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Mon May 14, 2018, 09:04 AM

Trump Admin Poised To Give Rural Whites A Carve-Out On Medicaid Work Rules

By Alice Ollstein | May 14, 2018 6:00 am

As the Trump administration moves aggressively to allow more states to impose mandatory work requirements on their Medicaid programs, several states have come under fire for crafting policies that would in practice shield many rural, white residents from the impact of the new rules.

In the GOP-controlled states of Kentucky, Michigan, and Ohio, waiver proposals would subject hundreds of thousands of Medicaid enrollees to work requirements, threatening to cut off their health insurance if they can’t meet an hours-per-week threshold.

Those waivers include exemptions for the counties with the highest unemployment, which tend to be majority-white, GOP-leaning, and rural. But many low-income people of color who live in high-unemployment urban centers would not qualify, because the wealthier suburbs surrounding those cities pull the overall county unemployment rate below the threshold.

“This is sort of a version of racial redlining where they’re identifying communities where the work requirements will be in full effect and others where they will be left out,” George Washington University health law professor Sara Rosenbaum told TPM. “When that starts to result in racially identifiable areas, that’s where the concern increases.”

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https://talkingpointsmemo.com/dc/trump-admin-poised-to-give-rural-whites-a-carve-out-on-medicaid-work-rules

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Reply Trump Admin Poised To Give Rural Whites A Carve-Out On Medicaid Work Rules (Original post)
DonViejo May 14 OP
el_bryanto May 14 #1
BumRushDaShow May 14 #4
el_bryanto May 14 #6
BumRushDaShow May 14 #7
Hortensis May 14 #13
BumRushDaShow May 14 #14
Hortensis May 14 #16
BumRushDaShow May 14 #18
Hortensis May 14 #19
BumRushDaShow May 14 #21
Civic Justice May 15 #29
iluvtennis May 14 #11
dameatball May 14 #2
shraby May 14 #3
dalton99a May 14 #5
JustAnotherGen May 14 #8
bigbrother05 May 14 #9
Solly Mack May 14 #10
standingtall May 14 #12
Eliot Rosewater May 15 #25
maxrandb May 14 #15
Takket May 14 #17
Kaleva May 14 #20
Nitram May 15 #22
malthaussen May 15 #23
bucolic_frolic May 15 #24
Civic Justice May 15 #26
no_hypocrisy May 15 #27
Civic Justice May 15 #28
Mountain Mule May 15 #30
Honeycombe8 May 15 #31
MichMan May 15 #32
YOHABLO May 15 #33
DonCoquixote May 15 #34
keroro gunsou May 16 #35
peace frog May 16 #36
DonCoquixote May 16 #38
peace frog May 16 #37

Response to DonViejo (Original post)

Mon May 14, 2018, 09:09 AM

1. I should say I have mixed feelings about the work rules anyway - but in general

I think they are a bad idea. But in this specific case I can see where they are coming from - in an city of at least moderate size the facilities to give people these forced jobs exist - in a rural area, I am guessing they don't.

Than again this points to the problems of the whole program, so I don't know.

Bryant

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Response to el_bryanto (Reply #1)

Mon May 14, 2018, 10:01 AM

4. What?



Weren't there all these stories about produce "left in the fields" because the "migrant workers" have been deported or not allowed in?

This policy is pure, unadulterated racism and it's remarkable how that is somehow justified.

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Response to BumRushDaShow (Reply #4)

Mon May 14, 2018, 10:24 AM

6. I hadn't thought about how deportation could impact this issue.

And that is a pretty racist policy.

Bryant

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Response to el_bryanto (Reply #6)

Mon May 14, 2018, 11:08 AM

7. The problem between urban vs rural is this

There is a natural assumption, that has generally drawn people to cities for work, that this is where the "jobs" are. But the reality is that unless you are "skilled", you are left with McJobs that of late, have in many cases been filled by seniors whose pensions and/or SS don't provide enough to live (let alone any who actually lost their pensions during previous downturns when companies went bankrupt).

