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Trump Admin. Taking Steps To Add Work Req. To Medicaid

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(Via Zerohedge)

After passing the Trump tax cuts late last year, the White House revealed that immigration, welfare reform and the administration’s nascent infrastructure plan would be its top priorities in 2018.

And while lawmakers say they’re close to a tentative immigration compromise to preserve DACA protections by packaging them with a border-security package that will presumably include some funding for the president’s promised border wall, the White House is already starting its crackdown on Medicaid.

To wit, the administration issued guidance early Thursday that will force people trying to collect Medicaid that they are working, or preparing to work. The policy change, according to the Washington Post, is the biggest blow to Medicaid in the program’s 50-year history.

However, it’s widely expected that any attempts to implement this policy will be met with a court challenge by the states, which administer Medicaid, and advocacy groups.

To be sure, 10 states are already lined up to adopt the new policy. They’re just waiting for federal permission to impose work requirements on able-bodied adults in the medicaid program.

Furthermore, three other states are contemplating them. Health officials could approve the first waiver – probably for Kentucky – as soon as Friday, according to two people with knowledge of the process.

As WaPo explains, the trend of imposing limits on Medicaid began two decades ago when a system of unlimited cash assistance was replaced by the Temporary Assistance for Needy Families.

The guidance represents a fundamental and much-disputed recalibration of the compact between the government and poor Americans for whom Medicaid coverage provides a crucial pathway to health care.

The idea of conditioning government benefits on “work activities” was cemented into welfare more than two decades ago, when a system of unlimited cash assistance was replaced by the Temporary Assistance for Needy Families with its work requirements and time limits. The link between government help and work later was extended to anti-hunger efforts through the Supplemental Nutrition Assistance Program, as food stamps are now called.

But most health policy experts, including a few noted conservatives, have regarded the government insurance enabling millions of people to afford medical care as a right that should not hinge on individuals’ compliance with other rules.

Despite promising during the campaign to leave Social Security, Medicaid and Medicare untouched, Trump has more recently signaled that he would seek to limit access to benefits for a program that was adopted as part of President Lyndon Johnson’s Great Society programs.

That tone was cemented in March when the newly sworn in administrator of the Centers for Medicare and Medicaid Services, Seema Verma, dispatched a letter to governors encouraging “innovations that build on the human dignity that comes with training, employment and independence.”

Government lawyers cautioned that they would need time to establish a legal justification for the new requirements that could withstand a court challenge. Apparently, the prevailing view adopted by conservatives is that working “promotes good health” which they can use to justify that this policy change would “further the objectivs” of Medicaid.

The legal issue is that states must obtain federal permission to depart from Medicaid’s usual rules, using a process known as “1115 waivers” for the section of the law under which the program exists. To qualify for a waiver, a state must provide a convincing justification that its experiment would “further the objectives” of Medicaid.

Unlike the 1996 rewrite of welfare law, which explicitly mentions work as a goal, Medicaid’s law contains no such element, and critics contend rules that could deny people coverage contradict its objectives. To get around this, the 10-page letter argues that working promotes good health and repeatedly asserts that the change fits within the program’s objectives. The guidance cites research that it says demonstrates people who work tend to have higher incomes associated with longer life spans, while those who are unemployed are more prone to depression, “poorer general health,” and even death.

“[A] growing body of evidence suggests that targeting certain health determinants, including productive work and community engagement, may improve health outcomes” the letter says. “While high-quality health care is important for an individual’s health and well-being, there are many other determinants of health.”

If the first approvals are issued this week, expect the first court challenges to arrive immediately after.

“This is going to go to court the minute the first approval comes out,” predicted Matt Salo, executive director of the National Association of Medicaid Directors.

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Lucas Gage Returns to X After Exposing Palestine Atrocities & Ban Over Alleged Harassment

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In today’s digital age, social media platforms serve as vital tools for raising awareness and advocating for causes. However, they also present challenges such as harassment and censorship. Recently, actor and activist Lucas Gage faced these challenges head-on when his X account was suspended for several months following harassment from certain groups unhappy with his efforts to expose war atrocities in Palestine. Now, after a prolonged absence, Gage has returned to X, ready to resume his important work of shedding light on crucial issues.

Lucas Gage, known for his roles in various television shows and films, has also been vocal about social justice issues, particularly regarding the Palestinian cause. His advocacy drew the ire of individuals and groups who disagreed with his stance. Gage utilized his platform on X to spotlight the human rights violations and war atrocities occurring in Palestine, which led to backlash from some pro-Israeli factions.

The backlash against Gage escalated into harassment, predominantly from individuals identifying themselves as Zionists. He faced a barrage of abusive messages, threats, and attempts to undermine his activism. Despite his efforts to report and block the harassers, the situation persisted, taking a toll on Gage’s mental well-being and sense of safety.

In a controversial decision, X suspended Gage’s account, citing violations of its community guidelines. Many criticized X for what they perceived as a failure to address harassment effectively, especially given the circumstances surrounding Gage’s case. The ban sparked debates about freedom of expression, censorship, and the responsibilities of social media platforms in safeguarding users from harassment and abuse.

After a hiatus spanning several months, Lucas Gage has made his comeback to X. His return has been met with an outpouring of support from fellow activists, fans, and individuals concerned about censorship and human rights. Gage expressed gratitude for the overwhelming solidarity he received during his absence and reiterated his dedication to advocating for justice and raising awareness about the plight of the Palestinian people.

