • I.Got.an.Idea...
    01/12/2018
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    This is all for naught. With the implementation of AI (Artificial Intelligence) and the automation that comes with it, many of hard working, honest people are not going to have and jobs available to them. It is less than five years away. When you have stock markets raging, including Global markets, and Bitcoin ready to go bust, there will be a massive recession or Great Depression as many professional analysts are stating. What goes up, must come down, and it will, fast and furious. This proposed policy is nothing more than an attack on people that some believe are lazy Americans that take from the rest of us. The true lazy Americans that are hurting all of you and taking from you are those that have managed to place themselves at the top and now feel they no longer have to work hard and feel they are entitled to privileges that only Royalty lives on. There are many in Congress and in Corporate chairs that could have childhood fairytale fantasies written about their lives. So what if a disabled person is accepting $8,000 - $ $12,000 a year in Medicaid. Those at the top are billing this country for 100’s of thousands to millions a year and you are supporting that and saying that they have worked hard and are entitled to it. Those people on Medicaid and other Social Services have also worked hard their whole lives, many while struggling everyday with their conditions, until they could no longer work. Those who are against helping the disadvantaged and refer to them as lazy, no good for nothings, need a hard lesson in life, so that you can understand what it may be like to live in other people’s shoes. YOU are un-American. Those people on Medicaid are no different than the veterans who come home with permanent injuries for life, and many of you do not want to support them either. Look at how you and/or your parents treated the Vietnam veterans when they came home in wheelchairs and no arms and legs and head trauma. Look at how you treat the veterans with PTSD. You all claim it is not real and we should not fund treatments for them. You are all pathetic examples of what it means to be American and what needs to change in the 2018 and 2020 elections. Goodbye to all your hate and vile inhumane beliefs, unethical and immoral views on life.

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  • Gail
    01/11/2018
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    I would suggest that congress also be required to work to receive their healthcare insurance; however, the less they work, the less damage they will be able to inflict upon America under this cruel, corrupt, anti-American administration.

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  • Mary
    01/12/2018
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    This is a non solution looking for a problem. Independent studies have shown that most Medicaid enrollees who are eligible to work already do so. According to the Kaiser Family Foundation, 60 percent of non-elderly adults covered by Medicaid in 2016 were working part- or full-time. More than a....

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  • Kathleen
    01/12/2018
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    Most of the recipients are already employed! Mean mean mean!

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  • Michael.J.L
    01/12/2018
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    For someone (Trump), who even though he is a billionaire, and gets his health insurance and much, much more paid for by us taxpayers, really hates to see anyone not on his economic level getting ANYTHING they can't pay for. To deny someone medical insurance which may save the life of them or their family is reprehensible. If a Medicaid recipient is ABLE to work, and suitable work can be found for them, or job training, that is fine, but do not deny someone Medicaid if not. Most people already on Medicaid are either disabled, elderly or do work, but the GOP, Trump and his supporters always find it easier and more comforting to believe hateful non-factual theories.

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  • Claude
    01/12/2018
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    This is just another republican attack on social programs. Before initiating this kind of policy we need to get accurate information concerning abuse. There would be no need for this plan if we had Medicare for all Americans

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  • Hank
    01/12/2018
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    INSANITY 🤨🤨🤨

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