And because many states (as you have seen with WV and AZ) cut funding to urban schools, those schools not only cut arts/music and language programs, but they cut voc-tech programs, and don't even have enough to get new books (and forget about any computers or tablets). And in some cases, you have trade unions who only offer training/apprenticeships to their own families (or friends), most of whom are white because for decades, unions managed to keep blacks out.

There was a huge transit strike here in Philly in 1944 because white transit drivers didn't want black drivers, and the feds had to call out the National Guard to sit on the trolleys and buses. My mother was 14 then and would occasionally talk about the Guard on the trolleys.





And just last week, our mayor here in Philly had to re-do an initiative (he will go through a capital budget instead) to improve the city recreation centers, libraries, playgrounds because City Council basically told him there were no guarantees the unions that would do the work would have enough workers to reflect the POC population here -

In recent months, council members have voiced concerns regarding the enforcement mechanisms for achieving Rebuild’s diversity and inclusion goals. The latest delay took place last week during a recessed meeting of council taking up the project statement, a session that originally began in March. Council once again dismissed a memorandum of understanding (MOU) negotiated between the city and the building trades as insufficient in ensuring that the unions agree to diversify their ranks.

“I think that’s the straw that broke the camel’s back,” a City Hall staffer unauthorized to speak on the record said, referring to the scene in chambers last week. “It’s clear the administration is frustrated.”

http://planphilly.com/articles/2018/05/12/philly-mayor-threatens-council-over-lagging-rec-center-rebuild


Earlier our City Council had dealt with this union issue when it comes to a lack of diversity -

Four months after the city proposed the first 61 sites to undergo renovation through the soda tax-funded capital improvement program, the main sticking point isn’t the selected locations but rather the economic development goals attached to the initiative. Kenney promises that Rebuild will create jobs for minority contractors and permanently diversify the local building trades, which have been plagued by systemic racism and the exclusion of non-white workers for generations. The most recent publicly available diversity data for the building trades dates back to 2008 and shows that a majority of the unions had less than 10 percent black membership at the time.

Despite the 16-to-1 passage of the legislative framework governing Rebuild last year, Council members aren’t convinced that the mayor is doing enough to ensure that goals are met. Kenney came into office with the support of the city’s white labor establishment, along with unprecedented levels of black support for a white candidate. “We went out on a limb, big time. Some of us took a very difficult vote because we did see a pathway to get people into family-sustaining jobs in the building trades union, something we haven’t been able to achieve before,” Council President Darrell Clarke said.

For the better part of three hours on Thursday, council members raised concerns about negotiations with the unions and mechanisms for accountability, once the project gets rolling. “We really need to get some clarity before we get out here today,” said Clarke. “I’ve been hearing different iterations of the path to union membership all along this process.” But without anyone from any of the region’s building trades unions there to testify at the hearing, the answers sought by the council remained elusive. The Philadelphia Buildings Trade Council did not return phone calls from PlanPhilly.

The Rebuild team spent the hearing on the defensive, reintroducing previously discussed strategies in play to help the city realize its diversity goals. These include mandating that 45 percent of the workforce consists of minority laborers on all Rebuild sites, and 50 percent live in Philadelphia. Beyond increasing the number of Philadelphians of color on worksites, the city has designed pathways to permanent union membership via brokered pacts with building trades organizations. One route will be through a partnership with the Philadelphia Redevelopment Authority (PRA). The city redevelopment agency will employ an estimated 40 individuals with experience in skilled trades and no union card to work on a select number of Rebuild projects. According to the administration, after a period of time (which is yet to be finalized with the unions and subject to negotiation), those individuals will be granted a permanent union card.

http://planphilly.com/articles/2018/03/23/parks-rec-makeover-caught-in-clash-over-union-diversity-rules


So being in an urban area doesn't automatically equate to availability of a job - particularly when you have the majority population working overtime to keep POC out of them.