The incident involving Lucas Gage underscores the significance of advocacy and the hurdles activists encounter, especially when addressing contentious issues. It also highlights the complexities of navigating social media platforms where differing viewpoints often clash, sometimes resulting in hostility and censorship.

As Gage resumes his activism on X, it is imperative to continue discussions about online harassment, censorship, and the necessity for improved mechanisms to shield users from abuse. Social media companies must reevaluate their policies and enforcement strategies to ensure that platforms remain spaces for constructive dialogue and activism, rather than avenues for harassment and stifling dissenting voices.

Lucas Gage’s return to X serves as a testament to the resilience of individuals committed to social justice causes despite facing obstacles and adversity. His experience sheds light on broader issues surrounding online harassment and censorship, prompting important conversations about the role of social media platforms in shaping public discourse. As Gage continues his advocacy, his story serves as inspiration for others to speak out against injustice and strive for positive change.

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Culture

Rabbi Shmuley Having ‘Nervous Breakdown’ says Alex Jones

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In the whirlwind of social media controversies, few can match the intensity and unpredictability of Alex Jones. Known for his provocative statements and unyielding conspiracy theories, Jones recently took to Twitter to express his disdain for Rabbi Shmuley Boteach’s Purim costume choice.

In a scathing tweet, Jones condemned Rabbi Shmuley’s attire and behavior, accusing him of having a “nervous breakdown.” The rabbi had donned a costume portraying what he termed a “Candace Owens Jew,” accompanied by a bizarre ensemble featuring references to money and a provocative assertion about Jewish identity.

“For Purim I’ve dressed up as a Candace Owens Jew,” Rabbi Shmuley wrote, adding a string of controversial remarks about Jewish stereotypes and dual loyalties. The costume, seemingly intended as a satirical commentary, sparked outrage and criticism from many quarters.

Jones, never one to shy away from confrontation, seized the opportunity to denounce Rabbi Shmuley’s actions. “You go around starting fights with people and then flip out when they respond,” Jones tweeted. He urged the rabbi to seek help for the sake of his family, implying that Rabbi Shmuley’s behavior was symptomatic of a deeper issue.

The exchange between Jones and Rabbi Shmuley highlights the complexities of social media and the power of provocative speech. Both figures are no strangers to controversy, with Jones notorious for his conspiracy-laden rants and Rabbi Shmuley often courting controversy with his outspoken views on various issues.

Purim, a Jewish holiday known for its revelry and merrymaking, is traditionally marked by costume parties and playful satire. However, Rabbi Shmuley’s choice of attire crossed a line for many, tapping into sensitive issues of anti-Semitism and racial stereotypes.

By dressing as a caricatured version of a “Candace Owens Jew,” Rabbi Shmuley waded into dangerous territory, perpetuating harmful stereotypes and reinforcing negative perceptions of Jewish people. His attempt at satire fell flat for many, instead sparking condemnation and outrage.

In response, Alex Jones delivered a blistering rebuke, calling out Rabbi Shmuley’s behavior and urging him to seek help. While Jones himself is no stranger to controversy, his criticism of Rabbi Shmuley’s costume choice underscores the seriousness of the issue at hand.

In an era where social media amplifies voices and magnifies controversies, individuals must exercise caution and responsibility in their online interactions. What may seem like harmless satire to some can perpetuate harmful stereotypes and fuel division.

As the dust settles on this latest social media skirmish, it serves as a reminder of the power of words and the importance of thoughtful discourse. In a world already fraught with tensions and divisions, it is incumbent upon all of us to strive for understanding and empathy, even in the midst of disagreement.

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Border

AG Ken Paxton: “SB 4, is Now In Effect”

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In the heart of Texas, amidst the sweltering heat and the vast expanse of rugged terrain, a battle was being waged—a battle not fought with guns and swords, but with words and legal maneuvers. It was a clash between the Lone Star State and the might of the federal government, with the fate of immigration law hanging in the balance.

Ken Paxton, the Attorney General of Texas, stood at the forefront of this struggle. With unwavering determination and a deep sense of duty, he had taken up the mantle to defend Texas and its sovereignty against what he saw as overreach from the Biden Administration.

Just a few minutes ago, he had sent a tweet echoing across the digital landscape, announcing a monumental victory: “🚨🚨 HUGE WIN: Texas has defeated the Biden Administration’s and ACLU’s emergency motions at the Supreme Court. Our immigration law, SB 4, is now in effect.”

The news reverberated through the state like a thunderclap, igniting a spark of hope in the hearts of many Texans who had felt their voices drowned out by the clamor of national politics.

Among those who felt the weight of this victory was Maria Sanchez, a young immigrant who had come to Texas in search of a better life. For years, she had lived in the shadows, fearing the consequences of being discovered by authorities. But now, with SB 4 in effect, she felt a glimmer of hope that perhaps she could finally step out into the light without fear.

On the other side of the divide stood federal agents, tasked with enforcing the laws of the land as decreed by the Biden Administration. They watched with frustration as their efforts were thwarted by legal challenges and political maneuvering.

But for Ken Paxton, this victory was not just about winning in court—it was about standing up for what he believed was right. It was about defending the values and principles that he held dear, even in the face of adversity.

“As always, it’s my honor to defend Texas and its sovereignty, and to lead us to victory in court,” he declared, his words resounding with conviction.

The battle may have been won for now, but the war was far from over. In the days and weeks to come, the struggle between state and federal authority would continue to unfold, shaping the destiny of not just Texas, but the entire nation.

But for now, amidst the heat of the Lone Star State, a moment of triumph had been achieved—a testament to the resilience and determination of those who dared to stand up and fight for what they believed in.

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