The purpose of Medicaid work requirements in the Big Ugly Bill was not to get more people to work.
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The purpose of Medicaid work requirements in the Big Ugly Bill was not to get more people to work. It was to cut the number of people who have access to healthcare. Every Republican knows this, even though they are now claiming to the contrary. https://www.notus.org/healthcare/trump-medicaid-work-requirements-regulation
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The purpose of Medicaid work requirements in the Big Ugly Bill was not to get more people to work. It was to cut the number of people who have access to healthcare. Every Republican knows this, even though they are now claiming to the contrary. https://www.notus.org/healthcare/trump-medicaid-work-requirements-regulation
We know this first because the non-partisan CBO told us. They were very clear that these rules would not increase employment, but would cut the number of people insured. Republicans voted for it anyway. https://www.cbo.gov/system/files/2025-06/Wyden-Pallone-Neal_Letter_6-4-25.pdf
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We know this first because the non-partisan CBO told us. They were very clear that these rules would not increase employment, but would cut the number of people insured. Republicans voted for it anyway. https://www.cbo.gov/system/files/2025-06/Wyden-Pallone-Neal_Letter_6-4-25.pdf
But even without the CBO, it's basic common sense. Medicaid is designed to provide health coverage to those who aren't old enough for Medicare, aren't a Veteran and don't have an employer or personal wealth to access private insurance. What does a work requirement do to that population?
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But even without the CBO, it's basic common sense. Medicaid is designed to provide health coverage to those who aren't old enough for Medicare, aren't a Veteran and don't have an employer or personal wealth to access private insurance. What does a work requirement do to that population?
The obvious answer: it says "this coverage only applies if you get a job that (a) doesn't provide healthcare and (b) pays so little that you still qualify for Medicaid". Do those jobs exist? Sure. Does anyone want that job? Not especially.
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But even without the CBO, it's basic common sense. Medicaid is designed to provide health coverage to those who aren't old enough for Medicare, aren't a Veteran and don't have an employer or personal wealth to access private insurance. What does a work requirement do to that population?
@SeanCasten It should be noted as well that the VA doesn't provide dental care to most disabled veterans, so Medicaid helps there as well...
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The obvious answer: it says "this coverage only applies if you get a job that (a) doesn't provide healthcare and (b) pays so little that you still qualify for Medicaid". Do those jobs exist? Sure. Does anyone want that job? Not especially.
What that does practically is evil. I met a constituent who's adult son has special needs and accesses Medicaid day programs. If he can't get that coverage, his mom can't work during the day anymore. So less coverage, fewer jobs and a whole lot of meanness.
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What that does practically is evil. I met a constituent who's adult son has special needs and accesses Medicaid day programs. If he can't get that coverage, his mom can't work during the day anymore. So less coverage, fewer jobs and a whole lot of meanness.
And again: Every Republican knew this when they voted for the Big Ugly Bill. Trump knew it when he signed it into law. They did it anyway. Judge them by their works, not their words. /fin
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And again: Every Republican knew this when they voted for the Big Ugly Bill. Trump knew it when he signed it into law. They did it anyway. Judge them by their works, not their words. /fin
@SeanCasten I judge the voters, who knew full well this would happen, and couldn't be bothered to cast a ballot against these ghouls.
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The purpose of Medicaid work requirements in the Big Ugly Bill was not to get more people to work. It was to cut the number of people who have access to healthcare. Every Republican knows this, even though they are now claiming to the contrary. https://www.notus.org/healthcare/trump-medicaid-work-requirements-regulation
@SeanCasten
Medicare work requirements, like so much of our policy, are built around the flawed idea that poverty is caused by laziness. If we just make poverty miserable enough, poor people will finally wise up and start working hard enough to stop being poor. It's demonstrably false, but well-off people want to believe it because it flatters their egos and absolves them of moral responsibility for dealing with poverty. -
The purpose of Medicaid work requirements in the Big Ugly Bill was not to get more people to work. It was to cut the number of people who have access to healthcare. Every Republican knows this, even though they are now claiming to the contrary. https://www.notus.org/healthcare/trump-medicaid-work-requirements-regulation
@SeanCasten Yeah, tons of major employers have their employees on Medicaid. Either the base pay is too low, or the companies refuse to let employees work more than X hours a week to avoid paying benefits. Walmart and Amazon are huge offenders.
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