HOME



Digby's Hullabaloo
2801 Ocean Park Blvd.
Box 157
Santa Monica, Ca 90405



Facebook: Digby Parton

Twitter:
@digby56
@Gaius_Publius
@BloggersRUs (Tom Sullivan)
@spockosbrain



emails:
Digby:
thedigbyblog at gmail
Dennis:
satniteflix at gmail
Gaius:
publius.gaius at gmail
Tom:
tpostsully at gmail
Spocko:
Spockosbrain at gmail
tristero:
Richardein at me.com








Infomania

Salon
Buzzflash
Mother Jones
Raw Story
Huffington Post
Slate
Crooks and Liars
American Prospect
New Republic


Denofcinema.com: Saturday Night at the Movies by Dennis Hartley review archive

January 2003 February 2003 March 2003 April 2003 May 2003 June 2003 July 2003 August 2003 September 2003 October 2003 November 2003 December 2003 January 2004 February 2004 March 2004 April 2004 May 2004 June 2004 July 2004 August 2004 September 2004 October 2004 November 2004 December 2004 January 2005 February 2005 March 2005 April 2005 May 2005 June 2005 July 2005 August 2005 September 2005 October 2005 November 2005 December 2005 January 2006 February 2006 March 2006 April 2006 May 2006 June 2006 July 2006 August 2006 September 2006 October 2006 November 2006 December 2006 January 2007 February 2007 March 2007 April 2007 May 2007 June 2007 July 2007 August 2007 September 2007 October 2007 November 2007 December 2007 January 2008 February 2008 March 2008 April 2008 May 2008 June 2008 July 2008 August 2008 September 2008 October 2008 November 2008 December 2008 January 2009 February 2009 March 2009 April 2009 May 2009 June 2009 July 2009 August 2009 September 2009 October 2009 November 2009 December 2009 January 2010 February 2010 March 2010 April 2010 May 2010 June 2010 July 2010 August 2010 September 2010 October 2010 November 2010 December 2010 January 2011 February 2011 March 2011 April 2011 May 2011 June 2011 July 2011 August 2011 September 2011 October 2011 November 2011 December 2011 January 2012 February 2012 March 2012 April 2012 May 2012 June 2012 July 2012 August 2012 September 2012 October 2012 November 2012 December 2012 January 2013 February 2013 March 2013 April 2013 May 2013 June 2013 July 2013 August 2013 September 2013 October 2013 November 2013 December 2013 January 2014 February 2014 March 2014 April 2014 May 2014 June 2014 July 2014 August 2014 September 2014 October 2014 November 2014 December 2014 January 2015 February 2015 March 2015 April 2015 May 2015 June 2015 July 2015 August 2015 September 2015 October 2015 November 2015 December 2015 January 2016 February 2016 March 2016 April 2016 May 2016 June 2016 July 2016 August 2016 September 2016 October 2016 November 2016 December 2016 January 2017 February 2017 March 2017 April 2017 May 2017 June 2017 July 2017 August 2017 September 2017 October 2017 November 2017 December 2017 January 2018 February 2018 March 2018 April 2018 May 2018 June 2018 July 2018 August 2018 September 2018 October 2018 November 2018


 

This page is powered by Blogger. Isn't yours?

Hullabaloo


Monday, May 14, 2018

 
Delivering to the deserving (white) poor

by digby



We are experiencing yet an other spate of tiresome hand-wringing over the sad, desperate state of the white working class Trump voters who are angry that liberals aren't giving them the deference, respect, courtesy and honor to which they are entitled. They are so upset that people disagree with them --- and dislike them as much as they dislike the liberal snowflakes --- that they felt the need to vote for an unfit, racist criminal to lead the country and prove that they really aren't the racist hypocrites they are accused of being. Or something.

Anyway, that criminal and his party are working overtime to make sure these poor forgotten people who have front page stories every other day in all the major newspapers are getting the attention they deserve while making sure that the undeserving are punished for their unwillingness to bow down to them:
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 can’t 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 they’re 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, that’s where the concern increases.”

Rosenbaum and other health law experts say the waivers — already approved for Kentucky, pending for Ohio, and advancing in Michigan’s legislature — may run afoul of Title 6 of Civil Rights Act of 1964, which prohibits race-based discrimination in federal assistance programs. Under that statute, even policies that are racially neutral on their face but have a disparate impact on a particular group could be illegal.

The waiver in Kentucky, the first state to win federal approval for a Medicaid work requirement, will have the effect of exempting eight southeastern counties where the percentage of white residents is over 90 percent. The work requirements will be imposed first in Northern Kentucky, which includes Jefferson, the county with the highest concentration of black residents in the state. The rules are set be enforced first in that area this July, but a federal court challenge in June could decide the fate of the program.
It's a trend!
Michigan Republicans' plan to require some recipients of government health insurance to work would disproportionately affect black people, a Washington Post analysis of new data from state health officials reveals.

State Republicans are moving a proposal through the legislature that would impose work requirements on some Medicaid recipients, arguing new rules are necessary to push people into jobs and off taxpayer-subsidized health plans.

The proposal would exempt people living in counties where the unemployment rate tops 8.5 percent, a provision GOP lawmakers say is aimed at protecting those living in areas where job opportunities are scarce.

Medicaid enrollment data provided to The Washington Post by the Michigan Department of Health and Human Services shows that this exemption would overwhelmingly benefit white people while leaving the work requirements in place for all but a sliver of the affected African American population.

Without the exemption, the work requirements are projected to apply primarily to approximately 700,000 Michigan residents enrolled in Medicaid under broader eligibility rules passed under Gov. Rick Snyder (R).

African Americans make up about 23 percent of that population, but they would make up only 1.2 percent of the people eligible for the unemployment exemption. White people make up 57 percent of the total potential affected population, but they make up 85 percent of the group eligible for the unemployment exemption, according to an analysis of the state's data.

Michigan's health department provided The Post with Medicaid enrollment data by racial and ethnic group for every county in the state. This analysis was based on the population enrolled via the state's Medicaid expansion, which health experts say is the group expected to be subject to the work requirements, because enrollees on “traditional” Medicaid are likely to be exempted. While it's possible, some experts say, that a small portion of the traditional Medicaid population would be affected by the work requirements, including that population in the analysis would not change the racial composition of the exempt group by more than about one percentage point.
Ohio too:

Ohio’s Medicaid work requirement proposal — recently submitted for federal approval — is of a similar design, and would have the same disparities between urban residents of color in Cleveland and Columbus and rural white residents in the rest of the state.

John Corlett, Ohio’s former Medicaid director and the president of Cleveland’s Center for Community Solutions, studied the 26 counties that qualify for an exemption from the proposed Medicaid work requirements and found they are, on average, 94 percent white. Meanwhile, his research found, “most of these non-exempted Ohio communities have either majority or significant African-American populations.”

“The communities most at risk under this scenario are African American, and those communities already have significantly higher rates of infant mortality, lower life expectancy, and a number of other serious health disparities,” he told TPM.
That will surely make the Trump voters happy. 

.