Some states will now require medicaid patients to get jobs salt mine - Thanks Trump!

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MasterDisaster

Beating my meat like everyone's watching.
True & Honest Fan
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So Trump's administration just set up a system where working age, non-handicapped medicaid patients will be required to get work if they want to keep the free health care coming. It's not in all states yet and it just passed a few hours ago but I expect salt on a level one might consider apocalyptic.

EDIT: Okay fixing because OP sucked balls:

First some News Sites:
http://money.cnn.com/2018/01/10/news/economy/medicaid-work-requirement/

https://www.usnews.com/news/us/arti...low-states-to-test-medicaid-work-requirements

https://www.nytimes.com/topic/subject/medicaid

Now if you just hate the news sites and reading all those words is too challenging let's cover a couple of keynotes to ensure you get the gist.

1.) A common statement that you're going to see getting parroted a lot (more on that down below) is 'But most people on Medicaid already work'. This new system is not out to hurt them.

2.) Only ten states are currently participating in this. Last I checked there was a few more than ten but anything over the number of fingers I own is foreign to me.

3.) The number of people it is actually supposed to effect is staggeringly low.
180110121247-why-medicaid-not-working-780x439.jpg

Now out of all those numbers the one they want to utterly kill off is the three percent. Everything about that is pretty much going to remain where it was, more or less based on the situation. The states involved actually want to help initiate systems and classes to help people who can't find work actually find work...which hilariously starts pissing them off because the first immediate excuse for that is 'what if I don't have time for classes'?

Of course it's not a salt mine if I don't share some salt so here you go, enjoy.

I swear to fucking god you will laugh at this.
Don't turn the audio on, just watch it until it sees you.
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PsychoNerd054

Green people are so sexy!
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WASHINGTON — The Trump administration said Thursday that it would allow states to impose work requirements in Medicaid, a major policy shift in the health program for low-income people.

Federal officials said they would support state efforts to require able-bodied adults to engage in work or other “community engagement activities” as a condition of eligibility for Medicaid.

“Our fundamental goal is to make a positive and lasting difference in the health and wellness of our beneficiaries, and today’s announcement is a step in that direction,” said Seema Verma, the administrator of the federal Centers for Medicare and Medicaid Services.

Ms. Verma said the Trump administration was responding to requests from Medicaid officials in 10 states that wanted to run demonstration projects testing requirements for work or other types of community engagement like training, education, job search, volunteer activities and caregiving.

The proposals, she said, came from Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin.

Federal Medicaid officials said that work requirements should be compared to work requirements in other programs like food stamps, now known as the Supplemental Nutrition Assistance Program, and the welfare program known as Temporary Assistance for Needy Families.

In a speech to state Medicaid officials in November, Ms. Verma indicated that the Trump administration would be receptive to work requirements and other conservative policy ideas to reshape Medicaid. And she criticized the Obama administration, saying it had focused on increasing Medicaid enrollment rather than helping people move out of poverty and into jobs.

“Believing that community engagement requirements do not support or promote the objectives of Medicaid is a tragic example of the soft bigotry of low expectations consistently espoused by the prior administration,” Ms. Verma said. “Those days are over.”

Advocates for Medicaid beneficiaries said the new policy was likely to be challenged in court if people were denied coverage for failure to meet a state’s work requirement.

Federal law gives the secretary of health and human services broad authority to grant waivers for state demonstration projects that promote the goals of the Medicaid program. In the past, federal officials said that work was not one of the purposes of Medicaid.

But Trump administration officials said Thursday that work requirements were consistent with the goals of Medicaid, because work and other community engagement activities could improve the health of Medicaid beneficiaries.

“Productive work and community engagement may improve health outcomes,” Brian Neale, the director of the federal Medicaid office, said Thursday in a letter to state Medicaid directors. “For example, higher earnings are positively correlated with longer lifespan.”

In addition, Mr. Neale said, researchers have found “strong evidence that unemployment is generally harmful to health,” while employment tends to improve “general mental health.”

A 2013 Gallup poll found that unemployed Americans are more than twice as likely as those with full-time jobs to say they have or are being treated for depression, Mr. Neale said.

The Trump administration said that states imposing work requirements must have plans to help people meet those requirements and must connect them with job training, but could not use federal Medicaid funds to pay for such “supportive services.”

Medicaid has a major role in combating the opioid epidemic, paying for a wide range of treatment and medications. But people addicted to opioids are often unable to work or to find jobs, and some employers are reluctant to hire people who fail drug tests.

Ms. Verma said the Trump administration would require states to make “reasonable modifications” of their work requirements for people who are addicted to opioids or have other substance use disorders.

For example, she said, time spent in medical treatment for opioid addiction might be counted toward compliance with a state’s work requirement. Alternatively, she said, states could exempt people from the work requirement if they were participating in “intensive medical treatment” for addiction.