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Response to BumRushDaShow (Reply #7)

Mon May 14, 2018, 06:08 PM

13. Thanks for an interesting post, Bum.

When well run, with good training programs and so on, much of this is the kind of classic liberal progressive plan that Republicans spent decades trying to refuse to fund. Of course, we all know that, under any Republican administration these days, it would not be well run and full of injustices and abuses for all groups, but especially minority and gender defined groups, probably age also.

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Response to Hortensis (Reply #13)

Mon May 14, 2018, 06:40 PM

14. I am starting to hear some rumblings about restarting voc-tech education

Historically you will see (and I remember stumbling upon an interesting article but need to find it again) that the college attendance/graduation rates have increased quite a bit since the past (I think from something like 10% to now ~25%), but then we must acknowledge that not everyone can or wants to go to college, and there will always be a need for the trades, and not just "computers" but construction, plumbing, electrical, carpentry, roofing, masonry, metal-working, painting, mechanical/HVAC, etc.

There MUST be programs either at the high school level or beyond the often-schlock and fraudulent "technical schools" to get a workforce up and running and skilled in these activities - and the programs should include the various experience/expertise levels (apprentice, journeyman, master). These trades are usually peopled by unions but those unions have been loathe to step up to the plate when it comes to POC. So if programs can be put in place to partner with unions (in exchange for some benefit), then we can get this off the ground.

Interestingly enough, some of these skills have been taught by the military and their doing so has been used and touted as a big recruiting tool, but there is a need for civilian specialties.

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Response to BumRushDaShow (Reply #14)

Mon May 14, 2018, 07:07 PM

16. Yes. :) Actually, a lot of technical training takes place

in colleges these days. Students get to "go to college," institutions get to boost enrollment and charge college-level fees...

I only sort of agree with channeling high school students into technical training. Rising fascism, danger ahead! Sure, there can be some programs for some students who wish and need them. But I'd rather see solid academic learning, plus various arts and daily PE (we ran a mile every day in high school, didn't like it, but it was good for us in so many ways), followed by free to low-cost jobs training after high school.

Any channeling in high school needs to be carefully and caringly directed by liberal thinking, with all doors and opportunities kept carefully wide open for all those kids who are still learning who they are and have no idea of the great possibilities out there.

Scott Walker actually tried to rewrite the mission statement of WI's state colleges to eliminate aspirational statements of personal development to maximize...everything, you know the usual, and replace that with an avowed goal of producing workers for industry. Last I read they're trying to eliminate most of the liberal arts programs and degrees. Business apparently does not require those of workers at lower levels, and learning to think and understand principles of government and such are also seen as not necessary, I'm guessing even problematic.

About now I'm remembering Newt's great idea that poor students in Georgia should work scrubbing bathrooms for lunch money, in the process being taught how to work. Something less-poor, and less-black, students didn't need. He wasn't joking. He was trumpishly letting the ideological cat out of the bag.

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Response to Hortensis (Reply #16)

Mon May 14, 2018, 07:30 PM

18. "Scott Walker actually tried to..."

And I stopped after that. The devil's spawn, that one.

I agree that students should be given a freedom to choose because in the past, far too many - particularly POC, were purposely put into "tracks" that kept them out of the academic/college sphere. So when they did try to go to college, they spent the first 2 years in remedial classes. Basically, if you didn't get into the academic/college-prep track, then you were shunted into something nebulous and meaningless like "business", where maybe when you got out of high school, you could hope to be a teller (and then banks got rid of most of them) or work in retail.

I think there is a mindset among liberals of late that has eschewed the "skilled trades", with a sense that somehow they aren't "skills", despite the fact that they are! There is a big gap in terms of certain fields.

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Response to BumRushDaShow (Reply #18)

Mon May 14, 2018, 07:59 PM

19. I think this discussion is pushed and shaped by

wealthy anti-tax, anti-regulation, anti- labor, and anti-equality archconservatives. We should beware of any Republican legislation on this topic at federal or state level where they control the legislatures.

