Tuesday, January 23, 2018

MEDICAID FOLLY

While everyone who watches the news is well aware of the recent government shutdown few are talking about the change in Medicaid that could affect millions, including you if you receive Medicaid. 

While everyone was paying attention to something else, here is what the Trump Administration did.  Health & Science

“Trump administration opens door to states imposing Medicaid work requirements”
 The Trump administration issued guidelines to states that would allow them to force people who receive Medicaid benefits to work.  Medicaid is a fundamental part of the social safety net for U.S. citizens.  Is there fraud and abuse in the Medicaid system? Absolutely, but that doesn’t mean you take the extreme path to addressing the issue.  The reason for Medicaid is, Medicaid is the safety net for people who fall on hard times, run out of money, come down with a debilitating illness or some kind of family crisis.  Forcing people to work for benefits is not that easy, there are many reasons why a person would be on Medicaid. 

Here is a list of those exempt from having to work for Medicaid benefits: Pregnant women, Full time students, Caretakers of children under 19 or disabled adult, and those deemed medically frail.  Some would look at this list and say, this looks about right to me! I would say, this list is ripe for abuse and unfair management.  Some things are obvious like a pregnant woman, but what about the healthy looking man or woman with a mental illness?  Trump’s administration gives such vague guidelines States can build on them as they go along putting vulnerable people in a worse situation than they are already in.  Unless States plan to put examination boards in place to qualify individuals to work this is unjust treatment waiting to happen.

States that are currently looking to move toward the Trump Medicaid work for benefits programs are: Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah, and Wisconsin.  Kentucky has received approval and is on its way to implementing a work for Medicaid program.  I think it’s worth noting, every State on this list has a Republican Governor, except for Roy Cooper of North Carolina who’s a Democrat with a Legislator controlled by Republicans.  It’s no secret that Republicans have a problem with safety net programs like Medicaid, they often refer to Medicaid and other safety net programs as, “entitlement” programs.  Say what you want Medicaid and the people who need it knows no party line, just hope you’re not one of those needing Medicaid that would mean you too have fallen on hard times and need help.

I am positive Governor Cuomo of New York will not sign up for such a draconian change in how citizens receive Medicaid benefits, so Counties in New York are safe for now, but if we were to elect a Republican in the Governor’s office in New York who knows, it does seem to be a tread for Republicans.

William Hughes Jr.