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| Poster by Shephard Fairey, 2017. |
One of the executive orders in that first extraordinary rush—is it three weeks ago now?—was to commission a review of the various Trump-era programs in various states for putting work requirements on Medicaid benefits, as if they thought not having a job in the cash economy was a kind of crime, and cutting off your access to a doctor was an appropriate punishment. Good thing! It was a terrible policy idea, not merely pointlessly cruel (these programs are meant to help out people who need help, not reward them for being virtuous) but also especially stupid, in that it's harmful to public health: one of the basic reasons for providing healthcare to those who can't afford it is to reduce the amount of disease to which everybody, rich and poor, is exposed.
The work requirements, a longstanding conservative goal, were a policy priority for Seema Verma, who ran the federal Medicaid program under President Trump. This was an about-face from the position of the Obama administration, which steadfastly opposed the idea of tethering public health benefits to work — something that had never happened in Medicaid’s nearly 60-year history. Obama administration officials repeatedly rejected states’ waiver requests, stating concerns that they “could undermine access” and that they did “not support the objectives of the Medicaid program.”


















