The evil Republican Governor of Kentucky, Matt Bevin, is salivating at the prospect of changing Medicaid as we know it, which obviously means that poor people and especially people of color will be suffering greatly under this plan. You really don’t need to know more, since this should be reason enough to mobilize the worried wealthy, who are tossing and turning in their featherbeds night after night, searching for ways to save the poor. For those who are neither worried nor wealthy enough to really care, here are the ominous provisions of the Kentucky racist, homophobic and xenophobic plan to change Medicaid (it is all these things because it was not only approved, but encouraged by the Trump administration, and we all know what that means).
The maximum egregious transgression within the Kentucky HEALTH plan is the imposition of labor necessities on Medicaid beneficiaries. The first thing that involves my mind while they say “paintings requirements” is that sign at the doorway to Auschwitz announcing that paintings makes you free. In Kentucky, the Republicans argue that work makes you healthful. Same issue. So, what are the ones large work requirements? Medicaid recipients who aren't kids, who aren't underneath the poverty line, who aren't aged, who are not pregnant, who are not disabled, who are not medically or mentally frail, who aren't providing care to youngsters or different disabled people, who aren't experiencing hardships inclusive of home abuse or homelessness or different disruptions of their lives, need to spend about four hours a day in college (any faculty), schooling (any training), apprenticing, obtaining beneficial talents, volunteering within the network, trying to find a task or sincerely operating somewhere.
Wait, wait…. Don’t improve your eyebrows and don’t assume or say something. If you're analyzing this, you are maximum in all likelihood rich, possibly white, well-educated and possibly even male. Medicaid beneficiaries are none of this stuff. We all understand that any of these endeavors can be in reality insurmountable hardships for individuals who are poor, black or Hispanic, uneducated and woman. We realize that, because we aren't racists, misogynists or simply plain bigoted SOBs, just like the Republicans running Kentucky and that insufferable guy running the us of a (or so he thinks).
Besides, most Medicaid beneficiaries who don’t fall inside the exempt categories are already operating. The ones who don’t work, or examine, or do anything useful for themselves or others, are experiencing instances beyond their control. Helping them gain manage over their lives isn't Medicaid’s job because health and wellness have nothing to do with socioeconomic instances. And although Kentucky wanted to “nudge” human beings into, say, getting their GED through investment a special rewards account, the forms involved in monitoring all sanctioned sports, all exemptions and special situations is simply too daunting for “these people” to navigate. Trust me in this one, I study it instantly from the keyboards of Hollywood celebrities and several cutting-edge and former massive health care executives.
The 2d affront to humanity in the Kentucky plan is to fee poor humans rates for medical health insurance. Not best that, however those who can’t pay the rates can be kicked off Medicaid. Granted, the charges range from $1 to $15 (in lieu of regular copays), and all the exemptions for ill health, frailty and poverty do follow right here as well, but that still leaves a huge number of terrible folks that can be denied hospital treatment simply due to the fact they forgot to pay the month-to-month greenback two times in a row, or couldn’t manage to pay for the higher premium. These particularly discriminatory practices concentrated on the bad are remarkable in other industries or even in the industrial segment of fitness care itself, wherein insurance premiums are largely voluntary.
To be honest to Kentucky, there is a mechanism through which people who did now not pay their premiums on time can regain their Medicaid insurance, which brings us to provisions harking back to the Jim Crow days inside the South. The Kentucky plan, you spot, has a literacy provision for regaining get entry to to care. This is manifestly centered at people of colour and immigrants from what the GOP Leader calls “shithole” nations, which as each rich man or woman in Bel Air knows, can not study or write, as evidenced through the thumbprint (or massive X, relying at the State) performing on maximum Medicaid programs. I actually have zero doubt that the Attorney General of the State of California could be taking the depraved Governor of Kentucky, and the Trump management that enabled him, to courtroom, and I don't have any doubt that the 9th Circuit Court of Appeals will find in favor of justice and equality, because it usually does.
Until then, plainly a few Medicaid beneficiaries in Kentucky may additionally need to sit down through torturous fitness literacy or monetary literacy lessons, in which they educate boring stuff about a way to address debt, how health insurance works and how one can navigate these treacherous waters. There is no mention of a take a look at or whatever at the give up, however this nevertheless looks as if an unwarranted and blatantly racist imposition on “those humans”. Even greater outrageous even though is that Kentucky is imparting incentives, which may be used to buy gym memberships, for Medicaid beneficiaries to take different instructions, which include chronic care management or nutrients or drug addiction coping abilties. What do illiterate human beings, drug addicts and all “these humans” want fitness center memberships for? It’s like telling them to “consume cake” ….
And on and on is going the Kentucky HEALTH plan, listing one offensive section after any other. The problem with this plan, which will stay in infamy till the Sun goes supernova, is the bloodless, heartless and blatantly racist assumption that people who need Medicaid are as capable of functioning in modern society as anybody else. It ignores a long time of teachings. It ignores loads of years of slavery and Anglo Saxon colonialist supremacy. And it ignores basic Christian values, due to the fact Jesus didn’t just take a seat there giving classes on a way to fish. He gave people fish, and it labored first rate for Him and for His fans, eventually. If you see your self as the Lord and Savior of huddled loads, you will need to do what Jesus did. If you feel equal to folks who need Medicaid, however possibly a piece luckier at this second, you may dismiss the entirety I wrote here as general bullshit.
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