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.
Trump judges…….The Purge!
I’d rather be judged by 12 than carried by six.
That great lyric from Ice Cube has more bite and meaning in the run up to the 2020 election. Now we have the investigation of the investigators. The Mueller investigation and everything it has encompassed is now being scrutinized. We are finally looking at indictments and guilty pleas from the corrupt cabal that tried to bring down, frame, jail and impeach a duly elected, INNOCENT president and anyone in his sphere. Getting to the point of investigating the investigators has been a long hard slog.
We did not foresee how really deep and treacherous the swamp really was. You could investigate, indict and try someone like a Hillary Clinton for example, and someone of authority in that chain is a corrupt actor from the Deep State and you will then see the guilty party skate free. Or you can have a completely innocent Mike Flynn, Roger Stone, George Papodopoulos railroaded by a corrupt judge. The Michael Flynn case is the most glaring. The DOJ has dropped the case and charges against him and in an unprecedented move the judge does not drop the case, he extends it as if he is the prosecutor.
So there is a light at the end of the tunnel my friends. Donald Trump has been appointing a record number of federal judges. This is a brilliant move and somewhat frustrating and time consuming. But there is a method to the madness. Why investigate, indict and try just for a Deep State judge to let the guilty party walk free? Donald Trump has appointed over 300 judges and counting. More will be appointed to the bench and now there is a more likely chance when the guilty parties are tried, there will be justice. So there is a silver lining in this swamp covered cloud.
By Michael Ameer
The reckoning of the fake news media.
Karma, the sweet smell of poetic justice, the bully gets punched in the nose in the end! Fake news finally gets counted out and David to the Goliath is a teenager named Nicholas Sandmann the MAGA hat wearing unassuming media slayer.
Nicholas Sandmann and his legal team has announced a settlement with The Washington Post on their $250 Million dollar suit. This comes also on the heels of the multi-million dollar suit against CNN. They have stated 2 down and six to go. Here is their list:
NBC, CBS, ABC, NYT, Gannett, Rolling Stones.
Many have tried to get the media companies to report fairly but even Billionaire hardball players like Donald Trump are impotent against the media smear machines. Politicians, celebrities and any adults in the public realm have diminished rights when it comes to defending their reputation against lies and attacks from media behemoths. This is a sad state of affairs and what’s lead to the monumental rise of fake propaganda news.
In steps Nicholas Sandmann who was wrongly accused by many media outlets when the story broke of belligerent teens harassing a Native American man beating a drum in a rally. There were duel rallies in the area. Since the teen was wearing a MAGA hat the news media or better yet fake news media went into overdrive bashing the kids. When the whole video was viewed any honest person could see the kids did nothing wrong in the whole confrontation. But this blatant truth means nothing to fake news. They hate Trump so lies are okay as long as it hurts their intended target. Nicholas Sandmann is a normal American well behaved teen. With him being a teen or minor the laws give him protections not afforded a public figure. So he could aggressively defend himself with a good legal team. Now truth and justice has a chance to rule and not the mob rule of the left. If this could happen more often we would have a more honest press. But we know they have financial donors and backers that pay them to spread these lies so we will have to see what is coming down the pike in hopes there will be more honesty in reporting. But don’t hold your breathe.
By Michael Ameer
Should the media and politicians be held responsible for fraudulent hydroxychloroquine reports?
Saying a drug that clearly works, doesn’t work is Trump Derangement Syndrome beyond comprehension.
The Lancet Study on Hydroxychloroquine was fraught with errors and incomplete data. It was thrown together to let the world know that hydroxychloroquine doesn’t work. Well that study was retracted. A Henry Ford Health System study found the drug helped patients with COVID-19. Just as the president was saying. Trump mentioned HCQ and the collective mainstream media went into overdrive to prove him wrong. And once again Trump accused of lie of the century turns out to be right. He was clearly right in the beginning. The media said the drug could cause harm if not used correctly. That could also be said about aspirin or any drug.
Taking this derangement one step further was governors making it hard to get HCQ and banning it in some places from use. Now we know in hindsight the drug works and these politicians and media companies as CNN are libel for deaths of Coronavirus patients that died when a life saving drug was readily available in stockpile. Also the governors sending the elderly with COVID-19 into nursing homes with the most vulnerable also caused many unnecessary deaths. Weren’t we told we had to save our grandparents? If we loved them don’t visit them to be safe? So why would governors send COVID-19 patients to nursing homes when they (New York) mainly was provided thousands of empty hospital beds on the navy ship and the convention center?
I have been following these people long enough to know these things are not an accident. Germany and Israel sent the United States millions of tablets of HCQ. They were at the ready and cheap. It’s been used for malaria since the 1960’s so the side effects have been tested, it is safe. Boris Johnson, British Prime Minister was saved with HCQ. Thousands around the world have been saved with this drug. So we must ask the question when will the media and politicians be dragged into a court of law for their negligent reckless reporting?
By Michael Ameer