Morning Briefing
Summaries of health policy coverage from major news organizations
Different Takes: Medicaid Work Requirements Grant States 'Flexibility'; The Able-Bodied Are 'Everywhere'
Americans are among the most generous people in the world. While this nation was founded on the pursuit of a shared dream, the moral pledge of the American people has been to never leave behind our most vulnerable fellow citizens. When we created Medicaid in 1965 as part of President Lyndon B. Johnson鈥檚 War on Poverty, we formalized that commitment and wove a fabric of care that has provided health services for seniors in need, pregnant mothers, low-income children and parents, and people with disabilities. Johnson affirmed the nation鈥檚 safety net, saying, 鈥淥ur aim is not only to relieve the symptoms of poverty, but to cure it and, above all, to prevent it.鈥 (Seema Verma, 2/4)
The 鈥渁ble-bodied鈥 are now everywhere among government programs for the poor, Republican officials point out. They鈥檙e on food stamps. They鈥檙e collecting welfare. They鈥檙e living in subsidized housing. And their numbers have swelled on Medicaid, a program that critics say was never designed to serve them. These so-called able-bodied are defined in many ways by what they are not: not disabled, not elderly, not children, not pregnant, not blind. They are effectively everyone left, and they have become the focus of resurgent conservative proposals to overhaul government aid, such as one announced last month by the Trump administration that would allow states to test work requirements for Medicaid. (Emily Badger and Margot Sanger-Katz, 2/3)
In the year-and-a-half since Gov. Matt Bevin first presented his proposed Medicaid waiver, and especially since the Trump administration approved it a few weeks ago, I have been hearing from many that eligible people who are able to work, but don鈥檛, should lose their Medicaid coverage. Some folks even quote St. Paul: 鈥淭hose who don鈥檛 work should not eat.鈥 Those words do not reflect Christ, however, who said, 鈥淏ring me the hungry and I will feed them.鈥 Christ also healed the sick, and that is exactly what Medicaid does.聽If we truly want stronger citizens, good health is the foundation we must absolutely have. What the waiver ignores is that most Medicaid recipients already live in a working household. Of the 24 million nondisabled adults who received Medicaid in 2015, 59 percent were working themselves, and 88 percent lived at home with at least one worker. (Rep. Tom Burch, 2/3)
By expanding Medicaid, we bring home billions in federal funds to close this coverage gap 鈥 funds that are now going to other states. So far, Virginia has forfeited more than $10 billion in federal funding. (Jennifer McClellan, 2/3)