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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsTrump 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 cant 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 theyre 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, thats where the concern increases.
more
https://talkingpointsmemo.com/dc/trump-admin-poised-to-give-rural-whites-a-carve-out-on-medicaid-work-rules
el_bryanto
(11,804 posts)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
BumRushDaShow
(129,242 posts)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.
el_bryanto
(11,804 posts)And that is a pretty racist policy.
Bryant
BumRushDaShow
(129,242 posts)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 -
I think thats the straw that broke the camels back, a City Hall staffer unauthorized to speak on the record said, referring to the scene in chambers last week. Its 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 -
Despite the 16-to-1 passage of the legislative framework governing Rebuild last year, Council members arent convinced that the mayor is doing enough to ensure that goals are met. Kenney came into office with the support of the citys 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 havent 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. Ive been hearing different iterations of the path to union membership all along this process. But without anyone from any of the regions 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.
Hortensis
(58,785 posts)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.
BumRushDaShow
(129,242 posts)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.
Hortensis
(58,785 posts)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.
BumRushDaShow
(129,242 posts)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.
Hortensis
(58,785 posts)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.
BumRushDaShow
(129,242 posts)We need to control the narrative and the path.
Civic Justice
(870 posts)iluvtennis
(19,864 posts)dameatball
(7,399 posts)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.
shraby
(21,946 posts)their money.
Maybe in November they won't need to worry about it.
dalton99a
(81,549 posts)JustAnotherGen
(31,834 posts)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.
bigbrother05
(5,995 posts)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.
Solly Mack
(90,778 posts)standingtall
(2,786 posts)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.
Eliot Rosewater
(31,112 posts)another is no surprise.
Much worse to come.
maxrandb
(15,344 posts)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
Takket
(21,600 posts)Kaleva
(36,320 posts)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.
Nitram
(22,843 posts)This monster knows no bounds, has not decency, is a corrupt and evil homunculus.
malthaussen
(17,209 posts)... 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
bucolic_frolic
(43,242 posts)should be taught to discover the internets and start home-based businesses.
Civic Justice
(870 posts)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...
no_hypocrisy
(46,150 posts)(5th and 14th Amendments) challenge. Unfair benefit is racial discrimination.
Civic Justice
(870 posts)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.
The Re-Emergence of Confederacy, trying to be imposed upon America. !!!!!!
Mountain Mule
(1,002 posts)Just when you thought it was safe to get back in the water... The Confederacy raises its ugly head.
Honeycombe8
(37,648 posts)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.
MichMan
(11,951 posts)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.
YOHABLO
(7,358 posts)DonCoquixote
(13,616 posts)"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.
keroro gunsou
(2,223 posts)Im lost here...
peace frog
(5,609 posts)DonCoquixote
(13,616 posts)peace frog
(5,609 posts)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).