I know our party leaders are far too aware of what's happening on the right to support exploitative, fascistic Republican plans on their own, but vast parts of the populace could be deluded into not understanding why Democrats were "against good paying jobs," "against helping working people," etc. Many, including some right here on DU, have been insidiously deluded to that viewpoint already, and this could hurt us badly at the polls.

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Response to Hortensis (Reply #19)

Mon May 14, 2018, 08:58 PM

21. Agree.

We need to control the narrative and the path.

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Response to BumRushDaShow (Reply #7)

Tue May 15, 2018, 03:34 PM

29. Good Post !!!!

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Response to BumRushDaShow (Reply #4)

Mon May 14, 2018, 05:15 PM

11. Exactly

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Response to DonViejo (Original post)

Mon May 14, 2018, 09:28 AM

2. Well hell, if we can require a "must work" rule, why don't we just have "must move" rule??

I am not serious, but just pointing out the idiocy of the entire project. Until Trump starts working more than 20 hours a week, no more taxpayer paid vacations and half-rations of diet Coke.

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Response to DonViejo (Original post)

Mon May 14, 2018, 09:52 AM

3. Does that hold for the slackers in congress? They don't appear to be working much for

their money.
Maybe in November they won't need to worry about it.

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Response to DonViejo (Original post)

Mon May 14, 2018, 10:01 AM

5. Kick

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Response to DonViejo (Original post)

Mon May 14, 2018, 12:15 PM

8. Whether a just policy or not

It creates two tiers of those in need of a hand up. Sorry but it's bullshit.

They can go work on farms since 45/140's policies literally have food wasting in the fields.

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Response to DonViejo (Original post)

Mon May 14, 2018, 02:31 PM

9. Another example of White Wing policies from this administration that aren't accidental

This is part and parcel with the fact that the Red states receive far more federal dollars than they pay in.

It's just coincidental that the Whites get help at the expense of everyone else.

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Response to DonViejo (Original post)

Mon May 14, 2018, 02:38 PM

10. K&R

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Response to DonViejo (Original post)

Mon May 14, 2018, 05:25 PM

12. We should not be making work requirements acceptable by

debating that the implementation is unfair, because that implies they can be implemented fairly which they cannot. None of these work requirements have gone into effect yet. We need to try and beat these in the courts first. Premature to debate rather they are being implemented properly.

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Response to standingtall (Reply #12)

Tue May 15, 2018, 01:36 PM

25. Agreed. America has become a fascist state to giving benefits to one group and not

another is no surprise.

Much worse to come.

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Response to DonViejo (Original post)

Mon May 14, 2018, 06:48 PM

15. We are going to need to

March from the cities and kick the ever loving shit out of "rural" 'Murika.

Anyone who calls those good foresaken shitholes "The Heartland" ought to get the shit beat out of them.

Heartland my ass!

If god were going to give the world an enema, he'd stick the nozzle right in Dumbfuckistan, 'Murika

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Response to DonViejo (Original post)

Mon May 14, 2018, 07:17 PM

17. that violates the 14th amendment

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Response to DonViejo (Original post)

Mon May 14, 2018, 08:05 PM

20. Vast majority of rural white medicaid recipients in Mi would have to work

in order to continue to get benefits. There are 61 counties in the state that are considered rural. A little over a quarter of them have an unemployment rate of greater then the proposed threshold of 8.5%. And many of these counties with high unemployment rates have small populations.

An interesting side note is that a majority of Michigan State senators that co-sponsered the bill that just passed the state Senate represent urban regions of the state.

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Response to DonViejo (Original post)

Tue May 15, 2018, 09:06 AM

22. Transparent vote-buying, with a racial component to boot.

This monster knows no bounds, has not decency, is a corrupt and evil homunculus.

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Response to DonViejo (Original post)

Tue May 15, 2018, 10:22 AM

23. Well, there might be a silver lining...

... if it can be proved in court that racial discrimination results from these exemptions, it would render the whole work program unconstitutional, which it should be.

