1. La Burocracia como Herramienta de Atrición.
La crítica central es que los nuevos requisitos no buscan fomentar el empleo, sino crear una carga administrativa intencionalmente compleja (red tape) para que los beneficiarios elegibles cometan errores en la documentación y pierdan su cobertura. Este proceso es visto como una estrategia de "desgaste" para reducir la inscripción.
- Work requirements for medicaid arent about work theyre about attrition. The real goal is to make the process so punishing that people give up before they can see a doctor.
- These arent work requirements, theyre reporting requirements and evidence shows that these requirements are onerous enough to cause significant health insurance coverage losses without producing increases in employment.
- Medicaid work requirements are a trap. Its only purpose is to drown people in paperwork, kick them off their health coverage, and then blame them for getting kicked off.
- Correct anyone you hear trying to use work requirement when discussing medicaid cuts in big bullshit bill. Tell them it is a bureaucratic navigation requirement.
2. La Realidad de los Beneficiarios de Medicaid.
Contrariamente a la narrativa de que los requisitos buscan que los "sanos y capaces" trabajen, la gran mayoría de los adultos en Medicaid ya están empleados, son discapacitados, ancianos o cuidadores, y por lo tanto, ya cumplen o están exentos de facto.
- The vast majority of recipients who can work are already working.
- Because 92 of medicaid beneficiaries are already working or would be exempt.
- Most of the people on medicaid are elderly, disabled or children. The rest are the working poor. Work requirements are absurd and a bureaucratic waste.
- Only 7 of medicaid recipients arent either working, disabled, students or caregivers?
- Most medicaid enrollees already work 64. The vast majority of the rest are unable to work due to a qualifying disability or caregiving responsibilities.
3. Consecuencias de la Pérdida de Cobertura.
La implementación de estos requisitos, probada en varios estados, no ha logrado aumentar el empleo, sino que ha provocado la pérdida masiva de cobertura para personas elegibles. Esto se traduce en sufrimiento humano, aumento de la deuda hospitalaria y costos administrativos elevados para los estados.
- States that tried them didnt see more people working they just saw more people lose their health care coverage.
- Medicaid work requirements will push people off of the program leading to suffering and death.
- Medicaid work requirements are so costly to administer that sometimes they dont even pay for themselves.
- The medicaid savings materialize when millions of people who need care dont get it. Thats the impact of work requirements.
- The administrative tsunami will swamp state agencies if this work requirement abomination goes through.