The Trump administration said that state Medicaid officials could not impose work requirements on pregnant women, elderly beneficiaries, children or people who were unable to work because of a disability.

Representative Frank Pallone Jr. of New Jersey, the senior Democrat on the House Energy and Commerce Committee, said that “the Trump administration’s action today is cruel and a clear violation of both the Medicaid statute and longstanding congressional intent” for waivers, which he said were meant to “allow states to expand access to Medicaid, not restrict it.”

Brad Woodhouse, the campaign director of Protect Our Care, an advocacy group that supports the Affordable Care Act, said the new policy on work requirements was “the latest salvo of the Trump administration’s war on health care.”

“A majority of adults covered by Medicaid who can work, do work — often two or three jobs in fields like the service industry that are less likely to offer insurance,” Mr. Woodhouse said.

Mr. Neale, the federal Medicaid official, acknowledged that the support for work requirements was “a shift from prior agency policy,” but he said that such requirements could “promote the objectives of Medicaid.”

People who meet the work requirements of those programs “must automatically be considered to be complying with the Medicaid work requirements,” Mr. Neale said. Likewise, he suggested, states should have similar rules for exemptions from work requirements in the various programs.

In devising work requirements, federal officials said, states must comply with federal civil rights laws, including those that protect people with disabilities. For example, they said, states could reduce the number of hours of work required of people with certain kinds of disabilities.

In addition, federal officials said, providing care for young children or elderly family members could sometimes qualify as work.

The federal government and states generally share the cost of Medicaid and could save money if enrollment goes down because of work requirements. White House officials say Medicaid spending is growing at an unsustainable rate, and last year President Trump supported bills that would have cut hundreds of billions of dollars from projected Medicaid spending over 10 years. But the administration said the main purpose of work requirements was to “improve health outcomes” for Medicaid beneficiaries.

More than 70 million Americans are enrolled in Medicaid, and the federal government spent more than $350 billion on the program in the last fiscal year, the Congressional Budget Office says.

https://www.nytimes.com/2018/01/11/us/politics/medicaid-work-requirements.html
 

DangerousGas

Societal Eschatologist
True & Honest Fan
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What are their criteria for being handicapped? There was a similar initiative in the UK operated under the aegis of a group named ATOS, who made such a monumental fucking hash of things it was unreal. It got to the point where they were declaring people in the final stages of terminal illness as being 'fit for work'.
 

PlasticOwls

Gone Forever
kiwifarms.net
Correct me if Im wrong, because I genuinely dont know, but dont companies and employers offer better forms of insurance from Medicaid? Would the insurance be replaced or stacked upon?,

Ill delete if I get an answer
 

Detrogen

Senior Citizen Virgin
kiwifarms.net
Correct me if Im wrong, because I genuinely dont know, but dont companies and employers offer better forms of insurance from Medicaid? Would the insurance be replaced or stacked upon?,

Ill delete if I get an answer
Depends on the company. Your average minimum wage burger flipper isn’t valuable enough that a corporation is willing to pay for their medical care.
 

Green Room

For Satan and everything evil, right here.
kiwifarms.net
What are their criteria for being handicapped? There was a similar initiative in the UK operated under the aegis of a group named ATOS, who made such a monumental fucking hash of things it was unreal. It got to the point where they were declaring people in the final stages of terminal illness as being 'fit for work'.

Its quite possible that someone receiving Medicaid would be profoundly ill like you describe - OR - they know someone who knows someone who in exchange for money will help get you signed up. Sounds like they're targeting the people who are not profoundly ill because it does say "non-handicapped", but who knows. Also this addresses only half the problem, the other half is doctors submitting claims for services they never performed. In the mid 90s Clinton passed "Welfare to Work" which meant the end of classic Gibs in America, if you want Gibs now you have to meet work requirements... But i'm sure we will hear about Le Ebil Drumpf as he attempts to do the same thing a Democrat did, implement work requirements, but on Medicaid.

Its not even like a switch was flipped and tomorrow all these bums will have to go get jobs. Its just that the Federal Government issued a guidance (memo) saying "if you were to implement requirements heres what those should look like", and conservative states that were planning on doing so now will move forward with that.

Also what you said about the ATOS is terrifying and its things like that and this current Winter NHS Crisis that makes me glad we have a private insurance system, bad or not.
 

ConcernedAnon

Concerned and hopefully anonymous
kiwifarms.net
Looks like your local Walmart is going to get lots of new greeters.

As I enter walmart a sea of rainbow haired flesh turns to look at look at me. In unison they call out "How can I help you today yOU CIS WHITE MALE PIG?"
I try to run. Hamplanets are barely mobile anyway right?
Some of them have mobility scooters. They've cut me off at the door, their grotesque forms filling the whole entrance way
It's too late. I'm surrounded by screeching dangerhairs
MFW I'm about to die from the stench of 100 unwashed tumblrites

This is Trump's America :mad::mad::mad:
 

OwO What's This?

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