-- Mal

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Response to DonViejo (Original post)

Tue May 15, 2018, 01:25 PM

24. These rural Trumpers

should be taught to discover the internets and start home-based businesses.

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Response to DonViejo (Original post)

Tue May 15, 2018, 01:47 PM

26. Everyone knows, this is targeted specifically at Minorities in the GOP design of it.

One only has to go back to the 1960's Wallace Ideology, and listen to them bicker and whine about Minorities getting and utilizing public benefits. These type of white people, think, "all" tax money should be used for "white's Only", the ways they did it more than 50 yrs ago, which means they did it for over 100 yrs.... during segregation...

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Response to DonViejo (Original post)

Tue May 15, 2018, 01:59 PM

27. It won't survive an equal protection clause

(5th and 14th Amendments) challenge. Unfair benefit is racial discrimination.

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Response to DonViejo (Original post)

Tue May 15, 2018, 03:24 PM

28. Acknowledge the Re-Emergence of Confederacy Ideals, trying to be imposed upon America.

(1963) George Wallace, “Segregation Now, Segregation Forever”


Welcome to the Confederate Republic of America

It would be good if people truly look at the detail of what is taking place and acknowledge the Re-Emergence of Confederacy, trying to be imposed upon America.


We as Americans and within this DU Community need to start calling it what it is. So, that All America can see it for what it is.
The Re-Emergence of Confederacy, trying to be imposed upon America. !!!!!!

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Response to Civic Justice (Reply #28)

Tue May 15, 2018, 04:45 PM

30. Blech! I had forgotten just how awful Wallace was!

Just when you thought it was safe to get back in the water... The Confederacy raises its ugly head.

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Response to DonViejo (Original post)

Tue May 15, 2018, 07:00 PM

31. Hmmm....I don't know about that.

I don't know that there's not a way that the unemployment rate for the urban high unemployment areas can't, and won't, be taken into consideration like other areas.

I guess I have to read the article to know which urban areas have a false low unemployment rate, when they're really high, and they are mainly minority.

Not that I think it's a good idea to have a work requirement. I don't. This is just a way to kick people off Medicaid (more $$$ to transfer to the wealthy for those big tax cuts), when we all know that many on Medicaid can't get work (they don't have skills, or are borderline disabled, or have a bad work history), or need medical care during a transition period of losing a job and finding a new one.

Many on Medicaid are actually employed. They just don't get paid much.

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Response to DonViejo (Original post)

Tue May 15, 2018, 08:16 PM

32. Almost like people are upset that counties with large minority populations have lower unemployment

So, the areas of highest unemployment are rural white areas & not inner city minority areas?

I would think people here would be thrilled to find out that was the case.

People in urban areas should have a much easier time finding work due to the availability of mass transit that doesn't exist in rural areas.

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Response to DonViejo (Original post)

Tue May 15, 2018, 11:14 PM

33. With all of these medicaid work requirements: where are all the jobs they're going to fill?

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Response to DonViejo (Original post)

Tue May 15, 2018, 11:43 PM

34. In other words to paraphrase

"you white people deserve stuff, I am trying to go after THOSE people."

These are the sort of people that made "wypipo" a needed term.

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Response to DonCoquixote (Reply #34)

Wed May 16, 2018, 06:43 AM

35. Wypipo?

I’m lost here...

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Response to keroro gunsou (Reply #35)

Wed May 16, 2018, 10:41 AM

36. Urban dictionary definition of wiypipo

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Response to peace frog (Reply #36)

Wed May 16, 2018, 11:57 AM

38. here is the guy that coined the term explaning it

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Response to DonViejo (Original post)

Wed May 16, 2018, 10:46 AM

37. btw ...

Is anyone surprised at this turn of events? Trump thinks he's going to be reelected and expects these snowflakes being shielded from harsh reality to vote for him (again).

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