Last month, Minnesota House and Senate Republicans introduced a bill that would implement work requirements as a condition for eligibility for the state's health care program ("It's only fair: Work requirements are reasonable in exchange for free health care," March 30). Proponents of this bill argue that it will incentivize the poor to work, possibly creating the opportunity to access private insurance through their employers and increase the tax base. Proponents further argue that the many exceptions to the bill will still provide coverage to many.
However, the core of this bill relies on the centuries-old argument that a person's worth is predicated on their economic contributions to society and the poor choose not to contribute because they are inherently lazy. Both of these claims cannot be further from the truth. People will work if they can, and, when they cannot, it is the responsibility of the government to provide protections to safeguard the health and well-being of that person and any of their dependents. This bill (SF3611/HF3722) aims to systematically exclude the most vulnerable members of our state from a basic human right.
A person's right to health insurance and health care should never come with a caveat. Every person deserves access to equitable, appropriate and affordable health insurance and health care, regardless of their ability to participate in the workforce.
Paige Cooper, St. Paul
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State policy that encourages work is a laudable goal. Getting more out of every Medicaid (Medical Assistance) dollar the state spends is essential for its long-term sustainability. However, the legislative push to create a new bureaucracy that every 30 days measures how able-bodied a person is and then monitors if they are working or participating in the community enough is the wrong pathway to these goals.
I work with people with brain injuries, and they want to work. Many simply cannot work 20 to 30 hours a week. Are they able-bodied? If they can't meet the requirements, do we kick them off health care? Who is going to judge this? Who is going to pay for all this? Who is going to help people get work?
All I can think of is maybe they can all get jobs monitoring each other to make sure they all have jobs or maybe the newly created "able body panels" will be hiring.
I sincerely wish we could put all this time and energy into creating innovative ways to reduce MA complexity and paperwork, to find ways to remove barriers to health care and employment instead of blaming people for needing health care.