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If enough Idaho voters tune in to the emerging facts, what they’ll find is that expanding Medicaid would be good for tens of thousands of uninsured Idaho residents – and it would be good for the rest of Idahoans, too, because it would do so at bargain prices.
Bernie Sanders and other politicians have been complaining about the risk of Medicare and Medicaid going bankrupt. Concern for insolvency is certainly real. According to forbes.com, it’s expected that by the year 2060 the number of Americans over the age of 65 in the United States will “double from roughly 50 million today to nearly 100 million by 2060.” (https://www.forbes.com/sites/williamhaseltine/2018/04/02/aging-populations-will-challenge-healthcare-systems-all-over-the-world/#6bdbc9ac2cc3) There is, however, an evolving science called molecular biology that may hold the key to solving this problem. According to nature.com, “the science of ageing has grown in molecular detail. It is now becoming clear that changes at the levels of DNA, protein, cells and tissues all contribute to organismal ageing. Intriguingly, despite the diverse inputs, there are some common molecular themes and a few pathways and genes that have emerged as important modulators of ageing.” (https://www.nature.com/collections/wxvnsksjrn)
The Trump administration may have declared it over, but a new War on Poverty is coming anyways. It will be fought largely over the “work requirement” – should the government require welfare recipients either to get a job or to train for one? It’s a philosophical as much as a practical question. A work requirement addresses a dilemma of all welfare programs. If you make eligibility and benefits too generous, you destroy the incentive to work. People will just collect their welfare checks. But if the program is too stingy and strict, many genuinely needy people may lack support. A work requirement tries to disarm this dilemma by conditioning welfare benefits on having a job or training for one. There’s already a work requirement for TANF (Temporary Assistance for Needy Families). That’s traditional welfare; it mainly assists single mothers and their children. Now the Trump administration proposes work requirements for two huge programs: Medicaid, health insurance for the poor; and food stamps, now known as SNAP (Supplemental Nutrition Assistance Program). A little background. First, these programs are huge. According to a new report by President Trump’s Council of Economic Advisers (CEA), Medicaid had 71 million recipients in 2016 and cost $566 billion, counting both federal and state contributions. (The program is jointly funded.) SNAP spending in 2016 totaled $71 billion for 44 million beneficiaries. TANF is the smallest program of the group, with spending of $31 billion for 3.9 million recipients. Second, the debate over the work requirement excludes older and disabled Americans. No one is suggesting that the elderly or disabled be forced to work. The focus would be on able-bodied and non-elderly people between 18 and 64. Disability status would be determined by classification under two major disability programs: Social Security Disability Insurance (SSDI) or the Supplemental Security Income program (SSI). In 2013, reports a new CEA study, there were about 17.2 million adult Medicaid recipients who were neither disabled nor elderly. The comparable figure for SNAP was 18.6 million beneficiaries. In both cases, about half the recipients didn’t work at all and nearly another 20 percent worked fewer than 30 hours a week. This strikes Trump officials as bad and unfair. It’s bad because it isolates low-income workers from the labor market and makes it less likely that they’ll develop the skills that will enable them to improve their living standards. It’s unfair because it violates popular norms. “Society generally expects ... non-disabled working-age adults” to work, the CEA report says. At another point, the report notes: “As women’s role in the work force [has grown], so [have] social expectations of work for single mothers on welfare.” Although the report doesn’t propose a detailed work requirement, it provides enough information to imagine what one would look like. Suppose, for example, Medicaid and SNAP recipients were required to work at least 30 hours a week. Crude calculations suggest that about 25 million recipients would fall under the work requirement, though there would be some double-counting between programs. Hold it, say critics. In practice, an expanded work requirement would hurt the poor. The complexities of any program would result in people not satisfying the requirement and, as a result, losing benefits. Studies of the TANF work requirement also raise doubts about how much long-term employability of the poor improves. The CEA report, says LaDonna Pavetti of the Center on Budget and Policy Priorities, a liberal research and advocacy group for the poor, “says nothing about the realities of the low-income labor market. There’s a lot of movement in and out of jobs. Workers don’t get benefits. They can’t control their hours.” The CEA study “doesn’t acknowledge what it takes to get into the market,” she says. Workers need child care and job training – both are expensive; neither is broached extensively in the report. Moreover, some critics argue that the number of welfare beneficiaries who don’t work is overstated, because the economy has improved since 2013, when the survey data was collected. So let the political wars over welfare begin. The House of Representatives has already passed legislation imposing new work requirements for SNAP; the Senate has not. There’s plenty to argue about. Is this a problem in search of a solution? Or a solution in search of a problem? Robert J. Samuelson is a columnist with the Washington Post Writers Group
A state-commissioned actuarial study examining the potential costs and savings of Medicaid expansion, should Idaho voters approve it in November, concluded that there could be big savings for state and local taxpayers, even if an estimated 91,000 Idahoans sign on to Medicaid — well beyond the current estimates of the 62,000 who fall into a coverage gap.
An initiative to expand Medicaid in Idaho has officially qualified for the November ballot, Idaho Secretary of State Lawerence Denney announced on Tuesday morning.
U.S. District Judge James E. Boasberg in Washington last week halted Kentucky’s first-in-the-nation experiment with Medicaid work requirements, ruling that the Trump administration glossed over potential coverage losses. He sent the state’s plan back to federal authorities for a harder look.
Nampa GOP Rep. Christy Perry will co-chair the campaign for a November ballot initiative to expand Medicaid to cover thousands of Idahoans who now fall into a coverage gap.
A federal judge says Kentucky cannot require poor people to get a job to keep their Medicaid benefits, chastising President Donald Trump’s administration for rubber-stamping the new rules without considering how many people would lose their health coverage.
GOP delegates on Friday called on the Idaho Republican Party to formally oppose a Medicaid expansion initiative expected to be on the November ballot.
The Southwest Idaho Treatment Center has been at risk three times in recent months of losing its license to accept Medicaid.
Americans long viewed 65 as the age to stop working. It was considered full retirement age by Social Security for many, Medicare benefits kick in then and historical practice had established it as the goal. Now some experts are suggesting people set their sights a bit higher – on 70.
As the number of people without health insurance begins to climb again, it’s worth remembering a baseline question in health care: Who pays when the patient can’t?
Luke Mayville was a junior at Sandpoint High School when the 9/11 attacks happened in September of 2001, and his English teacher, Marianne Love, encouraged the quiet, high-performing student to read his essay on the attacks in front of a school assembly just a few days later.
Supporters for two high-profile ballot initiatives say they have collected more than enough signatures to put their issues before voters in November.
Backers of the Medicaid expansion initiative announced Monday that they have more than enough signatures to get the measure on the November ballot in Idaho.
Backers of the Medicaid expansion initiative announced today that they have more than enough signatures to get the measure on the November ballot in Idaho. “We are overjoyed by the outcome of this petition drive,” said Luke Mayville of Sandpoint, co-founder of “Reclaim Idaho,” the...
Idaho Rep. Raul Labrador said Thursday that if the state’s voters both elect him governor and pass the initiative to expand Medicaid in Idaho, he’d consider working to overturn the voter-passed initiative. In Idaho, a voter-passed initiative has the same status as a law passed by the Legislature – lawmakers and the governor can change or...
Idaho Rep. Raul Labrador said Thursday that if the state’s voters both elect him governor and pass the initiative to expand Medicaid in Idaho, he’d consider working to overturn the voter-passed initiative.
An effort to expand Medicaid in Idaho through a citizens initiative is coming down to the wire, with about 5,000 qualified signatures still needed before the May 1 deadline.