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The Commonwealth of Kentucky, best known for its weirdly colored grass, fine bourbon too equestrian pageantry, is most to travel destroyed past times the Trump administration. Many volition endure too perchance conk because Kentucky obtained a Medicaid waiver to impose additional too oftentimes insurmountable hardships on piteous people receiving their complimentary wellness assist from the State. Since all I demand to know, I learned on Twitter, let me to portion amongst yous some illuminating insights from the Twitterati.

The evil Republican Governor of Kentucky, Matt Bevin, is salivating at the prospect of changing Medicaid equally nosotros know it, which evidently agency that piteous people too specially people of color volition travel suffering greatly nether this plan. You really don’t demand to know more, since this should travel argue plenty to mobilize the worried wealthy, who are tossing too turning inwards their featherbeds nighttime afterwards night, searching for ways to salve the poor. For those who are neither worried nor wealthy plenty to really care, hither are the ominous provisions of the Kentucky racist, homophobic too xenophobic excogitation to modify Medicaid (it is all these things because it was non exclusively approved, but encouraged past times the Trump administration, too nosotros all know what that means).

The most egregious transgression inwards the Kentucky HEALTH excogitation is the imposition of piece of work requirements on Medicaid beneficiaries. The offset affair that comes to my heed when they tell “work requirements” is that sign at the entrance to Auschwitz maxim that piece of work makes yous free. In Kentucky, the Republicans combat that piece of work makes yous healthy. Same thing. So, what are those monstrous piece of work requirements? Medicaid recipients who are non children, who are non below the poverty line, who are non elderly, who are non pregnant, who are non disabled, who are non medically or mentally frail, who are non providing assist to children or other disabled individuals, who are non experiencing hardships such equally domestic abuse or homelessness or other disruptions inwards their lives, must pass or hence four hours a 24-hour interval inwards schoolhouse (any school), grooming (any training), apprenticing, acquiring useful skills, volunteering inwards the community, searching for a labor or really working somewhere.

Wait, wait…. Don’t heighten your eyebrows too don’t scream back or tell anything. If yous are reading this, yous are most probable rich, probable white, well-educated too perchance fifty-fifty male. Medicaid beneficiaries are none of these things. We all know that whatever of those endeavors could travel genuinely insurmountable hardships for people who are poor, dark or Hispanic, uneducated too female. We know that, because nosotros are non racists, misogynists or but champaign bigoted SOBs, similar the Republicans running Kentucky too that insufferable adult man running the province (or hence he thinks).

Besides, most Medicaid beneficiaries who don’t autumn inwards the exempt categories are already working. The ones who don’t work, or study, or do anything beneficial for themselves or others, are experiencing circumstances beyond their control. Helping them gain command over their lives is non Medicaid’s labor because wellness too wellbeing direct maintain cipher to do amongst socioeconomic circumstances. And fifty-fifty if Kentucky wanted to “nudge” people into, say, getting their GED past times funding a special rewards account, the bureaucracy involved inwards tracking all sanctioned activities, all exemptions too special circumstances is but besides daunting for “these people” to navigate. Trust me on this one, I read it direct from the keyboards of Hollywood celebrities too several electrical current too quondam large wellness assist executives.

The 2nd affront to humanity inwards the Kentucky excogitation is to accuse piteous people premiums for wellness insurance. Not exclusively that, but those who can’t pay the premiums may travel kicked off Medicaid. Granted, the premiums gain from $1 to $15 (in lieu of regular copays), too all the exemptions for sick health, frailty too poverty do apply hither equally well, but that nonetheless leaves a sizeable discover of piteous people who could travel denied medical assist but because they forgot to pay the monthly dollar twice inwards a row, or couldn’t afford the higher premium. These highly discriminatory practices targeting the piteous are unheard of inwards other industries or fifty-fifty inwards the commercial segment of wellness assist itself, where insurance premiums are largely voluntary.

To travel fair to Kentucky, at that topographic point is a machinery past times which people who did non pay their premiums on fourth dimension tin give notice find their Medicaid coverage, which brings us to provisions reminiscent of the Jim Crow days inwards the South. The Kentucky plan, yous see, has a literacy provision for regaining access to care. This is evidently targeted at people of color too immigrants from what the GOP Leader calls “shithole” countries, which equally every wealthy somebody inwards Bel Air knows, cannot read or write, equally evidenced past times the thumbprint (or large X, depending on the State) appearing on most Medicaid applications. I direct maintain null incertitude that the Attorney General of the State of California volition travel taking the depraved Governor of Kentucky, too the Trump direction that enabled him, to court, too I direct maintain no incertitude that the ninth Circuit Court of Appeals volition discovery inwards favor of jurist too equality, equally it ever does.

Until then, it seems that some Medicaid beneficiaries inwards Kentucky may direct maintain to sit down through torturous wellness literacy or fiscal literacy classes, where they learn dull materials most how to bargain amongst debt, how wellness insurance plant too how 1 tin give notice navigate these treacherous waters. There is no advert of a exam or anything at the end, but this nonetheless seems similar an unwarranted too blatantly racist imposition on “these people”.  Even to a greater extent than outrageous though is that Kentucky is providing incentives, which tin give notice travel used to buy gym memberships, for Medicaid beneficiaries to accept other classes, such equally chronic assist direction or nutrition or drug addiction coping skills.  What do illiterate people, drug addicts too all “these people” demand gym memberships for? It’s similar telling them to “eat cake” ….

And on too on goes the Kentucky HEALTH plan, listing 1 offensive department afterwards another. The work amongst this plan, which volition alive inwards infamy until the Dominicus goes supernova, is the cold, heartless too blatantly racist supposition that people who demand Medicaid are equally capable of surgical procedure inwards modern lodge equally anybody else. It ignores decades of teachings. It ignores hundreds of years of slavery too Anglo Saxon colonialist supremacy. And it ignores basic Christian values, because Jesus didn’t but sit down at that topographic point giving classes on how to fish. He gave people fish, too it worked bang-up for Him too for His followers, eventually. If yous come across yourself equally the Lord too Savior of huddled masses, yous volition desire to do what Jesus did. If yous experience equal to people who demand Medicaid, but perchance a fleck luckier at this moment, yous volition dismiss everything I wrote hither equally full bullshit.