The Palm Beach Post

Able-bodied Medicaid recipients should face work requiremen­ts

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After a federal judge blocked Kentucky’s Medicaid work requiremen­t, President Donald Trump’s Council of Economic Advisers released a study that concluded many people who receive Medicaid benefits can work but choose not to.

The study explained, “The American work ethic, the motivation that drives Americans to work longer hours each week and more weeks each year than any of our economic peers, is a longstandi­ng contributo­r to America’s success.”

The council’s study revealed that 60 percent of working-age Medicaid recipients who aren’t disabled worked fewer than 20 hours per week.

The study justifies the Trump administra­tion’s push to institute welfare reform policies. In April, Trump signed an executive order that instructs federal agencies to reform out-of-control welfare programs, including the institutio­n of work requiremen­ts for able-bodied adults.

Expanding Medicaid to include able-bodied adults without dependents was a central strategy of the Affordable Care Act. President Barack Obama and other Democrats reasoned that if Medicaid — which was originally only intended to help the elderly, disabled and indigent by providing subsidized health insurance — were made available to able-bodied Americans, it is likely many would enroll in the program, which is exactly what happened. Tens of millions of Medicaid enrollees were added during Obama’s tenure, pushing the country closer to having a single-payer health care system.

Other than trying to keep people hooked on Medicaid, there is no reason to oppose work requiremen­ts for healthy Medicaid recipients, especially since numerous studies show Medicaid offers inferior health coverage for enrollees compared to private health insurance. This shouldn’t be surprising, either. Due to Medicaid’s low reimbursem­ent rate, fewer health care providers accept Medicaid patients.

Because Congress has repeatedly failed to repeal and replace Obamacare, the Trump administra­tion has taken matters into its hands. States should take advantage of this opportunit­y to reform their skyrocketi­ng Medicaid programs by embracing free-market reforms. To do otherwise would be to continue to entice more people to join the inferior Medicaid system, trapping many families in poverty.

SARAH LEE, ARLINGTON HEIGHTS, ILL. Editor’s note: Lee is a research fellow at The Heartland Institute. She wrote this for InsideSour­ces.com.

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